Find Out If You're Eligible
What is your current dental situation?
Missing One Tooth
Missing Several Teeth
Missing All Teeth (Upper and/or Lower
I wear dentures and want something permanent
Just researching for now
How long have you been missing teeth?
Less than 6 months
6-12 months
Over a year
Over 5 years
Over 10 years
What is your ultimate goal with your dental implants?
Improve appearance
Eat and speak better
Stop pain or discomfort
Replace loose or missing dentures
What is your expected budget range for implants?
Under $2,000
$2,000 - $5,000
$5,000 - $10,000
Over $10,000
I'm not sure yet
When are you hoping to begin treatment?
Immediately - within 1-2 weeks
Within 1 month
Within 3 months
Just gathering info for now
Have you planned how you will pay?
Savings or personal funds
Third party or credit card financing
If you are looking to finance your dental treatment, healthcare financing companies will ask for a source of income. Do you have a job or source of income?
Yes, I am employed full-time
Yes, I receive retirement/pension income
Yes, I receive income from investments or rental property
No, I currently do not have a source of income
Do you currently have dental insurance?
Delta Dental
Blue Cross Blue Shield
MetLife
Aetna
Cigna
UnitedHealthCare
Guardian
Ameritas
Principal
Humana
Medicaid
I have dental insurance but not listed here
No insurance
Not sure
What is your estimated credit score?
750+ Excellent
700-749 Good
650-699 Fair
Below 650
Should you have difficulty getting approved for financing, do you have a co-signer with a good credit score?
Yes
No
Will your co-signer be able to come to the consultation appointment with you or be available by phone for 10 to 20 minutes if they cannot attend the consultation appointment?
Yes
No
Can you commit to showing up for your free consultation? Only select Yes if you are serious about attending.
Yes, I can commit
No, I'm not ready yet
Submit
Back
Next Step
Complete Submission