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A Practice For Optimal Dental Fitness

Patient Information

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Forms

Before your first visit, please complete and submit the new patient forms below. We look forward to meeting you!

Financial

Payment Plans

Payment for services (or estimated insurance copayment) is expected on the day of service. For extensive dental treatment plans, financial arrangements may be made. We accept Visa, MasterCard, and Discover.

Insurance Coverage

Your dental plan is designed to share your dental care costs. Generally, a plan is a contract between your employer and an insurance company, and these contracts vary widely. We will be happy to offer estimates of coverage and submit your dental claims for you and help you to get the most from your dental plan. However, please be aware that you are responsible for all costs incurred.

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Treatment Warranty

Your investment in your dental health is important to us. Our treatment warranty provides the most protection for you and your decision to proceed with treatment recommendations. Dr. Mantikas is proud to offer the following dental treatment warranty for your peace of mind.

If a porcelain (or equivalent) restoration provided by Dr. Mantikas fractures and it is determined that there was a defect in the materials or workmanship during a period of 5 years from the date of the initial placement, Dr. Mantikas will replace or repair the restoration at no additional charge.
If a composite bonding or filling provided by Dr. Mantikas fractures or chips and it is determined that there was a defect in the materials or workmanship during a period of 2 years from the initial placement, Dr. Mantikas will replace or repair the filling or bonding at no additional charge.
If a dental implant placed and restored by Dr. Mantikas fails and it is determined that there was a defect in the materials or workmanship during a period of 5 years from the initial date of placement, Dr. Mantikas will replace or repair the implant or implant restoration at no additional charge.
If a dental sealant fails and it is determined that there was a defect in the materials or workmanship during a two year period, Dr. Mantikas will replace the sealant at no additional charge.

This dental warranty does not cover damage to teeth or prostheses caused by accidents, trauma, negligence, or improper use (for example: grinding, clenching, chewing ice, biting non-food items, or recurrent decay).

This warranty is effective immediately upon completion of any of the above services and will be in effect for the period of time detailed when you meet ALL of the following requirements:

 

  • Return for all recare visits as prescribed by your
  • Dentist or Hygienist, not more than 30 days past your due date
  • Use anti-decay or gum disease medications as prescribed
  • Follow the Dentist’s recommendations for destructive habits such as clenching, grinding, or tooth replacement, which may lead to future problems
  • Your account must remain in good standing with our office with no overdue balance. Refunds are not part of the warranty policy

Contact us today to schedule an appointment!

East Hampton, CT George M. Mantikas, DMD Logo

George Mantikas, D.M.D.

optimal dental fitness

George M. Mantikas, DMD
142 E High St
East Hampton, CT 06424

Phone: 860-267-6666
Fax: 860-267-1854
Email: office@drmantikas.com

Business Hours
Monday:
8:00 AM - 5:00 PM
Tuesday:
8:00 AM - 5:00 PM
Wednesday:
7:00 AM - 3:00 PM
Thursday:
9:00 AM - 8:00 PM
Friday:
7:00 AM - 12:00 PM
Saturday:
Closed
Sunday:
Closed

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