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Resources

Need to make a payment? You can find all our forms and payment options here. Learn more about the Smart Smile program today!

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Forms

New Patient Form

Appointment Policy Agreement

Financial Agreement

HIPPA Acknowledgement

Apply for Credit

MAKE A PAYMENT

Make a Payment
Smart Smile

SMART SMILE

ADULT

Ages 12+

$ 33/mo

Save $204

2 Professional Cleanings

2 Regular Exams

2 Fluoride Treatments

Routine X-Rays

1 Emergency Exam (includes 1 X-ray)

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$100 activation fee for new members

PERIO

50/mo

Save $319

3 Perio Maintenance 

2 Regular Exams

2 Fluoride Treatments

Routine X-Rays

1 Emergency Exam (includes 1 X-ray)

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$100 activation fee for new members

CHILD

Ages 0-11

$ 30/mo

Save $224

2 Professional Cleanings

2 Regular Exams

2 Fluoride Treatments

Routine X-Rays

1 Emergency Exam (includes 1 X-ray)

​

$100 activation fee for new members

Conner Dentistry Smart Smile Plan

What is a dental membership Plan?   
 Why Should I Join?

For answers to these questions and more, check out this short explainer video about SmartSmile, or visit the Plan Forward website to learn more!

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