Forms and Financing

Save Time and Fill Out Your Forms Online

New Patient Forms

We believe that every aspect of dental care should be convenient and efficient, which is why we offer online patient forms to make the process as seamless as possible. With these forms, the doctor will be able to get to know you and assess your needs before beginning your appointment so we can minimize your wait time and you can get the most out of your visit. We can’t wait to meet you!

New Patient Forms

Accepted Insurances

Understanding Your Coverage

Don’t see your insurance listed? Our team is always happy to guide you through any insurance questions to help you understand and maximize your benefits, so give us a call at (718) 484-1560. We accept most PPO plans, including the following:

  • UnitedHealthcare
  • Cigna
  • Delta
  • MetLife
  • Aetna

Options for Every Budget

Flexible Financing

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No Insurance? No Problem!

Our Membership Plan

Find out how simple and affordable great dental care can be! For those without insurance or who choose not to use insurance, we recommend our in-house membership plan to simplify costs, cover preventive care, and save money on a variety of treatments and procedures.

Call (718) 484-1560 today!

Single person

$500/Year

  • Includes: 2 check up exams
  • 2 yearly cleanings
  • Emergency exams
  • Radiographs
  • 20% off additional office services

Two People

$800/Year

  • Includes: 2 check up exams per person
  • 2 yearly cleanings per person
  • Emergency exams
  • Radiographs
  • 20% off additional office services

Family – up to 4 people

$950/Year

  • Includes: 2 check up exams per person
  • 2 yearly cleanings per person
  • Fluoride treatment for children under 18
  • Emergency exams
  • Radiographs
  • 20% off additional office services
  • Each additional child - $100

Prices do not include periodontal patients that need scaling and root planning and maintenance (deep cleanings). Additional fees may apply.

Find Your New Dentist in Midwood

Our New Patient Special

To make sure NY Dental Boutique is the right option for you, we offer a new patient special so you can see what true dental care is all about. Our $250* new patient special includes a thorough cleaning, a comprehensive exam, and x-rays. Contact us today to schedule your first appointment!

*New patients only. Not valid in cases of periodontal disease. Not valid for use with insurance.

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