New Patient Forms
form

SERVING NORTH GWINNETT SINCE 1994


About Zoom Whitening

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New Patients

Welcome to our practice!


Welcome to North Gwinnett Dental Care's online office.

We'd like to take a moment to acquaint you with our office.

North Gwinnett Dental Care is a practice that is open four days per week from 9 am to 7pm in downtown Sugar Hill. We moved our existing practice ( we opened in 1994) into a brand new all digital office in 2007. We are a family centered dental office and care for adults and children from age two and older. We have refreshments and wireless internet in our reception room for our adults and a complete childcare center for our younger patients.

Everyone is concerned about costs (especially these days) and we are very open about our fees. At the bottom of this page you will see a list of three appointments and their fees associated. We accept all traditional insurance plans where you can choose your own dentist- and we will happily file your insurance for you.

North Gwinnett Dental Care is truly aiming to be the best dental office in the nation ( and we have already won several awards) and if we can become your family's dentist- we would be thrilled.

New Patient Medical/Dental/Financial forms:

Our new patients can come into the office and fill out their paperwork before their appointment (please come in 10-15 minutes before your appointment time)

OR

Access the forms online, type in the information, and submit them directly to our office OR Print forms and bring to our office.

  1. Adult Medical History
  2. Child Medical History
  3. Financial Policies



New clients in our dental practice come in one of three ways and we have listed the prices for each of those visits below.


Adult New Patient
 

Comprehensive exam:                          $ 80.00
  Dental Charting of existing conditions     <included>
  Periodontal (gum) Probing                  <included>
  Oral Cancer Screening                      <included>
  Occlusal Evaluation                        <included>
  Laser Detection for Cavities               <included>
  Home Care Supplies                         <included>
  Blood Pressure Evaluation                  <included>
  Patient Take Home Records Folder           <included>
Full Mouth Series of Digital Xrays           $120.00
Prophylaxis  ( routine cleaning)             $ 85.00  


Child New Patient
 

Comprehensive exam:                          $ 80.00
  Dental Charting of Permanent                 <included>
  and Primary Teeth
  Oral Cancer Screening                        <included>
  Occlusal Evaluation                          <included>
    (to see if braces are required)
  Laser Detection for Cavities                 <included>
  Home Care Supplies                           <included>
Panoramic Xray (to check development)        $110.00
Two or Four Bitewing Xrays                   $ 45.00/65.00
    (depending on how many teeth have erupted)
Prophylaxis  (routine cleaning)              $ 65.00
Fluoride Treatment                           $ 35.00

Note: if your child is under 6 we may not be able to xrays
      and/or fluoride - but will do so as soon as they are
      cooperative enough. 


New Patient with a problem/emergency

 Limited Exam                                 $ 65.00
 One Bitewing Xray                            $ 25.00
 One Periapical Xray                          $ 25.00
 Treatment plan                               <included>

No additional work will be performed until you are provided
a written copy of treatment recommendations and have been
able to address all of your needs and concerns with the doctor. 

 

Experience our State of the Art, Caring Environment
4955 Alton Tucker Blvd, Suite 600, Sugar Hill, Georgia 30518 770-932-0992