Supplemental Health Questionnaire , is for every patient on every visit as a screening tool for as long as the COVID-19 remains a threat. This is because symptoms may develop between orthodontic appointments. This is for the protection of the doctor, staff and other patients/parents.

• Supplemental Health Questionnaire

Health & Safety Protections For Our Patients

This office is protected by HEPA air filtration equipment to safely capture chairside aerosols and droplets for the health and safety of our patients! An extraoral dental suction unit is positioned chairside during any procedures that create aerosols and droplets, this helps protect our operatory form airborne contaminants.

Protocols that we have implemented for the protection of our patients/parents the doctor and staff for all who enter the office:
1. Covid-19 Health Questionnaire prior to appointment
2. Wearing of a face mask or covering
3. Temperatures are taken
4. Washing hands before being seated
5. Patient check in call from their car for social distancing

Save time, take care of the paperwork now.

Our New Patient Forms are now available online so that you can complete them at your convenience, giving you time to carefully review our policies and procedures without having to do so at our office. Click on the link below to fill out the form and submit it directly to the doctor.

• Health History Forms
• New Patient Agreement
• HIPAA Awareness

We are committed to providing dental care that is both high quality and affordable.

Payment options include cash, checks, Visa, MasterCard, Discover, American Express, CareCredit and any major or participating insurance. We accept the credit cards pictured below.

If you would like to extend payments over a longer period of time, we offer CareCredit. Click on the CareCredit logo above for more information.

We understand that unexpected dental bills can strain finances. If this happens to you, don't hesitate to call us at (845) 344-4336. If you keep the line of communication open with us, we will be able work out an acceptable arrangement.

Our office is committed to helping you maximize your insurance benefits.

Because insurance policies vary, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. Your estimated patient portion must be paid as per the contract agreement.

As a service to our patients, we will bill insurance companies for services. If you have any questions, our courteous staff is always available to answer them. If your insurance covers orthodontic treatment, you will receive the benefit of reduced personal costs. Many insurance policies have a lifetime orthodontic benefit that is distinct from regular dental insurance. Insurance policies vary, so we will review your insurance to determine the appropriate course of action.

Once treatment has started, we will file your claims. To help us with your insurance filing, please complete the insurance questions on our New Patient Registration Forms. Hampton Family Dentistry accepts most insurance plans. Please have your insurance information accessible when scheduling your first appointment - that way we can verify your insurance benefits and minimize your out-of-pocket expense! If your plan requires a dentist referral, please obtain one before scheduling your complimentary consultation to avoid treatment delays. Please bring your insurance card and information to your consultation appointment.

• we participate with the following companies:

• Aetna PPO
• Ameritas / First Ameritas
• Anthem Blue Cross / Blue Shield
• Assurant / SunLife
• Cigna PPO
• CSEA PPO (Horizon & Solstice)
• Delta Dental PPO Benefit Providers
• Empire/Blue Cross / Blue Shield
• FEP Blue
• GHI PPO - Preferred, Preferred Plus, Emblem Health, 1199
• Guardian DentalGuard PPO
• HealthPlex PPO
• Horizon Blue Cross/Blue Shield PPO (Grid & Grid Plus)
• MetLife
• MVP HealthPlex- Dentist Referral Needed
• Oxford Freedom Plan
• Preferred Group Plans
• POMCO/UMR
• Principal Financial Group
• SIDS: Self-Insured Dental Services (Most Plans)
• United Concordia
• United Health Care PPO
• Teachers - Washingtonville & Valley Central

• we also participate with the following reduced fee-plans:

• AmeriPlan USA
• Careington
• Cigna Plus Savings
• DentalSave
• Dentemax
• Humana Dental