Forms & Financing

Dental Care

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Affordable • Accessible • Exceptional

At New Horizon Institute, we believe every individual deserves access to quality dental care to achieve a healthy smile for improved overall health. Our team is dedicated to making every patient's dental goals a priority while providing a positive and compassionate environment. With the support from our generous donors, New Horizon Institute is able to offer affordable care and implant solutions so you can achieve a beautiful smile you are proud to show!

Single Tooth Implant & Crown

$1,540 per tooth

(Average private fee: $4,500)

Implant-Assisted Dentures

$2,750 per arch

(Average private fee: $12,000+)
Information Form

New Patient Forms

save time in the waiting room

To make your appointment as smooth as possible, we’re happy to provide all of your new patient forms online. With just a click of a button, you can complete the forms before your appointment to save time in the waiting room. This information helps our team learn more about your oral health needs so we can focus on serving you with the very best personalized care as soon as you step through our doors. 

Prep For Your Visit

Download the following forms and send them to our team at office@newhorizondental.org to ensure an efficient appointment. You can also pay for your appointment online via our Proceed Finance Patient Portal.

Medical Forms
Language Assistance
Proceed Finance Patient Portal
Information Form

DENTAL INSURANCE

New Horizon Institute does not participate in-network with any dental insurance providers. Patients who have dental insurance are required to pay NHI directly for dental services rendered. A claim form may be provided to the patient upon request for patient to submit to their insurance for potential reimbursement.

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Your Search For Affordable
Dental Care Ends Here

Give Us A Call To Start Your Smile Journey

(480) 664-2270
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Flexible Financing Options

Our Third-Party Lenders

No insurance? No problem! It’s our goal to help you achieve exceptional dental care without compromising your budget. With CareCredit and Proceed Finance, you can finance treatment on your own schedule that fits your unique budgeting needs. As two of the nation’s most reputable third-party healthcare lenders, CareCredit and Proceed Finance are trusted by thousands of patients around the country. Have questions? Give us a call today at (480) 664-2270 to learn how you can get started!

To find out if you qualify through Proceed Finance, visit https://www.proceedfinance.com/patients and under "Get Pre-Qualified" type in 6253-132-8996 under Provider Office Code.

Supported By Our Sponsors

Ready For A New Smile?

Call Us To schedule Your Appointment!

(480) 664-2270
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information form

As a 501c3-designated non-profit clinic, New Horizon Institute seeks to provide quality dentistry for patients that cannot afford treatment costs. Complete and submit the following form to apply for dental care at a reduced price. Our team will reach out to you shortly.

Questionnaire

1. Are you missing a tooth or do you need a tooth removed?
If "Yes", how many?
2. Have you used dentures, a flipper, or bridge prior to implants?
3. Have you been told that you are an ideal candidate for dental implants in the past?
4. What bothers you the most about your present oral condition?
5. What has prevented you from getting dental treatment in the past?
6. If you are interested in financing your treatment, which of the following options would suite you?
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Contact FORM
Do you live in Arizona?
If "No", which state?
How did you hear about us?
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