Choose a basic paymentIf you would like to make a simple payment to your account.
Many of our patients have set up dental savings plans with our office. These plans vary by amounts, frequencies and dates. Contact our office for more customizable dental savings plans.
$25 a month
$50 a month
$100 a month
Disclaimer
NOTE: This secure form is for incidental use only to help obtain an appointment. No doctor/patient relationship is established by your use of this site. No diagnosis or treatment is being provided. The information shared here should be used only to coordinate an appointment with your hygienist and or dentist of your choice.
© 2019 Jefferson Dental Center, Inc. located in South Bend, Indiana.