Patient forms

Patient Forms

You may preregister with our office by filling out our Patient Registration Form. Please click on the link below to submit your forms online prior to your appointment.

Billing

For your convenience, we accept Visa, MasterCard, American Express, and Discover. Payment is due at the time services are rendered.

We also accept Care Credit at our office for all non-covered services. For more information, call us at 410-594-9500.

Sarubin Family Dental Associates is happy to accept “assignment of benefits” from your dental carrier for that portion or percentage that we estimate they will cover, with the exception of sedation cases. However, please be informed that you are responsible for the full balance.

Insurance

At Sarubin Family Dental Associates we make every effort to provide you with the finest care and the most convenient financial options. To accomplish this, we work closely with you to maximize your insurance reimbursement for covered procedures. If you have any problems or questions, please speak with our staff. They may be reached by phone at 410-594-9500.

If you are a diabetic call your dental insurance and register with them that you have this condition and they may extend your coverage for your hygiene appointments from every 6 months to every 3 month benefit.

Please call if you have any questions or concerns regarding your initial visit. Please bring your insurance information with you to the consultation so that we can expedite reimbursement.