Patient Resources

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Patient Forms

Looking to save time at your first visit? For your convenience, you can access all new patient paperwork online! Simply click the links to the right to get started.

Your Insurance Options

At Staten Island Dental Boutique, we believe top-notch dental care should be accessible and affordable. That is why we are happy to accept a variety of insurance providers. If you would like to use your dental insurance plan at our practice, simply let a member of our team know and we will take down your information and help you maximize your benefits. We are in-network with:

  • Aetna PPO
  • Aflac PPO
  • Cigna PPO
  • Delta PPO
  • Delta Premier
  • Guardian PPO
  • Humana
  • United Concordia
  • United Healthcare PPO

Our New Patient Specials

No matter what path you are looking to take at our practice, we’ve got a special offer to get you off to a good start! From cosmetic treatments and general dentistry to emergency exams, there’s an option for everyone’s dental needs. If you’re planning your first visit, explore our new patient special offers below and simply give us a call when you’re ready to get started.


$119 New Patient Adult

Whether it’s been six months or six years since your last dental checkup, our adult new patient special has you covered.

$99 New Patient Child (14 and under)

Kids deserve top notch care too! Set them up for smile success with this special offer.

$75 Emergency Special

Get care when you need it most! This special includes an exam and a set of x-rays.

$250 Whitening Special

Looking to brighten and refresh your smile? Take advantage of our whitening special today!

Flexible Financing Options

We understand that not everyone has access to dental insurance. And sometimes dealing with yearly maximums and insurance restrictions can keep you from getting the care you deserve. For those reasons, we offer our patients the option to finance their dental treatments. We partner with CareCredit, one of the nation’s most reputable healthcare lenders.

Memberships starting at

$299/per year

No insurance? No problem. Say goodbye to the hassle of dealing with dental insurance and become a member today. As a member, you’ll receive exclusive discounts and all the preventive and diagnostic care you need for one low price.

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