Dental Patient Resources | Manyak Dental Group

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.

Insurance Information

At Manyak Dental Group, we accept most dental insurance plans as an out-of-network provider to ensure you receive the high-quality, comprehensive care you deserve.

To make your experience even smoother, we handle the preauthorization process, insurance claims, and necessary documentation to help you maximize your benefits. We also offer flexible financing options, making it easier for you to prioritize your oral health.

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

‍**Excludes panoramic x-rays

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

‍**Excludes panoramic x-rays

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

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.