Arkansas Dentistry & Braces provides great orthodontic & dental services in areas like Fayetteville, Jonesboro, Fort Smith, Bentonville, Little Rock & Sheridan

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Smile Assessment

We believe everyone deserves an amazing smile! We also understand your time is valuable and getting to our office with your busy schedule can be tough. That's why we created the Smile Assessment. Now, by utilizing technology, we can evaluate your smile and tell you about your treatment options, the length of treatment, and give you all the specific details about the cost associated with treatment. It's never been easier to find out if braces or Invisalign is right for you!

The process of submitting photos for the Smile Assessment is simple. Please review the HIPAA privacy policies here and follow the instructions below so we can get your Smile Assessment back to you quickly.

If you provide your insurance information and complete and submit the forms listed below, we can inform you of any additional benefits or discounts you qualify for that may reduce your out of pocket expense (the forms are not required for the Smile Assessment, but may be beneficial to you).

Patient Information Form

Insurance Verification Form

Also, if you think you are a candidate for Medicaid, please proceed with completing the Smile Assessment and then apply for Medicaid here. We can help you with any questions you may have with the Medicaid application process.

 

“I’m really busy and I appreciate how easy it was to get started with braces at Arkansas Dentistry & Braces! Everyone was so friendly too!“ – Lauren

Instructions

All photos should be taken in a seated position. You will need a friend or family member to serve as your photographer as it’s difficult to take these photos by yourself.

 

Little Rock Photo 1 - Frontal Smiling: Bite down and give a really big smile. Make sure your back teeth are touching.

Jonesboro Photo 2 - Frontal Gums: Smile very big again, but this time keep your teeth slightly apart and pull back your lips with your fingers so your top and bottom gums are visible.

Arkansas Photo 3 - Profile: Smile really big (one more time!) and bite down on the back teeth - the way you would if you were chewing something. In this photo we need to be able to see both the bottom and top teeth.

Application

* indicates required field

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Photos must be < 2MBs and a JPG, PNG, or GIF

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I confirm that I have read the HIPAA Privacy Policies *

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