New Patient Forms, Payment Methods, CareCredit and Insurance

New Patient Forms

Please click on this link and complete your New Patient Forms online before your appointment. Your information will be automatically uploaded into our software.

For your convenience, we accept the following:

  • All major credit cards
  • Checks and cash
  • Insurance plans

Insurance Plans

Our Staff is happy to check your benefits.  For your convenience, we process all dental insurance claims for you.
Please be prepared to provide up-to-date insurance information.
First City Dental Care accepts most dental insurance plans including, but not limited to:

  • Delta
  • BCBS
  • Carrington Network
  • United Concordia

Don’t see yours? Please contact us at 913-651-8565

First City Dental Care is Proud to Offer our In House Membership Plan!

Are you in need of affordable, quality dental coverage? We are excited to offer you and your family a plan that we feel is an excellent choice. Using our customized Membership Plan is a great way to have you and your family’s dental care needs covered.

The Membership Plan is very cost competitive, and best of all, no more experimenting with other dental offices. When you are a patient of ours, you will be taken care of.

Membership Plan Includes:

  • 100% coverage on two basic cleanings, exam, panoramic and bite wing x-rays per year
  • 30% discount on our crowns, bridges, fillings, sealants, cancer screenings, simple extractions, periodontal services, and root canals, just to name a few.
  • 30% off dentures and partials
  • 15% Discount on orthodontics and implants
  • 10% discount on Zoom! Teeth Whitening!
  • No Deductibles
  • No waiting periods
  • No pre-determinations
  • No Claim Forms

Membership Plan benefits start with your first appointment! Be on your way to a healthy smile!

Financing Options:

For your convenience, we accept the following:

Payment plan for a more confident smile.

Care Credit

A healthcare credit card that can be used for dental care, cosmetic treatments, and even trips to the veterinarian!

  • No interest if paid in full within 6 or 12 month payment options
  • Apply online and get an answer back immediately
  • May be used at other healthcare practices

Visit to apply or Call 913-651-8565 to find out if you are eligible today!

Our Office

2551 S 4th ST
Leavenworth, KS 66048
(913) 651-8565

Office Hours

8:00 am - 6:00 pm
8:00 am - 6:00 pm
8:00 am - 6:00 pm
8:00 am - 6:00 pm

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