Make Online Dental Payments

To make online dental payments, fill out the simple form below.

After submitting, you will be prompted to fill in credit card info or log in to your PayPal account.

Depending on how you'd like to pay, follow the on-screen instructions to complete your payment.

Enter Amount:

Payments through Paypal
Name & Chart Number:


After your payment is confirmed, a receipt will be available on-screen and within your PayPal recent activity.

Click 'Details' next to the transaction for a printable payment summary.

If you have any questions on how to make online dental payments with PayPal, feel free to contact us.