Patient information

Important information for new and current patients.


If you would like to make an appointment, please contact our office by phone or email. Our office facilitates communications and emergency calls and appointments are available and welcome, especially for new patients seeking help.

Schedule an appointment online or call 620.231.7242 today.


We will be more than happy to submit all insurance forms for you and help you recover the most from your benefits. We will do everything we can to help you afford the treatment you need and want. For patients who require major work, a complete payment plan is designed with an appropriate payment schedule. Forms of payment accepted by the office are check, cash, or any major credit card.


If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours notice. We ask for this advance notice so that we can offer this appointment to another patient. A fee may be charged if a patient does not show up for an appointment without sufficient notice.

We would like to take this opportunity to thank you for choosing our practice for your dental care.


Saia Smile Center is a PPO Provider for the following insurances: Aetna, Blue Cross/Blue Shield, Cigna, Delta Dental, Metlife, Native Health Care, United Concordia, and United Health Care. However, we accept all insurances and will file all claims for you. For those who do not have insurance, no worries, we also offer Care Credit and Chase financing. All new patients to our practice will receive FREE custom bleach trays…a $300.00 value.

Click on the logos below to link to the dental benefits pages of the insurance providers.

BlueCross BlueShield logo
Cigna logo
Delta Dental logo
MetLife logo
CareCredit logo


The following forms are in PDF format. The forms require that you have a Web browser that can display PDF files. Most browsers have this capability built in. For security reasons, you may get the message “Adobe Reader blocked for this website.” Select “Trust” to display the form. You can then print or download the form. Please call our office if you are having trouble with the forms.

Medical History

Insurance Consent

HIPAA Consent

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