My First Visit

Your initial visit is a crucial step in the treatment planning process. Dr. Ismaili will review your health history, perform an examination, and explain your diagnosis. Your consultation visit will conclude with a brief visit with one of our financial coordinators who will review the proposed treatment plan and associated fees, and schedule a convenient time for your surgery.

Please assist us by providing the following at your first visit:

  • Surgical Referral slip from your referring dentist/doctor
  • A diagnostic and current panoramic X-ray only, if taken by your dentist
  • If covered by a DHMO plan, you must bring an insurance referral from your general dentist, your appointment will be rescheduled without it.
  • A list of all medications you are presently taking
  • Picture ID
  • Your dental AND medical insurance cards

Some surgical procedures may be performed the same day as the consultation.  However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide your surgical treatment.

Financing & Insurance

We are a participating provider for many dental PPO and HMO insurance plans. We ask that you provide us with your dental insurance information at the time of scheduling your appointment so that we can verify benefits and confirm coverage. In most cases, insurance does not cover the full cost of surgical care. It is designed to reduce your cost, but not to eliminate it completely. Your portion of the cost (deductible, co-payment, and other non-covered charges) will be collected before service is rendered. Our staff will file an insurance claim and will assist you in obtaining the maximum benefits available under your policy. However, please remember you are ultimately fully responsible for all fees charged by this office regardless of insurance coverage.

Patient Forms

Patient Registration Form


Notice of Privacy Practices


Pre/Post-Op Instructions


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