At present we don't accept payment plans. 

Please only complete this form if you have medical insurance.  

• Medicare will not pay for this. 

• Must complete all paperwork within 30 days

• Email is mandatory

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FAQ:  I have no insurance, and several teeth that need to be removed. Can you help me?  No, because we are not supported by tax payers.   

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A: Please try a state funded organization like the dental school.   

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