Forms & Financing

New Patient Forms

New to Willow Dental? Feel free to fill out our digital new patient forms from the convenience of your smart device to streamline your appointment and save time at our office!

The online forms are coming soon!

Accepted Insurances

At Willow Dental, we’re glad to accept a wide range of dental insurance plans! Integrity and honesty dictate our diagnoses, not insurance. That’s why our dedicated team will always lay out your options to help you maximize your benefits and ensure that you enjoy the comprehensive care you need for flourishing oral health.

  • Delta Dental
  • MetLife
  • Cigna
  • Anthem BCBS
  • United HealthCare
  • Aetna
  • Ameritas
  • Humana

Join Our Patient Family

The Willow Dental team believes that everyone deserves excellent dental care, and that patients shouldn’t be bound to a certain office just because their insurance dictates it. That’s why we’ve created the Willow Membership Plan, a program that provides quality dental care for an affordable annual fee. By offering a range of plans for kids, adults, and periodontal patients, anyone can find their unique needs met here at Willow Dental.

Child - $295 Annual Fee

Child Membership Includes:
grey and orange checkmark

2 periodic exams

grey and orange checkmark

2 professional cleanings

grey and orange checkmark

1 emergency exam

grey and orange checkmark

Bitewing, periapical, and full series x-rays

grey and orange checkmark

Fluoride treatment

grey and orange checkmark

Oral cancer screening

grey and orange checkmark

Sealants

Adult - $325 Annual Fee

Adult Membership Includes:
grey and orange checkmark

2 periodic exams

grey and orange checkmark

2 professional cleanings

grey and orange checkmark

1 emergency exam

grey and orange checkmark

Bitewing, periapical, and full series x-rays

grey and orange checkmark

Oral cancer screening

Perio - $490 Annual Fee

Perio Membership Includes:
grey and orange checkmark

4 professional cleanings

grey and orange checkmark

2 periodic exams

grey and orange checkmark

1 emergency exam

grey and orange checkmark

Bitewing, periapical, and full series x-rays

grey and orange checkmark

Oral cancer screening

Enjoy a 15% discount on additional treatments, including:
grey and orange checkmark

Fillings and crown build ups

grey and orange checkmark

Additional cleanings per year

grey and orange checkmark

Dentures and partials

grey and orange checkmark

Crowns and veneers

grey and orange checkmark

Oral surgery

No waiting periods. No maximums. Orthodontics, whitening, and take-home products are not included in the membership plan discount.

Flexible Financing with CareCredit

No insurance? No worries! We accept payments from CareCredit, one of the largest and most reliable healthcare financing companies in the US. If you have any questions about financing your treatment, reach out to our knowledge team at (262) 505-1000 and we’ll be happy to help!

a woman sitting on the grass reading
wooden toothbrushes
$150

Save With Our New Patient Special

If you’re planning your first visit to Willow Dental, we’d love to share our excitement with our affordable new patient special! With a thorough cleaning, detailed exam, and 3D x-rays, you’ll leave our office with a pearly, protected smile. The first step towards total dental health begins here, so be sure to take advantage of our new patient special and save on your first appointment today!

Get Details
a man standing and smiling outside

Connect with Us Today

Whether you have questions, suggestions, or feedback, we’d love to hear from you!

get in touch