New Dental Patient Information Londonderry
Getting Ready for Your First Appointment
At Miles of Smiles, we want all of our patients to feel prepared and comfortable when they arrive for their first appointment. This is why we have compiled some of the most important information below. Since starting at a new dentist’s office can be overwhelming, we want to make the transition as easy as possible. From details about new patient forms to available payment methods, we encourage you to review the following and call us with any questions.
Dental Patient Forms

It is now easier than ever before to complete new patient paperwork. Instead of waiting to arrive for your appointment, you can download the forms using the link below. Just fill them out at home and bring them with you for a seamless check-in process.
- Patient Forms
- Adult Medical History Form - English
- Adult Medical History Form - Spanish
- Child Medical History Form
- HIPAA Notice of Privacy
Simply Savings Plan

The Simply Savings Plan is designed to make dental care easier to manage and more affordable for patients of all ages. Whether you choose a low monthly payment or a single annual fee, you’ll gain access to discounted rates on preventive, restorative, and cosmetic treatments at participating offices. With no waiting periods, deductibles, or annual maximums, it’s a simple way to keep your smile healthy without financial stress.
Explore the plan options below to find the one that best matches your needs and budget. If you have any questions along the way, our friendly team is just a phone call away and happy to help!
Simply Adult
- 2 Regular Exams
- 1 Emergency Exam
- 2 Adult Cleanings
- Routine X-Rays
- 2 Fluoride Treatments
- 1 Oral Cancer Screening
Simply Child
- 2 Regular Exams
- 1 Emergency Exam
- 2 Child Cleanings
- Routine X-Rays
- 2 Fluoride Treatments
- 1 Oral Cancer Screening
Simply Perio
- 3 Regular Exams
- 1 Emergency Exam
- 3 Periodontal Maintenance
- Routine X-Rays
- 3 Fluoride Treatments
- 1 Oral Cancer Screening
Dental Insurance

We are pleased to be an insurance-friendly dental practice in Londonderry that is in-network with several popular plans. We will be happy to file any claims and paperwork to make the financial aspect of dentistry less stressful for you. If you have questions about your plan or need help to understand your coverage, don’t hesitate to ask a member of our team.
Some of the insurance plans we are in-network with include:
- Aetna
- Cigna
- Careington
- Delta Dental Premier NH
- Delta Dental PPO NH
- All Deltas
- NH Medicaid (Up to Age 21)
- Guardian
- Humana
- MetLife
- Principal
- United Concordia
- United Healthcare
CareCredit Financing

When a particular treatment is not covered by your dental insurance, you can turn to flexible financing through CareCredit. This not only allows you to find a plan that aligns with your budget, but it also helps reduce the strain of high upfront costs and instead allows you to pay it off over time. CareCredit has no surprise fees and offers low and no-interest plans.
