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Gold Coast Dental
2497 Foothill Blvd Suite D La Verne CA 91750
goldcoastdental.com
Accept Insurance:
Yes
General Dentistry, Orthodontics
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Time Frame
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In 12 hrs
In 24 hrs
In 48 hrs
In 72 hrs
In 7 days
In 15 days
In 30 days
Procedure
*
Braces (Full)
Braces (Phase-1)
Bridge 2 Unit (PFM - Porcelain Fused to Metal)
Bridge 2 Unit (Zirconia)
Bridge 3 Unit (PFM - Porcelain Fused to Metal)
Bridge 3 Unit (Zirconia)
Bridge 4 Unit (PFM - Porcelain Fused to Metal)
Bridge 4 Unit (Zirconia)
Crown - Porcelain Fused to Metal (PFM)
Crown - Resin with Noble Metal
Crown - Stainless Steel
Crown - Zirconia
Deep Cleaning (per Quadrant)
Denture (Adjust)
Denture (Complete, per Arch)
Denture (Partial, per Arch)
Denture (Replace per Tooth)
Extraction - Baby Tooth
Extraction - Simple
Extraction - Surgical
Filling - Amalgam (Silver)
Filling - Composite (Tooth Color)
General Dentistry - Consultation (Established Patient)
General Dentistry - Consultation (New Patient)
General Dentistry - Emergency Examination
General Dentistry - Emergency Treatment (minor Procedure)
Invisalign
Mouthguard
Nightguard
Orthodontics - Consultation (Established Patient)
Orthodontics - Consultation (New Patient)
Orthodontics - Emergency Treatment (minor Procedure)
Recement Spacer
Removal of Spacer
Root Canal Retreatment (Anterior or Front Tooth)
Root Canal Retreatment (Posterior or Back Tooth)
Root Canal Treatment (Anterior or Front Tooth)
Root Canal Treatment (Posterior or Back Tooth)
Sealant (per Tooth)
Spacer (Fixed - Bilateral or for two Teeth)
Spacer (Fixed - Unilateral or for one Tooth)
Teeth Whitening
Veneer
X-ray, Cleaning & Exam
User Type
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New User
Existing User
Full Name
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Date Of Birth
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Phone #
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Insurance
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1199SEIU
Access Dental
ADN Administrators
Advantica
Aetna
Affinity Health Plan
Aflac
AIG
Alameda Alliance for Health
Alignment Health Plan
Alpha Dental
Altus Dental
AlwaysCare
AmeriGroup
AmeriPlan
Ameritas
Anthem Blue Cross
Anthem Blue Cross Blue Shield
APWU
Argus Dental
Arkansas Blue Cross Blue Shield
Assurant Employee Benefits
Asuris Northwest Health
Aultcare
Avesis
Basix Dental Discount
Beam
Benefit Management Inc
Benefit Source
Best Life And Health
Blue Choice Health Plan
Blue Cross Blue Shield
Blue Cross Blue Shield Federal Employee Program
Blue Cross Blue Shield of Alabama
Blue Cross Blue Shield of Arizona
Blue Cross Blue Shield of Georgia
Blue Cross Blue Shield of Illinois
Blue Cross Blue Shield of Kansas
Blue Cross Blue Shield of Kansas City
Blue Cross Blue Shield of Louisiana
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Michigan
Blue Cross Blue Shield of Nebraska
Blue Cross Blue Shield of New Mexico
Blue Cross Blue Shield of North Carolina
Blue Cross Blue Shield of North Dakota
Blue Cross Blue Shield of Oklahoma
Blue Cross Blue Shield of Rhode Island
Blue Cross Blue Shield of South Carolina
Blue Cross Blue Shield of Tennessee
Blue Cross Blue Shield of Texas
Blue Cross Blue Shield of Western New York
Blue Cross Blue Shield of Wyoming
Blue Cross of Idaho
Blue Shield of California
Blue Shield of Northeastern New York
BMC HealthNet Plan
Boston University
BridgeSpan
Bridgeway Health Solutions
Buckeye Health Plan
California Dental
Capital Blue Cross
CareFirst Blue Cross Blue Shield
Careington
CareOregon
CareSource
CBA Blue
Cigna
Colonial Life
Commonwealth Care Alliance
Community First Health Plans
Companion Life
CompBenefits
Comprehensive Medical and Dental Program (CMDP)
Connect Care
Connecticut Dental Health Partnership
Connection Dental
Coventry Dental
Culinary Health Fund
DAKOTACARE
DDS Inc.
