Important Patient Information and Forms

The first step toward a beautiful, healthy smile is to schedule an appointment with South Belt Dental in Houston, TX. We accept most dental insurance plans and offer convenient solutions for all your dental needs.

Patient Forms

If you are a new patient to our office, please fill out our online registration form before scheduling an appointment. You can access the online registration form by clicking here.

Payment Options

For your convenience, we accept cash, money orders and most major credit cards. Payment is expected at the time services are performed. Feel free to contact our office if your treatment plan requires more comprehensive dental work and you want to discuss financial arrangements. We proudly accept the CareCredit credit card to help you finance your healthcare needs. Now you can use Pay My Provider, a new online payment solution from CareCredit, to pay outstanding balances quickly and securely. Special financing options are available.*

Dental Insurance

Our office welcomes all dental insurance plans. Please keep in mind that dental insurance plans seldom cover the entire cost of a visit to the dentist. In an effort to best serve you, we provide patient-portion cost estimates and insurance coverage estimates. We also assist the patient in billing their insurance companies. We do require payment at time of service and send statements/bills for any remaining unpaid costs after insurance has been remitted.

Please contact our office for more details about your particular insurance coverage. We look forward to hearing from you!

*Subject to credit approval. Minimum monthly payments required. Promotional financing options are available on purchases of $200 or more. Standard Account Terms apply to purchases of less than $200. Promotional financing options available through Pay My Provider may differ from options available in-office. Ask us for details.