(804) 741-2226


(804) 740-7281


(804) 741-2226


(804) 740-7281

Dentistry Resources

New Patient Forms

To make your experience at Richmond Pediatric Dentistry and Orthodontics more convenient, we have provided our patient forms online. We encourage you to take a few minutes to fill them out before your first appointment with us. If you have questions about our patient forms, please call our office today. Our team will be happy to assist you.

¿Hablas Español?

What to Expect

During your first visit to our office, it is important for your child to establish a dental home in a positive and friendly environment. During the first visit, you can expect us to obtain important background information, like your child’s medical history, and give you time to get to know your doctor.  

Our office, along with the American Academy of Pediatric Dentistry and American Academy of Pediatrics, recommends that your child be seen for their first dental visit at age one.  As your child enters our kid-friendly office, we will introduce him/her to our wonderful dental team. During this first dental visit, the staff and doctors will review your child’s medical history, dental history, dietary habits, and oral hygiene routines at home.

The purpose of this first dental visit is to provide your family with the knowledge of how to care for your child’s teeth now and in the future. Please feel free to ask us any questions you have about your child’s teeth or hygiene techniques. We want this first visit to be educational, fun, and exciting for both your child and family.

How to Prepare Your Child

We encourage you to talk to your child about their upcoming dental visit. We recommend reading books that help explain what will happen at the dentist office. You can also explain what we will be doing in a language that your child will understand.

Good words to use:

  • The dentist is going to count and brush your teeth.
  • The dentist may take some pictures of your teeth with a camera.
  • If you are a good helper, the dentist will give you some stickers and a balloon.

We ask that you please refrain from using these words:

  • Shot
  • Needle
  • Drill
  • Pull

Pediatric Dentistry Payment and Insurance Information

Need helping choosing the best dental insurance from your employer? We’re here to help!

We accept all dental insurance options except for DMO/DHMO’s and Discount Programs. We accept checks, cash, credit cards, and offer payment plans through Care Credit®. We also participate with all Virginia Medicaid/Doral/Dentaquest programs.

Effective April 8th, 2024, our pediatric dentistry division is no longer in network with Delta PPO only plans.  We remain in-network with Delta Premiere and Delta PPO+Premiere. If you have questions about your specific Delta plan coverage, please reach out to your insurance representative.

Effective January 1st, 2024, we will no longer honor in-network rates for Anthem participants, excluding Anthem complete. Although we still accept Anthem Dental, we are out of network providers as of October 2020. The amount you will be responsible for depends on the particular policy you have with Anthem. This change affects Anthem Dental plans ONLY and is not related to Anthem Health Insurance plans. We no longer accept the Anthem federal plans.

Call our office if you have questions about your upcoming appointment or future treatment.

Contact Us

Have any more questions or ready to schedule your first appointment? Please contact us and our friendly staff will assist you.

Request Appointment

Please send us your contact information and select an ideal appointment date. We will contact you to confirm an appointment (typically within 24 hours).

If your child is experiencing an emergency, please call us.

Pediatric Dentistry (804) 741-2226 • Orthodontics (804) 740-7281

"*" indicates required fields

Patient Name*
Patient Date of Birth*
Parent / Guardian Name*
Patient Status*
Visit Type*
Preferred Office Location
MM slash DD slash YYYY
Select an ideal date for your appointment. Availability is not guaranteed.
Please list your Dental Insurance Provider, Group ID and Member ID. Please note if you do not have Dental Insurance coverage.