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New Patient Information

Cosmetic Dentist on the Upper East Side & West Orange

What to Expect

Your first visit to New York – New Jersey Cosmetic & Restorative Dentistry is an important one as it introduces you to our practice and our friendly staff.  Below you will find additional information to view before your first visit to Also, to help ensure your first visit goes as smoothly as possible, we invite you to take a few minutes to explore our website to educate yourself about the some of the dentistry and smile solutions we offer.


Patient Forms

The below patient forms can be printed and completed before your first visit to expedite your check-in process:

Medical History Form

We look forward to your first visit!


In order to make your visit an easy process, you can request an appointment from our website or call our office.  Our friendly staff will assist you in getting everything set up.


Our office is eager to answer any of your questions or concerns about your dental insurance and we will be happy to confirm your coverage. If you would like us to check on your dental coverage please contact us by phone, fax or email and simply provide the name of your dental insurance carrier, their phone number, your social security number and your date of birth. Dental insurance is often a vague and confusing aspect of dental care for the patient and we will try to help. We will do our best to help coordinate your dental benefits so that you receive the proper reimbursement for the service provided to you.

To alleviate our patient’s concerns about the cost of treatment, our office submits pre-authorization requests to insurance providers for extensive treatment plans. We then receive an estimate of how much coverage a patient has for the proposed services. Dental insurance makes treatment more affordable, but it does not cover all of the patient’s costs. Please note that most insurance plans have an annual maximum amount of benefits that caps their payment for services even if the treatment is otherwise eligible.

As a courtesy, when provided with all necessary details, our staff will gladly submit any paperwork and x-rays (when required) to your insurance carrier to assist you in receiving reimbursements.

Please note that we work for you. We do not work for your insurance company. Regardless of what your insurance company reimburses the person (patient) is responsible for the complete payment of the treatment provided at the time of service unless other arrangements have been made previously.



Payment plans are available and must be discussed at the start of treatment

Payment Options

We accept checks, cash or credit cards. We also offer a flexible payment plan with Care Credit. Please see our Financial Coordinator for details.

Financing Options

CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it. You can even use CareCredit for your family and favorite pet.

With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for the services you choose including LASIK, veterinary, dentistry, cosmetic, hearing aids and more.

CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the healthcare treatments they want and need.

Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it. For more information or to apply online, visit

We look forward to your first visit!