Forms & Financing

Let’s Keep The Paperwork To A Minimum

Fill Out Forms Here

If it's your first time visiting our office or you're looking for a new dental home, our simplified patient forms will make your visit a breeze. These forms give the Heart Dentistry team key information and background about your dental health that will help us determine your needs and accurately assess your oral health. We can't wait to see you for your upcoming visit!

Forms Coming Soon

Keeping care accessible

Insurance options

Cost is the last thing that should come between you and taking care of your smile. We accept plans from Delta Dental, DeltaCare, Delta Dental PPO, MetLife PPO, Cigna PPO, and Pacific Union Dental. We can also accept all other PPO’s that are out of network. Our team is happy to help file a claim for you and can answer any questions along the way.

Explore payment options


For patients who don’t have dental insurance, we accept Sunbit. Sunbit is one of the largest and most reputable healthcare financing companies in the U.S., and they offer no interest financing or low minimum monthly payment options so you can get the dental care you need. Call us today if you’d like to learn more about our insurance and financing options, or to schedule an appointment!

United Concordia
Sun Life
Principal Life


Membership Plan

No dental insurance? No problem! Our membership plan is a cost-effective way to get the dental care you deserve. It includes everything you need to get your smile on the right track, like annual exams, cleanings, and much more!

Our Membership Plan

First Impressions Are Everything

New Patient Special $199

We offer an introductory appointment that includes a cleaning, exam and X-rays! We will review your dental health history with you, as well as discussing the current state of your oral health and answer questions you might have about services. Our new patient special cannot be used in combination with insurance. The special cannot apply in the case of pre-existing periodontal disease. Get in touch with us to make your first appointment!

call (650) 763-1223
United Concordia
Sun Life
Principal Life

The perks of being a member

additional Benefits

  • NO waiting periods (effective immediately)
  • NO yearly maximums
  • NO pre-authorizations
  • NO denial of coverage
  • NO deductibles
  • NO pre-existing condition limitations

Adult membership


*with a $99 activation fee
  • 2 professional cleanings or periodontal maintenance
  • 2 periodic exams
  • Oral cancer screening
  • All necessary x-rays
  • 1 emergency exam
  • 1 professional fluoride treatment
  • 20% discount on ALL procedures

no insurance? no problem!

our plan makes annual preventive care accessible

© South San Francisco Heart Dentistry 2024 2021

Website by Wonderist Agency  |  Privacy Policy