Patient Resources

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Patient Forms

Looking to save time at your first visit? For your convenience, you can access all new patient paperwork online! Simply click the links to the right to get started.

Your Insurance Options

At Staten Island Dental Boutique, we believe top-notch dental care should be accessible and affordable. That is why we are happy to accept a variety of insurance providers. If you would like to use your dental insurance plan at our practice, simply let a member of our team know and we will take down your information and help you maximize your benefits. We are in-network with:

  • Aetna PPO
  • Aflac PPO
  • Cigna PPO
  • Delta PPO
  • Delta Premier
  • Guardian PPO
  • Humana
  • United Concordia
  • United Healthcare PPO
  • DC37 / 32BJ
  • ASO (Select Plans)

Eligibility for Coverage

Eligibility for DC 37 dental coverage is straightforward. Full-time participants, retirees, and their eligible dependents are eligible for comprehensive coverage under the Delta Dental plan. This means that spouses, domestic partners, and dependent children can benefit from the same plan, ensuring that your entire family is covered.

Bear in mind, however, that part-time participants are subject to different coverage terms. While they are eligible, they are responsible for 25% of the coinsurance copay for services from network dentists. DC 37 participants have the luxury of getting the reduced contracted fees, so while 25% might sound like a lot, it’s not as much as you might think! Additionally, if part-time participants opt to use a non-participating dental provider, they will have to cover any difference between the plan’s out-of-network allowance and the provider’s actual charges. Understanding these eligibility requirements helps in making informed decisions about your dental care options.

pediatric dental care
$250

$250 Whitening Special

Looking to brighten and refresh your smile? Take advantage of our whitening special today!

Flexible Financing Options

We understand that not everyone has access to dental insurance. And sometimes dealing with yearly maximums and insurance restrictions can keep you from getting the care you deserve. For those reasons, we offer our patients the option to finance their dental treatments. We partner with CareCredit, one of the nation’s most reputable healthcare lenders.

Memberships starting at

$299/per year

No insurance? No problem. Say goodbye to the hassle of dealing with dental insurance and become a member today. As a member, you’ll receive exclusive discounts and all the preventive and diagnostic care you need for one low price.

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