Resources

Need to make a payment? You can find all our forms and payment options here. Learn more about the Smart Smile program today!

Conner LOGO Tooth Icon

Forms

New Patient Form

Appointment Policy Agreement

Financial Agreement

HIPPA Acknowledgement

Apply for Credit

MAKE A PAYMENT

 
 

SMART SMILE

ADULT

Ages 12+

$ 33/mo

Save $204

2 Professional Cleanings

2 Regular Exams

2 Fluoride Treatments

Routine X-Rays

1 Emergency Exam (includes 1 X-ray)

$100 activation fee for new members

PERIO

50/mo

Save $319

3 Perio Maintenance 

2 Regular Exams

2 Fluoride Treatments

Routine X-Rays

1 Emergency Exam (includes 1 X-ray)

$100 activation fee for new members

CHILD

Ages 0-11

$ 30/mo

Save $224

2 Professional Cleanings

2 Regular Exams

2 Fluoride Treatments

Routine X-Rays

1 Emergency Exam (includes 1 X-ray)

$100 activation fee for new members

Conner Dentistry Smart Smile Plan

What is a dental membership Plan?   
 Why Should I Join?

For answers to these questions and more, check out this short explainer video about SmartSmile, or visit the Plan Forward website to learn more!

image.png