New Patient Information

At Seaside Dentistry, our goal is to make each dental visit as convenient and seamless as possible. We offer the following forms to make your next visit a quick one, so you spend less time waiting, and more timing receiving quality dental work. Please print, review and fill out the forms below, before your first visit. If you have any questions, please don’t hesitate to contact our office.

New Patient Form


We are in network with most PPO insurances:

  • Aetna

  • Cigna

  • Delta Dental

  • Guardian


  • Metlife

  • and all insurances associated with Dentemax

Finance Options

We accept cash, check, or credit card. We also offer third party financing through Care Credit™.

Seaside Savings Plan

In-Office Insurance Plan
$425 (per year)

2 examinations, 2 hygiene appointments and all X-rays.
20% discount on all dental treatment. (does not include products)
$500 off Invisalign

Examinations Hygiene Appointments

  • New Patient Comprehensive Exam -Adult Routine Dental Cleaning

  • Periodic Exam (2/year) -Child Routine Dental Cleaning

  • Limited/Emergency Exam -Fluoride -Sealants (50% off)X-rays

  • Full Mouth Series

  • Bitewings

  • Single Tooth x-rays

Other Services (20% discount)

  • Periodontal Therapy -Extractions -Bridges

  • Fillings -Dentures and Partials -Invisalign $500 off

  • Crowns -Cosmetic Dental Services

  • Each additional family member is $385

  • Effective date is the date you sign up and the renewal date is the same date every year

  • Not transferable, non-refundable and cannot be combined with any other offer

  • Payments for services are due at the time of service

  • Invisalign treatment, patient must remain on plan the entire duration of orthodontic treatment

Schedule an Appointment

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