405-751-7131
New Patient?
MyDentist Corporate Office
PO Box 21840
Oklahoma City, OK 73156
Phone / 405-751-7131, x300 Fax / 405-751-7160
New Patients: To provide the necessary diagnostic information and to save time at your first appointment, please print these forms, fill them out, and bring them with you to your first appointment. Thank you.
- Getting to Know You as Our Patient
- Smile Evaluation
- Perio Risk Assessment
- Insurance Benefits, Medical Information Release and Financial Responsibility Agreement
- Acknowledgement of Receipt of Privacy Information
If you wish to read our Notice of Privacy Practices, please click on the form below.- Notice of Privacy Practices
Contact Us
MyDentist is a well-respected practice that has earned its reputation by providing affordable, quality dental care to patients for over 20 years. We serve the Kansas City, Oklahoma City and Tulsa areas and offer a wide range of options in preventive, general, restorative and cosmetic dentistry. If you have any questions about our practice, please fill out this form and click on the Submit button. One of our caring representatives will respond as quickly as possible.
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Appointment Cancellation Policy: We must be notified at least 48 hours prior to canceling an existing appointment time so that you may avoid a potential cancellation charge.
Billing: Our policy is Fee for Service. Payment is due when procedures are agreed upon by the patient and prior to any lab work being ordered. We will file your insurance as a courtesy. However, the patient is ultimately responsible for the entire bill. Any co-pays, deductibles or amounts not covered or denied by your insurance company are the patient’s responsibility and are due prior to commencing your procedures.
Financing Options
At MyDentist, we offer several payment options including financing through CareCredit®, ChaseHealthAdvance, and credit card (Visa, MasterCard, Discover, American Express and Healthcare Credit). We also accept many insurance plans.
Insurance: You will need to check with the specific office you wish to visit to verify acceptance of your insurance plan. Although we accept most insurance and will file it for you as a courtesy, the patient is ultimately responsible for all payments, including disallowed services, and must act in their own behalf directly with their insurance company to resolve any disputes concerning their insurance. MyDentist cannot act as an intermediary in these situations. We reserve the right to refuse acceptance of any insurance plan. Any insurance payment not received by us on your behalf will be due and payable by the patient immediately after 90 days from date of service has passed and insurance is not paid, regardless of the reason. It will then become the patient’s responsibility to pay us immediately and to collect their money from the insurance company.
Each office has a Treatment Coordinator who will work with you and assist you in making the necessary financial arrangements that you need to meet your dental health needs.
Employment Opportunities
We are always looking for quality-minded people to complement our existing staff. Employment opportunities at MyDentist may be available for dentists, hygienists, dental assistants, laboratory staff, front office staff and administrative staff. If you are interested in employment at one of our locations, please contact Human Resources at 405-751-7131.