Insurance and Financial Information

At Brighter Image Dental, we are committed to providing safe, effective, and affordable dental care for your entire family. We understand that navigating the financial aspects of dental treatment can be challenging, so we strive to make the process as straightforward as possible. To this end, we have established strong relationships with top insurance companies and offer various discount programs and payment options for qualifying patients. Our goal is to ensure you have a clear understanding of your financial responsibilities and insurance options.

Schedule Today!

To learn more about our services
or to schedule your appointment,
please call us at 909-484-8333.
We look forward to assisting you!

Insurance and Patient Co-payments

We accept credit cards, most PPO insurance, and offer CareCredit®. Dental insurance can significantly impact your treatment costs. To help us manage your insurance benefits effectively, please complete your new patient paperwork with any relevant insurance information. Submitting this paperwork in advance allows us to prepare your benefit materials before your treatment, including any applicable fees and co-payments according to your insurance policy.

Please note that you are ultimately responsible for any fees and co-payments required by your insurance. While our team is here to assist you with filing claims and answering questions about your policy, we ask that you adhere to our financial policy when it comes to payment. Feel free to discuss our financial policy with our staff during your consultation.

Appointments and Consultations

At Brighter Image Dental, we are deeply committed to oral health and emphasize the importance of preventive care. For first-time patients, we require a consultation visit. During this visit, Dr. Steven A. Chapple, DDS will conduct a comprehensive examination and review your dental and medical histories. Routine appointments typically involve a checkup and professional cleaning. We recommend that you have your teeth professionally cleaned and examined once or twice a year. These appointments help us prevent common issues such as cavities and gum disease. If we identify any issues such as decay, damage, or gum disease, we may recommend additional treatment. After developing a treatment plan, our front office team will provide a detailed list of fees and an estimate of out-of-pocket expenses based on your insurance coverage. While we encourage all our patients to maintain this regular care, we understand that concerns about time may arise. Rest assured, when you visit us, we will perform your teeth cleaning and examination efficiently and comfortably.

Download the PDFs to the right

Forms for New Patients

For your convenience, we offer the following forms online for download. Please print, complete, and bring these forms to your appointment.

If you have any questions or need assistance with the paperwork, feel free to call us at 909-484-8333. Our staff is here to help!

Save time! Fill out and bring with you!

Print and Fill Out

FORM 1

FORM2

FORM3