CLEANING & PREVENTION COSMETIC DENTISTRY & RESTORATIONS IMPLANTS SMOKING CESSATION EMERGENCY CARE
Welcome
Meet the Dentists
Meet the Staff
Initial Visit & Forms
Infection Control
Location
Contact Us
Mission Trips
Common Questions
Building History

Dr. Dale C. Whilden
Dr. Sarah C. Brevet
64 Main Ave
Ocean Grove, NJ 07756
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Phone: (732) 774-8700
 
Office Hours:

Mon 9:00am - 8:30pm
Tues 9:00am - 5:00pm
Wed 8:00am - 5:00pm
Thur 9:00am - 5:00pm
Fri 9:00am - 5:00pm
Sat* 8:00am - 1:00pm

*Two Saturdays per Month

Initial Visit & Forms

Initial Visit Information

Your initial appointment will consist of a complete examination and consultation which will include:

  • Any necessary x-rays, photos and models
  • A thorough examination of your teeth and gums
  • A review of your previous dental and medical history
  • Discussion about your concerns
  • A consultation with all treatment options thoroughly explained

* If there is a complex medical history or multiple dental problems, a more extensive evaluation, work up and second consultation appointment may be necessary.

Please assist us by providing the following information at the time of your initial appointment:

  • Any dental records and x-rays that you may have. If your records and x-rays are at another office, we would be happy to call them and have them sent to us.
  • A list of medications you are presently taking.
  • Some form of photo ID
  • If you have dental insurance, bring your ID card. Please also bring your medical ID card if you have medical insurance. The recent changes in healthcare sometimes now allow certain dental procedures to be processed through medical carriers and having this information available could simplify your claim processing in the future.

All patients under 18 years of age should be accompanied by a parent or guardian.

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Dental Insurance

You can expect most insurance companies to reimburse you for a portion of our fee. That portion is determined by the contract between you or your employer and the insurance company.

Although we are not a party to the contractual arrangement with your insurance company, we do want to help you receive the maximum reimbursement to which you are entitled. As a courtesy to you, we will help you process your insurance claims in order for you to receive this maximum benefit. We will also provide dental x-rays and a written diagnostic report should your insurance company have any questions about the services provided.

At all times, you can be confident that we will always provide you with our best services without regard to the limitations imposed by your insurance coverage. To do otherwise would violate our contract with you, a contract we feel morally obliged to honor.

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Financial Options

Our treatment plans are highly individualized as well as our financial arrangements with our patients. For your convenience, we accept checks, cash, and major credit cards. We offer a variety of payment options including participation with CareCredit, which provides some patients a flexible option to cover health care costs. Click here for more information about CareCredit. Whatever method you will be using, our treatment coordinator will work out a plan suited to your individual needs.

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New Patient Forms

We are happy to offer our forms and applications for download.  Please feel free to print these and fill them out at your convenience before your visit.  Please do not email these forms to us.

Medical History

This form needs to be filled out before your first dental appointment.
Click here to download (20 KB)

Medical Update

This form is required if you have any changes in your Medical History.
Click here to download (17 KB)

Insurance and Financial Policies

This form needs to be filled out before your first dental appointment.
Click here to download (18 KB)

Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Click here to download (71 KB)

Acknowledgment of Records Release and Notice of Privacy Practices

This form is required by federal HIPAA laws.
Click here to download (15 KB)

 
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