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Patient Resources

Find all the patient information you need.

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Patient Forms

To get started, please fill out our new patient forms. We do tailor your appointment to your specific needs, so please make sure they are completed prior to your first visit.

Adult Forms
Child Forms

Our Insurance Approach

At Manyak Dental Group, we accept and work with most dental insurance plans, even though we are an out-of-network provider. This allows us to focus on delivering the highest level of care without the limitations often imposed by insurance networks.

Our team files all insurance claims on your behalf, manages pre-authorizations, and carefully reviews your coverage to help maximize every benefit available to you. We advocate for our patients and work diligently with insurance companies to ensure you receive the greatest reimbursement possible.

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No Insurance? No Problem

Choose a plan that fits your dental needs.

Child Plan

Child (Age 1-12)

$532/yr
  • 2 Prophylaxis Appointments
  • All Periodic, Comprehensive and Emergency Exams
  • Intra-oral Digital X-Rays**
  • Fluoride Treatments
  • Advanced Oral Cancer Screenings (Velscope)
  • 20% Off Most Dental Procedures*
  • No deductibles, No Yearly Maximums, No Claim Forms, No Pre-Authorization, Immediate Eligibility

*Percentage off regular list UCR fees; Invisalign & Specialists (Oral Surgeon, Perio, etc.) -- 10% off list UCR; Healthy Start excluded; may not be combined with other offers, promotions, discounts, or extended finance agreements

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**Excludes panoramic x-rays

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Adult Plan

Adult (Age 13+)

$864/yr
  • 3 Prophylaxis Appointments
  • All Periodic, Comprehensive and Emergency Exams
  • Intra-oral Digital X-Rays**
  • Fluoride Treatments
  • Advanced Oral Cancer Screenings (Velscope)
  • 20% Off Most Dental Procedures*
  • No deductibles, No Yearly Maximums, No Claim Forms, No Pre-Authorization, Immediate Eligibility

*Percentage off regular list UCR fees; Invisalign & Specialists (Oral Surgeon, Perio, etc.) -- 10% off list UCR; Healthy Start excluded; may not be combined with other offers, promotions, discounts, or extended finance agreements

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**Excludes panoramic x-rays

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Perio Plan

For patients requiring periodontal therapy

$1,368/yr
  • 4 Periodontal Maintenance Appointments
  • All Periodic, Comprehensive and Emergency Exams
  • Intra-oral Digital X-Rays**
  • Fluoride Treatments
  • Advanced Oral Cancer Screenings (Velscope)
  • 20% Off Most Dental Procedures*
  • No deductibles, No Yearly Maximums, No Claim Forms, No Pre-Authorization, Immediate Eligibility

*Percentage off regular list UCR fees; Invisalign & Specialists (Oral Surgeon, Perio, etc.) -- 10% off list UCR; Healthy Start excluded; may not be combined with other offers, promotions, discounts, or extended finance agreements

**Excludes panoramic x-rays

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Flexible Financing

Get the care you need while staying in your budget. We offer CareCredit, a flexible monthly payment option that allows you to pay for treatment with options that suit your lifestyle needs.