Welcome to Kellerman Dental

Your oral health and happiness are our top priorities. We want your first visit, and every return visit, to our office to go smoothly with plenty of time to discuss any questions you may have with our dental professionals. To make it easier, we have useful information for new patients summarized below.
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New Patient Forms

To make your visit as comfortable and efficient as possible, we encourage you to fill out your New Patient Forms and bring them with you to your first appointment.

If you have any questions, please don’t hesitate to call our office for additional instruction.

Download New Patient Forms

Sleep Disorder Breathing Forms

Download Sleep Disorder Assessment Form

Download Letter of Medical Necessity (LOMN) and Rx Form

Download Affidavit for Intolerance to CPAP Form

Financial Resources

Kellerman Dental offers numerous resources to ensure financial constraints do not interfere with your treatment. Please review these options and call our office with any questions.

Kellerman Dental Premier Care Plan

As an alternative to traditional dental insurance, we offer an affordable in-house savings plan with multiple options to meet your individual needs. Please click here to review our Premier Care Plan options.

Insurance Coverage

We accept most major dental insurance plans. If you plan to apply your dental insurance to your visit with us, we will provide a complimentary benefits check for you and bill your insurance as a courtesy.

Payment Plans

We offer interest-free payment plan options to assist in paying for your care over time. If you would like to apply for CareCredit (for treatments over $200), please click here to apply directly.

Online Payment

For your convenience, we accept payments in the office or online. Please click here to visit our secure, online payment portal.