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We want to take this opportunity to welcome you to our team and practice.
We are a comprehensive care professional practice which includes several aspects of your oral health. Due to the fact that we have not had the opportunity to examine your mouth and the associated structures of your head and neck area, your initial appointment will most likely include a comprehensive oral examination and cancer screen.Â We will take the necessary radiographs (x-rays) and any other records to determine what your needs may be. We would like to receive any current records from a previous dentist before your appointment, so as to minimize your costs and/or radiation exposure. We will then formulate a treatment plan which will include any necessary work as well as the associated costs for your care.
Below you will find the necessary forms you will need to complete online so we have them in our office at least 24 hours before your appointment or your appointment will need to be rescheduled. Â Â Â If you will be utilizing insurance benefits, we would like to have this information before you arrive for your initial appointment.Â Once we confirm your policy’s coverage with your insurance company, we will be glad to file all of your claims to help minimize your out of pocket expenses.
The day before your appointment and every appointment, you will receive a courtesy Â confirmation phone call or email of your choice. If you should need to change an appointment we require at least 48 hours notice ahead of time, otherwise we reserve the right to bill you for the missed appointment.
We look forward to helping you care for your oral health and we would like for you to call us personally should the need ever arise.
Yours In Oral Health,
Ronald E. Massie, D.D.S., M.A.G.D.
Please complete the required patient forms. There are two possible ways to return the completed document to us.
- Depending on the configuration of your computer and the software installed, you may be able to use the"Submit" button at the end of document. It will launch your email program and automatically attach the document to send to us at email@example.com. (If the submit button in the form doesn't work for you, use option #2 below to save and submit the form to us.)
- Alternatively, complete form, save it, then submit it to Premier Dental Group using the form below.
You will receive a confirmation message once complete. Please don't hesitate to call us should you have any questions. 573-365-0220
Submit New Patient Forms to Premier Dental Group
Ronald E. Massie,
24 North Shore Drive
Lake Ozark, MO 65049
HOURS & LOCATION
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Monday: 9:00AM - 5:00PM
Tuesday: 8:00AM - 5:00PM
Wednesday: 8:00AM - 5:00PM
Thursday: 8:00AM - 2:00PM
Payment and financing options are available.Â
Even though we are considered an out of network provider with all insurance companies, we would be happy to do a complimentary insurance savings analysis and file a claim with any insurance company. Most of our patients keep coming back, regardless of what insurance savings they receive, because of the level of quality care given by our remarkable team.