This is an application for a CREDIT CARD, LINE OF CREDIT, OR LOAN to help you finance or pay for your dental treatment. Prohibits dental offices from providing patients with electronic devices to fill out financing applications.We offer convenient payment plans and affordable schedules for payments. Apply to see how much you qualify for and what your payment plan options are. We offer a wide array of financing and payment options tailored to fit most budgets. Don't Delay, Call 1-800-862-7908. Our practice accepts Cash, Credit Cards (Mastercard, Visa, American Express and Discover), FSA and HSA cards, and Checks with a valid ID. We accept most major insurance plans and will work with you to help you understand your benefits. If you would like to apply for the Dental Assistance Savings Plan, please download and fill out the following application form and turn it into our office. Insurance. To better serve our patients, we accept most dental insurance programs, including non-managed care, indemnity (traditional) and PPO out-of-network.