Insurances We Accept

Newbury Dental accepts all PPO insurance plans.

Contracted Provider For:

 

 

 

 

 

 

 

 

 

Out of Network Option:

If your insurance is not listed as one of the plans contracted by Newbury Dental Group, you have the option of being seen by Newbury Dental Group as an “out of network provider.” The only requirement is to pay the full balance at the time of the visit. As a courtesy, the office will supply you with a receipt to submit to your insurance for reimbursement. If in the case that the patient is in need of surgery, we will bill the insurance company for the procedure; please note the patient is responsible for any balance open from “out of network” reimbursement rates.

Fee for Service

Newbury Dental Group does not accept Dentical or HMO plans. You as a patient still have the option of being seen by Newbury Dental Group as a Fee for Service.

If you may have any further questions or concerns, please feel free to call us at (805) 375-9383.

 

New Patient Download Forms:

Prior to your consultation, please download the forms below and fill them out to the best of your knowledge. If you are unable to download the forms from this site, please arrive 10-15 minutes ahead of your appointment to provide time to fill out the information. Please click on the links below to download.

Required Forms to be filled out

Patient Registration Form

Supplement Notices and Policies

Notice of Privacy Practices (To be read, not required to be printed)

HIPAA Notice of Privacy Practices Form (To be printed, signed and turned in)