dear patients,


We are so excited that you have chosen our practice to meet your dental needs! 


Click below to either fill out all of your forms online. Make sure these are filled out prior to your first appointment. Please make sure you have your insurance card and license with you at your first visit. We look forward to meeting you soon!

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apply now!


Carecredit is a third party personal care credit card that allows patients to pay their treatment cost down at no interest for up to 12 months. For an extended payment plan, we gladly offer CareCredit. For more information about this option, click here.

*No interest if paid in full within 12 months on qualifying purchases with your CareCredit credit card at enrolled provider and select retails locations in the CareCredit Network. Interest will be charged to your account from the purchase date if the promotional purchase is not paid in full within the promotional period.



We are committed to helping you maximize your insurance benefits. We accept all insurances, but are contracted with Blue Cross, Delta, Southland, Aetna, Cigna, Metlife, United Concordia, Guardian, and Humana. Your dental insurance is a contract between you and your insurance company or between your employer and the insurance company. Our office is not a party in this contract. The level of benefit you receive is determined by the contract you or your employer signed up for. The premium you pay, amount of your deductible, co-pay amounts, and annual maximums are all terms of that contract. Every contract is different, however, we will do our best to give you an accurate estimate of your co-payment. This must be paid at the time of service. Despite our best efforts to give you an accurate estimate, this is just an estimate, and occasionally insurance will pay less than the approximation. The patient is responsible for any amount that is not paid by their insurance.

To pay ONLINE please click the button below and register.


Once registered please enter our office location statement code 7H91CK and make your payment. Thank you.

Methods of Payment, Patient Information

At Kasey Davis Dentistry, we are committed to providing quality and affordable dental health care. We accept cash, Visa, Mastercard, Discover, checks, and insurance.


For an extended payment plan, we gladly offer CareCredit. For more information about this option, click here.