New Patient Letter

We would like to take this opportunity to welcome you to our periodontics office located in Plymouth, MN. We consider it a privilege that your dentist has recommended us in the assistance of your dental needs. Enclosed you will find forms to fill out and bring with you for your appointment.

Also bring the following:
your dental insurance card
a current list of all medications you are taking
a photo ID – if patient is a minor, we will need a copy of the policy holder’s id

Your first appointment will be a comprehensive periodontal evaluation. It will include probing to evaluate your periodontal condition. If your medical provider has recommended that you take a pre-med for dental appointments, you will want to do so for this appointment. The appointment takes about an hour, and may or may not be covered by your dental insurance (this depends on the contract your employer has with the insurance company). The code that will be used for this visit is D0180. We suggest that you contact your insurance company to see if this is a covered benefit within your plan, and if you have any frequency limits. We will be happy to submit the claim on your behalf to your insurance company for any possible reimbursement.

Please note that if the patient is a minor (under the age of 18 years old) the State of Minnesota requires that a parent or guardian must accompany the minor for all appointments.

We are dedicated to giving top-quality care. Our policy is that payment is due at the time of service for any surgical procedures. For your convenience, we accept the following payment options: cash, check, and Visa, Master Card, and Discover credit cards. We also participate with Care Credit. This is a healthcare financial plan that offers interest free payment plans if paid in 6 or 12 months. You can get more information at www.CareCredit.com or call 800-365-8295.

We look forward to meeting you. If you have any questions or concerns, please don’t hesitate to give us a call.


3475 Plymouth Blvd., Suite 200


Plymouth, MN 55447
You will see the signage for Dr D Minnesota Orthodontics,
Kumon & Smile Design Dentistry on the top of the building

Reach Us


3475 Plymouth Blvd. Suite 200

Plymouth, MN 55447

Phone: 763-694-6158 / Fax: 763-577-1375


Map / Directions