Mint* Dental Studio

New patient?

Please assist us by providing the following information at the time of your appointment:

Previous dental records and X-rays (if applicable)
A list of your current medications
If you have dental insurance, please bring your card, and all critical information for the primary subscriber on the plan.
You will be asked to fill out forms asking about previous dental experiences, contact information, and pertinent medical history.

Mint Policies
Patient Information Form
Medical History Form
Pediatric Health History

Please contact the Mint* office at 586-5880 with any questions or concerns pertaining to the completion of these forms. If you are unable to complete the forms at home, please arrive 15 minutes early to fill out the forms in our lobby prior to your appointment — We offer a variety of beverage options including water, tea, and coffee to enjoy while you complete the forms.

A parent or guardian must accompany all patients under the age of 18 at the consultation and all treatment.

Special Needs Patients

Patients with cognitive or physical disabilities can have unique dental needs. We have experience interacting with and treating patients with special needs and we find it very rewarding. Some special needs patients just need some extra attention, while others may require some type of sedation dentistry depending on the severity of their disability. (See SEDATION DENTISTRY)

Insurance Policy

Although we kindly request payment in full at the time care is provided, we will submit claims to your insurance on your behalf. Please bring your dental benefit card to your appointment so that we can gather the necessary information to submit the claim on your behalf. Similar to other dental offices in our area, we do not contract with any insurance company. If the insurance company sends reimbursement to us in error, we will gladly send a refund to you.

There are multiple insurance companies providing benefits in our area and each insurance company provides many plans for different employers. For this reason, we are unable to tell you if a procedure is covered, or how much reimbursement you can expect. If you require advance notice of estimated reimbursement by your insurance for a procedure, we can submit a pre-determination request to your insurance on your behalf. The insurance company processes pre-determinations similarly to how a claim is processed, according to your dental benefit plan. As long as there are no changes to your plan, eligibility, or used benefits, the pre-determination is typically accurate for planning purposes.

If you feel a claim has been processed incorrectly and would like to appeal the determination, our office would be happy to assist you.

Forms of Payment

Payment for professional services is due at the time dental treatment is provided. Every effort will be made to provide a treatment plan that fits with your timetable and budget.

We accept cash, personal checks, debit cards and most major credit cards.

Schedule Appointment

When you're ready to schedule an appointment, please contact the Mint* front office at 406-586-5880. You may also schedule an appointment using the form below. Please select several times that would work best for you. Once submitted a Mint* employee will contact you regarding your appointment. Please note this form is not meant to for emergency situations. Please contact the Mint* office directly at 406-586-5880 for emergencies. If your emergency is outside of Mint* office hours, please contact 911.

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Patients

New patient?

Special Needs Patients

Insurance Policy

Forms of Payment

Schedule Appointment

Patient Forms