Levy Dental Arts strives to provide exceptional and affordable treatment for all our patients. We accept most major insurances and will work with you to create a payment plan that can comfortably fit into your budget. We will work hard to help you understand the benefits due to you and do everything in our power to help you get the most out of your benefits.

It is important to remember that while our office will work hard to help you, we do not have control over decisions made by the insurance companies. It is important to fully understand all your financial obligations, including if insurance will not cover your care. Your care may be covered in part by dental insurance, but the remaining portion is the responsibility of the patient.

After your appointment, we will submit your claim to your insurance company. If you have a deductible or a co-pay due for services provided, those fees are due at the time of service. We provide you with a complete estimate before any treatment is performed, and we make every effort to maximize your dental benefits. However, each employer designs their own dental plan. To completely understand what is covered by your dental benefits plan, it is best to contact your employer or insurance company. Please contact your insurance provider to verify coverage and acceptance.

Patient Forms

Thank you for choosing Levy Dental Arts. For your convenience, this section includes forms you'll need during your first visit. Please complete the following information. Be sure to bring these forms to your first appointment: HIPPA Awareness Form and the COVID Authorization Form.

If you still have any questions about your upcoming visit, please call our Levy Dental Arts office. We're here to help.

Medical History Form

Download our new patient Medical History form by clicking on the download button and print it and fill it out before your visit to avoid any delay caused by doing the dental paperwork in the office during your first visit.

Download Form

HIPPA Awareness Form

Download our HIPPA Awareness form by clicking on the download button and print it and fill it out before your visit to avoid any delay caused by doing the dental paperwork in the office during your first visit.

Download Form

Dental Health Claim Form

Download our Dental Claim form by clicking on the download button and print it and fill it out before your visit to avoid any delay caused by doing the dental paperwork in the office during your first visit.

Download Form

COVID-19 Authorization Form

Download our COVID-19 Authorization form by clicking on the download button and print it and fill it out before your visit to avoid any delay caused by doing the dental paperwork in the office during your first visit.

Download Form

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