Patient Information

Patient Information for Nicholas J. Terse, DDS, LLC 


The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete an online appointment request.

Patient Forms

If you are a new patient to our office, please visit our patient forms page to download our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please contact our office if you have any questions at all.

Payment Options

Thank you for choosing our office as your dental health care provider. We are committed to providing you with the highest quality dental care, so that you may attain optimum oral health. Please understand that payment of your bill is considered part of your treatment. The following is a statement of our financial policy, which we require that you read, agree to, and sign prior to any treatment.

Payment is due at the time service is provided. Our office accepts cash, personal checks, VISA/MC/Discover and offers Third Party Financing with Care Credit.


If you have insurance benefits, as a courtesy to you, we ask that you pay the deductible or the estimated co-payment at the time of service. As a courtesy to our patients, we will submit the insurance claims for you; however, your insurance is a contract between your employer and the insurance company. All patients are financially responsible for their accounts. The insurance company is responsible to the patient. We want to emphasize that as your dental care provider; our relationship is with you, our patient, not with your insurance company.

All charges you incur are your responsibility regardless of your insurance benefits. We will cooperate fully with the regulations and requests of your insurance company that may assist in the claim being paid. If problems arise in getting a claim paid, specific questions should be directed to your insurance carrier or your employer.
Insurance payments are usually received within 45 days from the time of filing. If your insurance company has not made payment within 45 days, we may ask that you contact your insurance company to make sure payment is expected. If payment is not received within 90 days from the date of filing, or your claim is denied, you will be responsible for paying the full amount at that time. If we receive any payments from your insurance company after you have paid your bill in full, we will remit the payments directly to you.



Dental Insurance

Your dental plan is a form of compensation provided by your employer. You can expect the insurance company to pay for a portion of our fee. That portion is determined by the contract between your employer and the insurance company. Although we are not a party to the contractual arrangement with your insurance company, we do want to help you receive the maximum reimbursement to which you are entitled.

As a convenience to you, we will process your insurance claims in order for you to receive this maximum benefit. We will also gladly provide dental x-rays and a written report, should your insurance company have any questions about the services provided. At all times, you can be confident that we will always provide you with our best services, without regard to the limitations imposed by your insurance coverage. To do otherwise would violate our contract with you, a contract we feel morally obliged to honor.

Please contact our office for insurance details. We look forward to hearing from you.

Financing Options

CareCredit is here to help you pay for treatments and procedures your insurance does not cover. They offer No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it.

With three simple steps, including an instant approval process, it's easy to apply for Care Credit. After you're approved, you're free to use CareCredit to finance our services.

Now you don't have to worry about saving up for the procedures you want and need. With CareCredit, the decision's in your hands to get what you want, when you want it. For more information or to apply online, visit

Please contact our office if you have any questions regarding dental insurance, payments or financial options that are currently available.  We look forward to serving you!

Educational Dental Videos

Because we are committed to improving the oral healthcare knowledge of our patients, we are providing the following selection of dental videos which we hope you will find interesting and informative.  We have grouped the videos into various categories to provide quick access to the topics of greatest interest to you.

Click Here to watch our series of educational dental videos!

Frequently Asked Questions

Click Here to view some of the most frequently asked questions patients have about dentistry and oral health issues.

Interesting Dental Websites

In addition to our own website, there are other sites on the Web that provide interesting and helpful dental information.  Because we are committed to improving the oral healthcare knowledge of our patients, we provide a selection of links to other sites you might find interesting and informative. To view these visit our links page.

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.