Patient Forms

As a new patient, you will be required to fill out a number of forms before your first visit.

Payment Policies

Charges for services rendered are due at the time of treatment. In an effort to assist you with making the cost of your dental care investment as easy and manageable as possible we are happy to accept cash, personal checks, Visa, Mastercard, Discover and American Express as forms of payment.

Insurance Information

Drs. Rubler and Halpern are participating providers with Delta Dental PPO/Delta Dental Premier, United Concordia-Tricare (TDP) and Cigna Radius. We are also happy to submit claims for our patients who have orthodontic coverage through other carriers. While it is policy-dependent, frequently a patient receives their orthodontic benefit when receiving treatment from a non-participating provider. For those individuals who do not have orthodontic coverage, or are looking for added savings benefits, the Flex Savings Accounts (FSA) or Healthcare Savings Accounts (HSA) might be good alternatives. Be sure to check with your employer to see if either type of account is an option.

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Contact Us

Need to schedule an appointment, or just have a question? Feel free to contact us at any time:

Tel: 410-997-0707
Fax: 410-997-2357

5570 Sterrett Place, Ste 301
Columbia, MD 21044


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