New Patient Registration Forms
We attempt to see you at your appointed time as much as possible since we believe your time is as valuable as ours. If you would like to save some time, download our New Patient Registration form. Please fill it out and bring it with you to your first appointment.
Notice of Privacy PracticesDownload the PDF Document
We are a “Fee for Service” practice, which means fees are payable at the time of your appointment unless written financial arrangements have been made with our staff. We accept most insurance plans and are pleased to submit your insurance claims on your behalf.
We will gladly help you process and submit your insurance claims to your insurance companies such as: Aetna, BlueCross BlueShield, Cigna, Delta Dental, Guardian, Health Alliance, Humana, MetLife, Principal Life, United Health Care and most other Dental Insurances.
We accept these forms of payments:
Visa, MasterCard, Discover, Cash, Check
We are pleased to offer patient financing through CareCredit for your treatment needs.
Click to pay or apply online for your CareCredit card today.
We also accept payment plans and work with outside finance companies to help you finance your dental needs. We can work out low monthly payments and comfortable terms for you. Call us today to find out more.
Eastland Dental Center
Dr. Mike completed his doctor of dental medicine degree from Southern Illinois University in 1978. Dr. Marisa completed her doctor of dental medicine degree from Midwestern University in 2015. Both doctors have logged hundreds of hours of continuing education to stay on top of the latest technologies in dentistry as well as the most current research on the oral-systemic, mouth-body connection to benefit their patients. Dr. Mike and Dr. Marisa are active members and in excellent standing with the American Dental Association, Illinois State Dental Association, Chicago Dental Society, McLean County Dental Association, American Academy of Oral Systemic Health, and numerous other societies.
Both doctors are avid golfers and have won several national golf tournaments over the years. They are the only father-daughter team in the state to have won the Illinois State Amateur Golf Championship. Dr. Mike in 1974 and Dr. Marisa in 2005.