Patient Resources

Preparing for your first visit?

New Patient Forms

Download your

New patient forms help us get to know you and your needs. By downloading and filling them out before your appointment, we can streamline your visit and get a better idea of how we can best serve you.

Insurance Friendly Office

We believe in making access to dental care seamless and simple. That’s why we’ll submit claims on your behalf as a courtesy, regardless of who your PPO provider is. If you have questions about your benefits, get in touch with us today to speak with one of our friendly insurance experts. We’re also in network with the following providers:

Delta Dental

Cigna

BCBS

Aetna

Humana

Principal

DHA/Sunlife

MetLife

United Concordia

United Healthcare

Guardian

Have question regarding you insurance provider, use our insurance checker

INsurance Checker

$150 New Patient Special

For patients without insurance, you’ll receive a cleaning*, exam, x-rays, and a thorough 3D digital scan, all for one affordable price.

Cleaning & Exam

X-Rays

3D Digital Scan

Healthy mouth cleaning-patients requiring gingivitis therapy or scaling/root planning are subject to additional fees.

Keeping Care Accessible

Can’t pay for your treatment all at once? No problem! We accept financing options through CareCredit, so you can pay at your own pace and get the treatment you need, when you need it.

CareCredit

Annual Membership Plans

This plan is designed to provide affordable dental care with no insurance hassles and immediate access to services.

Adult Individual Plan

$

550

/ year

Included at NO CHARGE:

2 Periodic exams

1 Limited Emergency Exam

1 set of Bitewing X-rays

Periapical x-rays (as needed)

Panoramic x-ray (as needed)

1 Fluoride Treatment

Additional Benefits:

2 Cleanings OR if enrolling in Periodontal Maintenance Plan, you receive 3 cleanings per 12-month period (does not include Scaling/Root Planing)

Family Plan
(14 y/o or under)

$

400

/ year

Included at NO CHARGE:

2 Periodic exams

1 Limited Emergency Exam

1 set of Bitewing X-rays

Periapical x-rays (as needed)

Panoramic x-ray (as needed)

1 Fluoride Treatment

Additional Benefits:

2 Cleanings OR if enrolling in Periodontal Maintenance Plan, you receive 3 cleanings per 12-month period (does not include Scaling/Root Planing)

Periodontal Plan

$

750

/ year

Included at NO CHARGE:

2 Periodic exams

1 Limited Emergency Exam

1 set of Bitewing X-rays

Periapical x-rays (as needed)

Panoramic x-ray (as needed)

1 Fluoride Treatment

Enhanced Periodontal Maintenance

Additional Benefits:

2 Cleanings OR if enrolling in Periodontal Maintenance Plan, you receive 3 cleanings per 12-month period (does not include Scaling/Root Planing)

Discounted Services

Your membership provides discounts on:

Fillings

Crowns

Veneers ($50 off filler packages, $50 off BOTOX with 40 unit minimum)

Bridges

Root Canals

Extractions

Partial Dentures

Full Dentures

Implants

Payment Discounts:

Cash or check: 15% discount

Debit or credit card: 10% discount

SOME EXCLUSIONS APPLY

Annual Maximums

Deductibles

Pre-Authorization requirements

Waiting Periods

Pre-Existing condition exclusions

Missing Tooth Clauses

Get in Touch Today!

Ready to Smile?

Don't wait for your dream smile—take the first step towards optimal oral health and confidence by scheduling your appointment at Modern Dentistry of Minnetonka now. Your radiant smile awaits!

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