703.719.5828
4210 Fairfax Corner Ave W Suite 245, Fairfax, VA 22030
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Let’s Smile<sup>™</sup> of Fairfax Ortho & Pedo in Fairfax, VA

Patient Resources

We strive to provide a comfortable environment where you’ll feel confident in the level of dental care you receive. When you arrive for your first visit, please be prepared to complete all insurance and health information forms that will allow us to begin your dental treatment.

New patient forms

Save time, take care of the paperwork now.

Our New Patient Forms are now available so that you can complete them at your convenience, giving you time to carefully review our policies and procedures without having to do so at our office. Click on the "New Patient Forms" button to print the forms. Fill out the forms, and bring them with you to your first appointment.

NEW PATIENT INFORMATION FORM
INFORMATION UPDATE FORM
AETNA REFERRAL FORM
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CareCredit

Financial Options

We don’t want finances to hold you back from having a healthy, beautiful smile, so we have several payment options designed to accommodate any budget.

OPTION A - CARECREDIT

  • No initial payment
  • 0% interest if paid within term limits
  • Low monthly payments
  • The first payment is not due for four-six week
  • No prepayment penalty with terms of up to 60 months

OPTION B - DENTAL INSURANCE

  • Aetna, Assurant Health, Delta Dental, Cigna, MetLife, United Healthcare, Principal Financial Group, Guardian, Blue Cross Blue Shield, Humana
  • We accept most insurances including PPO, HMO, and DHM.
  • We accept Medicaid at our Alexandria, Centreville, Fredericksburg, Herndon, and Springfield locations. Contact us to determine whether you are covered for a specialty visit.
  • Oral Surgery department does not accept Medicaid for adults 21 and older.
  • We will be glad to file a predetermination for you to verify coverage of any necessary dental treatment.

OPTION C - PAY-IN-FULL

  • Pay-in-full discounts are available for orthodontic treatments.
  • Credit cards and debit cards are accepted.
  • We can work with your FSA or HSA.

Invisalign®

Let’s Smile Dental provides comfortable and inconspicuous Invisalign treatment. Enjoy the benefits of straighter teeth without the constraints of traditional braces.

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Pediatric Dentistry

At Let's Smile™ Dental in Fairfax, Virginia, we provide an engaging and comprehensive pediatric dental experience, nurturing your child's dental health from an early age.

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Wisdom Teeth

Our services include consultations tailored to your needs, diagnostic imaging, and expertly executed wisdom teeth removal procedures prioritizing safety and effectiveness.

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Emergency Dentistry

Our experienced team is here to provide prompt and efficient emergency dental care, addressing urgent issues such as severe toothaches, broken teeth, and other dental emergencies.

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Call today to schedule a consultation! 703.719.5828

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