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Midwest Dental New Patients

Patient Forms and Your First Visit

Thank you for choosing Midwest Dental. For your convenience this section includes forms you'll need during your first visit, as well as what to expect when you come for your appointment. If you still have any questions about your visit, please call your Midwest Dental office. We're here to help.

New Patient Forms

Frequently Asked Questions

Everyone has questions about the dentist. Whether you are a new patient wanting to know more about your upcoming visit, or someone who has questions about general oral health, we've got you covered. If you don't see an answer to any questions you have, please don't hesitate to call us. We're happy to help.


Financing & Insurance


Midwest Dental accepts most dental insurance plans,* including plans from:

  • Aetna
  • Ameritas
  • Delta
  • FEP
  • Met Life
  • United Concordia
  • United Healthcare

Check your Midwest Dental office page for the specific insurance plans they accept. Please call your office with any insurance questions.

*This is not a comprehensive list, and is subject to change.

Insurance Processing

After your appointment, we will submit your claim to your insurance company. If you have a deductible or a co-pay due for services provided, those fees are due at the time of service. We provide you with a complete estimate before any treatment is performed, and we make every effort to maximize your dental benefits. However, each employer designs their own dental plan. To completely understand what is covered by your dental benefit plan, it is best to contact your employer or insurance company. Please contact your insurance provider to verify coverage and acceptance.

Cash Payments

For services not covered or not submitted to insurance, we accept cash, check or major credit cards. We do ask for payment at the time of service.

Dental Discount Plan

For patients without insurance, we offer an exclusive in-house dental discount plan. The Essential Smile Plan provides you and your family access to the dental care you need at a discounted rate. Members will receive 50% off dental exams and 30% off cleanings, X-rays and other preventive procedures, as well as dentures and implants. Plus, receive 20% off all other services from any participating provider at Midwest Dental, Mountain Dental®, Merit Dental® and Mondovi Dental® practices nationwide.

The best part is because this isn’t insurance you’re guaranteed acceptance and you can use the plan right away. Visit to learn more and join the plan today.

Essential Smile Plan


Have you been putting off needed dental work because you can't afford it? Midwest Dental accepts CareCredit, which offers you the flexibility of monthly payments. CareCredit offers no interest for 6, 12, 18 or 24 month* periods based on your qualifications and current promotional offerings. Please read and understand the CareCredit terms and financing options.

*CareCredit promotional financing options may expire at any time. Midwest Dental is not affiliated with CareCredit.

Visit for more information, or click the CareCredit icon on your Midwest Dental office page to apply now.

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Your Care Team

As your care team, the dentists, hygienists and dental assistants at Midwest Dental pledge to provide a great experience and exceed your expectations of what it means to visit the dentist. We know that everyone has a unique smile, and unique dental health needs. You can expect your care team to be honest and open about your treatment plan, and to act with your health in mind.