Patient Resources

Financial Options

At the office of Dr. Williams and Dr. Montefalco, we will file all your dental insurance claims as a courtesy to you. We are in network with the following dental insurance companies for your benefit: Delta Dental, Anthem, Aetna, and Cigna. We also accept the following forms of payment:
  • Cash
  • Check
  • Visa®, MasterCard®, American Express®, and Discover®
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Pay Online

Patient Name: *
Patient Account Number: *
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Pay Online

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For those who do not have dental insurance or whose insurance will not cover the cost of the necessary treatment, we have partnered with CareCredit®. CareCredit offers low- and no-interest financing to help you achieve all of your smile goals. We can help you apply for CareCredit in the office or you can apply online at the CareCredit website. For more information on any of your financial options, please call or visit our office soon! Our dentists in Indianapolis, Indiana, look forward to meeting you!

Patient Forms

We invite you to complete the following patient forms prior to your visit with one of our dentists. This can save you time during your appointment and help all of us focus more on your oral health. If you have any questions, please call or visit the office of Dr. Williams and Dr. Montefalco today.

Downloadable PDF (Fill it out on your computer and print, or print it to fill out by hand.)
Online Form (Fill it out on the website and print, or submit it electronically to our office.)