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For Patients

Welcome to Community Dental Care. We will need some information to expedite your first visit to our dental office. Please review the information below, print the necessary forms, and bring with you for your first visit.

Patients who do not have dental insurance may qualify for services under our grants.

Insurances accepted: 

  • Medicaid/Childrens: DentaQuest, MCNA; CHIP
  • Medicaid/Adult: Molina
  • Delta PPO, Delta Premier
  • Wellcare, Assurant, Aetna, United Concordia

Payment options: Cash, Master Card, Visa, Discover, American Express
Payment Plans available: Care Credit, iCare
Reduced fee scheduled (for those who are low income and eligible)

Click Here for our privacy policy in English.

Haga clic aquí para ver nuestra política de privacidad en Español.

 

Non-Discrimination Act.
Community Dental Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Sarrell Dental does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Community Dental Care:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters, Written information in other formats (large print, audio, accessible electronic formats, other formats), and Provides free language services to people whose primary language is not English, such as: Qualified interpreters and Information written in other languages

If you need these services, contact Community Dental Care at (214) 257-1082.

If you believe that Community Dental Care has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Ugonna Onyekwu
Civil Rights Coordinator
Compliance Department
465 Medford Street
Boston, MA 02159
Fax: 617-886-1390
Phone: 617-886-1683
Email: FairTreatment@greatdentalplans.com

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Ugonna Onyekwu is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. You can file a complaint electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)

Language Assistance:

English: If you do not speak English, language assistance services, free of charge, are available to you. Call (214) 257-1082.

Español (Spanish): si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (214) 257-1082.

Tiếng Việt (Vietnamese): Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (214) 257-1082.

繁體中文 (Chinese): 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 (214) 257-1082.

한국어 (Korean): 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. (214) 257-1082.

ل عرب ية (Arabic): م لحوظة : إذا ك نت ت تحدث اذك ر ال ل غة، ف إن خدمات ال م ساعدة ال ل غوي ة ت تواف ر ل ك

مارا (Urdu): لاک†۔†ںیہ†بایتسد†ںیم†تفم†تامدخ†یک†ددم†یک†نابز†وک†پآ†وت†،ںیہ†ےتلوب†ودرا†پآ†رگا†∫رادربخ

Tagalog (Tagalog – Filipino): Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (214) 257-1082.

Français (French): Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le (214) 257-1082.

ह िंदी (Hindi): ध्यान दें: यदद आप द िंदी बोलते ैं तो आपके ललए मुफ्त में भाषा स ायता सेवाएिं उपलब्ध ैं।(214) 257-1082.

فارسی (Persian): سامت†دیریگبƆامش†یارب†ناگیار†تروصب†ینابز†تالی†ست†،دینک†یم†وگتفگ†یسراف†نابز†ب†رگا

Deutsch (German): Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer:(214) 257-1082.

ગુજરાતી (Gujarati): ચુ ના: જો તમે જરાતી બોલતા હો, તો િન: લ્કુ ભાષા સહાય સેવાઓ તમારા માટ ઉપલબ્ધ છ. (214) 257-1082.

Русский (Russian): Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (214) 257-1082.

日本語 (Japanese): 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。(214) 257-1082.

Loatian (Loatian): ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ.