Which condition best describes you? *

I have one tooth missing

I have multiple teeth missing

I'm missing most or all of my teeth

I'm struggling with dentures

Do you currently have any of these dental solutions?

Denture or partial denture

Bridge, crown

Dental implant

None of the above

Which of the following are you experiencing?

Unable to eat certain foods

Pain or discomfort

Find yourself hiding your smile

All of the above

How long have you been missing teeth?

I still have them

Less than a year

1-5 years

More than 5 years

Dental implants are generally not covered by insurance, but financing options may be available. Are you interested in a payment plan option?

Yes, I'm interested in affordable payment plan options

No, I will not need a payment plan

Payment plans are subject to approval. How would you describe your credit score?

(Poor) Below 600

(Good) 601-649

(Very good) 650-699

(Excellent) 700+

I don't know

Based on your answer, you may need a co-signer to secure financing. Is that an option?

Yes

No

Unfortunately, it looks like you would not be able to qualify for a payment plan option. Do you have another way to pay for a dental implant procedure?

Savings

Credit card

Retirement account (401k, etc.)

Other loan (Home equity, etc.)

Help from a friend or relative

No, I don't

Full Name *

Email *

Phone *

Yes