To save yourself some time on the first appointment, you can fill out our patient forms at home. Download and print our patient forms here. If you have any questions, please feel free to call our office.
- Welcome Form (pdf – 90kb)
- Medical History form (pdf – 270kb)
- Dental History form (pdf – 221kb)
- CRA Form (pdf – 127kb)
Your Dental Insurance
Understanding your insurance and what it covers is very important. However, it is also important to understand that Dr. Mantis wants to make sure that the dental care that helps provide you excellent oral and overall health is not neglected due to insurance restrictions.
Mantis Dentistry accepts all dental insurances in which you are free to choose your own dentist. As a courtesy to our patients, we file all dental insurance claims and work hard to help get you the most out of your benefits! Our front desk staff is dedicated to confirming your dental insurance eligibility and benefits before your first appointment. If you have questions about your dental insurance, we are happy to answer specific questions or go over your coverage in full detail.
Dental insurance has limitations that we, as your dental provider, do not control; and it is an agreement between you and your insurance provider. If you would like to speak with any of our front desk personal here at Mantis Dentistry, they will gladly file insurance forms on your behalf.
Our practice does not diagnose, render treatment, or establish fees according to any insurance tables or allowances. Our fees are based on operating costs and the judgment of our skilled dental professionals.
We believe that dental insurance can benefit many of our patients undergoing restorative and cosmetic dentistry. Our Wilmette and Evanston area office will ensure each patient receives the financial assistance to which he or she is entitled.
Most importantly, we work for you, not your insurance company. You will always make the ultimate decision as to what will be done and how fast we proceed.
Based on your decision, we will discuss the total cost of your general or cosmetic dentistry treatment, and what assistance you could expect from your dental insurance.
When we pay for a service or product, we expect our purchase to be commensurate to the cost. When another party picks up the bill, we sometimes lose sight of the quality of our purchase.
To some extent, the latter situation is where dentistry is headed in our country. Operating on an insurance-driven or managed-care system, a third party is often involved in deciding what type of dental care is required.
That type of system is precisely what we try to avoid at our North Shore area restorative and cosmetic dentistry office. Proudly serving the Evanston and Wilmette area, both the patient and Dr. Mantis are actively involved in deciding what treatment option is best. Even if the patient receives financial assistance from an insurance company, each patient is proactive in individual dental health decisions. We believe that this system leads to healthier patients as well as lower dental costs.
We will do whatever we can to help each patient receive high quality dental treatment. Please feel free to discuss your particular financial concerns with our business coordinator.
For your convenience, we also accept payments made with your Visa, MasterCard, Discover, and American Express. Financing is available through Care Credit.
If you’d like to schedule a dental visit and you live in or around Wilmette and North Shore, contact our cosmetic dentistry office, serving Evanston and the surrounding areas.