Call: (510) 451-9100

Schedule Appointment

Patient Forms and Insurance

We want to welcome you to the Healthy Smiles Dental Care family!

We are glad that you are interested in becoming a patient of Dr. Yousef Khamsi’s Oakland, CA dental practice. New patients are always welcome here. Everyone at Healthy Smiles Dental Care is committed to making your visits pleasant and stress-free. You can count on our friendly, highly experienced staff to always provide the highest standard of dental care in a clean, state-of-the art environment. Your comfort is our top priority.

It will save you time if you print out our new patient form and fill it before your appointment. 

 

New Patient Form

 

Financial Arrangements

Dr. Khamsi’s office accepts most dental insurance programs used by major employers in the area. Our goal is not to let the expense prevent you from obtaining the quality care and service you deserve.

Most popular in network insurance programs:

  • Aetna PPO
  • Ameritas PPO
  • Anthem Blue Cross/Blue Shield PPO
  • Assurant PPO
  • Blue Shield PPO
  • Carrington Dental PPO
  • Cigna PPO
  • Delta Dental PPO/Premier 
  • Delta System
  • First Dental PPO
  • Guardian PPO
  • Met Life PPO
  • Pacificare PPO
  • Premier Access PPO
  • Principal PPO
  • United Concordia PPO
  • United Healthcare PPO

We accept several other PPO and Premier Plans

We strive to maximize our patient’s insurance benefits and make them easy to manage, while making any remaining balances easy to afford. If you have any questions or concerns regarding you insurance benefits, please don't hesitate to call our office at (510) 451-9100. We will be happy to help clarify the often confusing programs and coverage.

NO INSURANCE?

Financial Assistance

Our fees are based on the quality of the materials we use and our experience in performing treatments. To meet this criteria and better assist our patients with flexible options, we have developed the following financial options:

* A 5% discount is applied when fees in excess of $200 are paid in full with cash or check on the day of treatment or in advance of scheduling the appointment.
* Major credit cards such as Visa, MasterCard and Debit Cards are accepted in our office.
* If you would like to review these financial arrangement options with one of our staff in advance of treatment, please call (510) 451-9100.

As a service to our patients, we are pleased to offer the CareCredit card, the nation's leading patient payment program. With CareCredit you can finance 100% of your dental care and there are no upfront costs, no annual fees, and no pre-payment penalties. So, you can begin your treatment today and conveniently pay with low, monthly payments.

 

 

CareCredit offers a full range of payment plans so you can find one that works best for you. With the popular No Interest Payment Plans* there are no interest charges if you pay your balance in full within the specified time period. Monthly payments can be as low as 3% of your balance. For procedure fees from $1,000 and up, CareCredit offers 24, 36, or 48 month plan options with low monthly payments available.

CareCredit can be used by the whole family for ongoing treatment without having to reapply. And by using CareCredit for your dental care, you can save your other credit cards for household or unplanned expenses. It only takes a few minutes to apply for CareCredit and you'll receive an online decision in seconds! Apply Now or see our staff for more details.

*Terms and Conditions