New Patients Area
We are redefining dentistry - Would you like to be part of it?
Making Your Visit Convenient and Easy
We give you all the information you need right at your fingertips.
Save time in the office and experience a stress-free visit by filling out your patient registration forms at home.
New Patient Forms
ADA COVID Patient Screening Form… Click to complete this form …
Appointment Policy… Click to complete this form …
Eaglesoft Medical History… Click to complete this form …
Health History… Click to complete this form …
Insurance and financial policy… Click to complete this form …
Insurance Info… Click to complete this form …
We make great dental care more accessible with multiple payment options, including cash, credit card, Care Credit… Click to open new tab to read more about Care Credit … financing, Lending Club… Click to open new tab to read more about Lending Club …, and in-office dental plans for people without insurance.
We accept multiple dental insurance providers and work closely with you to find out if your insurance covers the cost of treatment. If you don’t have dental insurance, we offer an affordable in-house savings plan.
The Pearly Whites Dentistry Plan
Choose an in-house savings plan that’s right for you.
For children 13 and younger
Cost: $240/year
What’s included?
2 Professional cleanings
2 Routine exams
2 Fluoride treatments
Routine x-rays
1 Emergency exam
10% Off all restorative or cosmetic services
The regular price for these services is $501. You save $261/year with this plan.
For ages 14 and older
Cost: $348/year
What’s included?
2 Professional cleanings
2 Routine exams
2 Fluoride treatments
Routine x-rays
1 Emergency exam
10% Off all restorative or cosmetic services
The regular price for these services is $627. You save $279/year with this plan.
For any age
Cost: $468/year
What’s included?
3 Periodontal maintenance
2 Routine exams
2 Fluoride treatments
Routine x-rays
1 Emergency exam
10% Off all restorative or cosmetic services
The regular price for these services is $986. You save $518/year with this plan.
For any age
Cost: $618/year
What’s included?
4 Periodontal maintenance
2 Routine exams
2 Fluoride treatments
Routine x-rays
1 Emergency exam
10% Off all restorative or cosmetic services
The regular price for these services is $1,141. You save $523/year with this plan.
200+ Five-Star Patient Reviews
Firefly H.
Going to the dentist is so important for both your overall and oral health, but too often, patients fear going or simply feel uncomfortable sitting in the exam chair.
Our team at Pearly Whites Dentistry… Click to read more about Pearly Whites Dentistry … in Schaumburg IL, set out to change that. We offer a relaxing atmosphere in a judgment-free zone to educate our patients about customized solutions for optimizing their dental health.
Here’s what you can expect:
From the moment you check in with Yoli, we’ll work to exceed your expectations every step of the way.
