Patient Information, Insurance & Financial Agreements - Sterling Dentist Dr. Datta Malyavantham Cosmetic Dentists in Sterling, Ashburn, Leesburg, Reston, Virginia (VA)

Patient Information

Patient Forms

For your convenience, we offer a way to submit your new patient packet to our office. Click on the link below, print, and fill out to bring with you to your next appointment.

• PDF Printable Link

Insurance and Financial Arrangements

Payments for routine services such as examinations, x-rays, impressions and emergency visits are due at the time services are provided. Insurance claims can be filed by the office, or your may choose to file your own claim and be reimbursed directly. We accept cash, VISA, MasterCard, American Express, personal or cashier’s checks, or money orders.

To assist our patients, the following is information about our partnership with these payment plan companies, for your Cosmetic, Implants and Restorative treatment. Ask our team member about interest free dental treatment financing:

• Care Credit

A written estimate will be provided for all comprehensive prosthodontic/restorative dental treatment. If you have insurance coverage, a predetermination can be sent upon request. A down payment is required for all complex or extended treatment, regardless of estimated payment by your insurance company. Balances not covered by insurance are due at the time services are provided.