Patient Information
Scheduling
We will schedule your appointment as promptly as possible. We try our best to stay on schedule to minimize your wait time. Individual case challenges may lengthen the time allocated for a procedure. Emergency cases can also arise and cause delays. We appreciate your understanding and patience.
Initial Visit
Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. However, a complex medical history or treatment plan may require an evaluation and a second appointment to provide treatment on another day.
Please assist us by providing the following information at the time of your consultation:
- Your referral slip and any X-rays if applicable.
- A list of medications you are presently taking.
- If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
- IMPORTANT: A parent or guardian must accompany all patients under 18.
- Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.) or require medication prior to dental procedures (i.e antibiotics, for pre-medication.)
X-Rays
If your resorative dentist has taken a recent x-rays of the affected tooth you are welcome to bring a copy. In order to make a thorough and complete diagnosis we will almost always take additional films at our facility.
Our office is equipped the state-of-art Carestream 3D Cone Beam Computed Tomography (CBCT) machine. It provides superior 3D images to aid in diagnosis and treatment.
Patient Forms
CLICK HERE for Patient Registration Forms.
CLICK HERE for Patient Cancellation Policy Form
You can bring these forms with you to your appointment, Fax them to 888-980-9982, or email to us directly at admin@piedmontendova.com
Billing and Insurance
For your convenience we accept Visa, MasterCard, Discover and American Express. We also accept Care Credit, which offers a 0% interest payment option for 12 months. To get more information, click here for Care Credit.
Payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at 434-260-7025.
Insurance Information
As a courtesy, our office is happy to submit insurance claims, as you may be eligible for out of network benefits.
You are responsible for all fees incurred regardless of your insurance coverage. Please be prepared to provide us with your insurance identification number and group number.
Please call if you have any questions or concerns regarding your initial visit.
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Privacy Policy
This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.
Click here to read the notice.
This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.