Dearborn National
DeCare Dental
Delta Dental
DenCap
Denex Dental
Dental Benefit Providers
Dental Care Plus
Dental Health & Wellness
Dental Health Alliance
Dental Health Options
Dental Health Services
Dental Network of America
Dental Select
Dental Source
DentalWise
DentaQuest
Dentegra
Dentemax
Denti-Cal
Deseret Mutual
Dominion National
Elderplan
EmblemHealth
EmblemHealth (formerly known as GHI)
EmblemHealth (formerly known as HIP)
EMI Health
Emory Health Care Plan
Empire Blue Cross Blue Shield
Encore Dental
Excellus Blue Cross Blue Shield
Fallon Community Health Plan (FCHP)
FCL Dental (First Continental Life)
FCL Dental (StarDent)
Fidelio Dental
Fidelis Care (NY)
First Choice Health
First Dental Health
Florida Blue: Blue Cross Blue Shield of Florida
GEHA
Geisinger Health Plan (Dental)
Golden Dental Plans
Golden West Dental
Group Health Cooperative of Eau Claire
Guardian
GWH-Cigna (formerly Great West Healthcare)
Harvard Pilgrim Health Care
Hawaii Dental Service (Delta Dental)
Hawaii Medical Service Association (HMSA)
Health Choice Arizona
Health Net
Health Plan of Nevada
Health Plus
HealthChoice of Michigan
HealthFirst (NY)
HealthPartners
Healthplex
HealthSmart
Highmark Blue Cross Blue Shield
Highmark Blue Cross Blue Shield of Delaware
Highmark Blue Shield
Horizon Blue Cross Blue Shield of New Jersey
Horizon NJ Health
Humana
Independence Blue Cross
Indiana Medicaid
Itasca Medical Care
J.J. Stanis and Company, Inc.
Kaiser Permanente
KanCare
Keystone First
Legacy Health
Liberty Dental
LifeMap
Lifetime Benefit Solutions
LifeWise
Lincoln Financial Group
Maricopa Health Plan
MassHealth
MCNA Dental
Medica
Medicaid
Medical Mutual
Medicare
Mercy Care
MetLife
MetroPlus Health Plan
Minuteman Health
Mississippi Division of Medicaid
Moda Health
Molina Healthcare
Momentum Insurance
Mutual of Omaha
MVP Health Care
My Smile Dental Plan
Nationwide
Network Health Plan
Nevada Dental Benefits
North Carolina Health Choice (NCHC) for Children
NY State No-Fault
OneNet
OneNet PPO
Option One
Oscar Health Insurance Co.
PacificSource Health Plans
Paramount Healthcare
Passport Health Plan (Kentucky)
Passport To Health (Montana Medicaid)
Patriot Health
PBA (Patrolmen`s Benefit Association)
Peach State Health Plan
PeachCare for Kids
Phoenix Health Plan
Physicians Health Plan of Northern Indiana, Inc.
Piedmont Community Health Plan
Premera Blue Cross
Premier Access
Premier Dental Group
Primary Care Case Management (North Dakota Medicaid)
PrimeWest Health
Principal Financial Group
Priority Health
Prominence Health Plan
Public Employees Health Program (PEHP)
Quality Plan Administrators
Quapaw Tribe of Oklahoma
Regence Blue Cross Blue Shield
Reliance Standard
Renaissance Dental
Rockefeller Health Plan (Dental)
Scion Dental, Inc
SecureCare Dental
Security Life
Sele-Dent
SelectHealth
Sierra Health and Life
Simple Benefit Plans
Solstice
Southland Benefit Solutions
Starmount Insurance
STLDentalPlan, LLC
Stratose
Sun Life Financial
Superior Dental Care
Surency Life & Health
TDA (Total Dental Administrators)
Teachers Health Trust
Texas Children`s Health Plan
The Arc of Florida, Inc
The Standard
Tricare Dental Program
Trillium Community Health Plan
Triple-S Salud: Blue Cross Blue Shield of Puerto Rico
TruAssure
Tuality Health Alliance
Tufts Health Plan
UCare
UniCare
Union Plans
United Concordia
United Federation of Teachers
UnitedHealthcare
UnitedHealthcare Community Plan
UnitedHealthcare Oxford
UNUM
UPMC Health Plan
USAble Mutual Insurance Company
Vantage One
Vision Plan of America
WEA Trust
Wellcare
Wellmark Blue Cross Blue Shield
Western Dental & Orthodontics
Willamette Dental Group
Workers` Compensation
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