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New Patient Information

Welcome to Fairfax Dental Esthetics! If you’re new to our practice, then you’ve come to the right place! To learn a little more about our practice before you schedule your first appointment, please take a moment to read through the helpful information below. If you have any questions afterward, don’t hesitate to pick up the phone and give us a call. We can’t wait to meet you and your family, and we know we’re going to do great things for your smile!

Patient Forms

Want to save about 15-20 minutes at your appointment? If so, simply click on the link below to download our forms and fill them out before you’re scheduled to come see us. Just bring them with you to our office, and we’ll be able to get you in to see your dentist right away!

Patient Registration Medical History Form HIPAA PolicyPost-Op Instructions

Dental Insurance and Payment Options

We’re happy to accept and file claims for all dental insurance plans, and we’re even in-network with many of the most common providers.

We participate with the following dental insurance plans:

  • Aetna
  • Anthem PPO
  • Carefirst BCBS
  • Cigna
  • Delta Dental
  • Dentimax
  • Dentaquest PPO
  • Dominion Dental
  • FEP Blue / BCBS
  • Guardian PPO
  • GEHA
  • Humana
  • Medicaid
  • Metlife
  • Principal
  • United Healthcare
  • United Concordia
  • + many more! If you don't see your plan, ask us if we take it. We probably do!

Learn More about Dental Insurance

Affordable CareCredit Financing

If you currently do NOT have insurance and would like to break up the cost of your care into smaller monthly installments, we’re happy to help you get low-to-no interest financing with CareCredit. To find a plan that works for you, simply click on the link below.

Apply For CareCredit

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In Tysons, VA
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