Patient Forms

Please take a minute to print and fill out the patient information form before your first appointment:

Patient Registry Form
Medical History Form
HIPPA Consent Form

First Visits

Our practice is committed to providing you and your family with safe, gentle, high-quality dental care. We understand that you, or your child, may feel anxious about visiting the dentist. We are sensitive to your needs, and it is our goal to make you feel comfortable visiting our practice while providing the best care possible.

Your first visit is all about you – your comfort, your happiness, and your health.

During your first visit, Dr. Ness will review your dental and medical history forms and will take any necessary X-rays of your teeth. Then, the doctor will complete a very comprehensive exam of your teeth and mouth, This exam in conjunction with the x-rays will help to create your own individual treatment plan, and answer any questions that you may have. Also at this visit, one of our hygienists will clean and polish your teeth. Sometimes additional cleaning appointments may be necessary depending on the health of your gums and the condition of the supporting bone. Please allow 2 hours for this first visit.

Bring your smile, but also remember to bring these with you to your first appointment:

  • Your completed patient information form
  • Your insurance card
  • Identification card (Driver’s License)

Regular checkups are an important part of maintaining a healthy smile!

The American Dental Association recommends visiting your dentist every six months for regular checkups and routine teeth cleanings to keep your teeth and gums healthy.

We understand that you have a busy schedule, so when you’re preparing to visit the dentist, please remember that routine check-up appointments last about 1 hour.

Financial Information

The cost of your treatment will vary depending on your individual needs and treatment plan. If you have questions about the cost of your treatment, we are here to help answer those questions. If you need to make financial arrangements please let us know before you begin, so that we can best help you find solutions.

Affordable Payment Plans

Your smile is yours forever, and we want to make it as easy as possible for you to receive the best dental care when you need it.

Our practice accepts most major credit cards and insurance plans.

Our office staff is always available to help you with insurance claims and paperwork. We’ll work with your insurance provider to make sure that your coverage meets your needs and your budget.

Please let us know if you have any questions about your insurance coverage.

Insurance

Dental insurance, sometimes called a dental plan, is a form of health insurance designed to pay a portion of the costs associated with dental care. There are several different types of individual, family, or group dental insurance plans grouped into three primary categories: Indemnity, Preferred Provider Network (PPO), and Dental Health Managed Organizations (DHMO).

Generally, dental offices have a fee schedule or a list of prices for the dental services or procedures they offer. Dental insurance companies have similar fee schedules which are generally based on Usual and Customary dental services, an average of fees in an area. The fee schedule is commonly used as the transactional instrument between the insurance company, dental office and/or dentist, and the consumer.

Indemnity Dental Insurance Plan

With indemnity dental plans, the insurance company generally pays the dentist a percentage of the cost of services. Restrictions may include the co-payment requirements, waiting period, stated deductible, annual limitations, graduated percentage scales based on the type of procedure, and the length of time that the policy has been owned.

Dental Health Maintenance Organization (DHMO)

Dental Health Maintenance Organization plans entail dentists contracting with a dental insurance company that dentists agree to accept an insurance fee schedule and give their customers a reduced cost for services as an In-Network Provider. Many DHMO insurance plans have little or no waiting periods and no annual maximum benefit limitations, while covering major dental work near the start of the policy period. This plan is sometimes purchased to help defray the high cost of the dental procedures. Some dental insurance plans offer free semi-annual preventive treatment. Fillings, crowns, implants, and dentures may have various limitations.

Participating Provider Network (PPO)

In the United States, Participating Provider Network or PPO also referred to as Preferred Provider Organization, is an organization governed by medical doctors, hospitals, other health centers, and medical care providers. This organization has an agreement with an insurer or the third party administrator to provide health insurance to the people associated with their client at reduced or low rates. Participating Provider Network plans may work similarly to a DHMO while using an In-Network facility. However, a PPO allows Out-of-Network or Non-Participating Providers to be used for service. Any difference of fees will become the financial responsibility of the patient unless otherwise specified.

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Are you an existing patient and need to make? You can now make a payment to your account online, anytime, anywhere!

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I’ve been going here for over 10 years, very professional and respectful staff. Dr.Ness is a fantastic dentist, the hygienists are great, and the office staff is very kind

Taylor Beeson

Dr. Ness has been my dentist for the last 5 years and the best I’ve had. Great staff all around, very friendly and helpful. Highly recommend Dr. Ness!

Matt Rogers

I’ve been a patient for more than 20 years, since Shane’s dad ran the practice. Shane and his staff have continued the tradition of personable and professional care. They make my visits carefree and enjoyable. I can’t imagine going to another dentist.

Steve Berry

I had an amazing first visit to this office. Everyone from the front office to the back were incredibly welcoming, kind, and professional. Dr. Ness was very personable, caring and an overall great dentist. So happy I chose Village Dentistry as my new dental office!

Roxy M.

Social distancing and sanitization procedures are implemented and observed by this lovely practice. Dr. Shane Ness is a family friend and a wonderful dentist. I have always enjoyed going to Ness Family Dentistry these past few years, but I am particularly appreciative of his wonderful assistants, admins and hygienists. They truly are the backbone of his practice and Dr. Ness as their leader is as affable and funny as ever.

Janet Ha

I was very happy with my experience at Ness Family Dentistry. The office staff was friendly, my dental hygienist gave me a 5 star cleaning and Dr Ness was very nice and caring about my teeth. I felt very safe having my teeth cleaned during this time with the Coronavirus.

Pam Dunn