Bethesda Chevy Chase Dental Care Ben Manesh, D.D.S. - Maryland
New Patient Forms
Patient Forms

Making the world a Brighter place, one smile at a time...


Welcome to Bethesda Chevy Chase Dental. Our professional staff are dedicated to providing you with the dental care that you deserve. We are committed to exceed your expectations through individualized attention and explaining the various options, so you can make informed decisions about your oral health needs.

Have any questions?

PLEASE TAKE A MOMENT TO READ:
DENTAL HEALTH REASONS
FOR FILLING OUT DENTAL FORMS

Oral health is essential to your general health and well-being.

Invisalign Patients are often confused as to the reasons why they need to fill out medical and dental history forms. People often do not realize how their dental health affects their physical health and how their physical health affects their dental health.

We can help you become healthier by not only examining the inside of your mouth but also by helping you understand the mouth-body connection!

Dental exams can reveal gum disease, cavities, oral cancer, poor oral health conditions that are linked to diabetes, heart disease, and poor overall health. Because of how these risk factors are related to each other you will be asked additional questions regarding your health.

The answers to these questions help us determine risk factors to help us provide you with better treatment recommendations that are SPECIFIC TO YOU.

Please take the time to complete:

Medical History
Patient Information Form
Notice of Privacy Practices
Financial Policy

Bring them with you to your first appointment. To Request An Appointment Click Here

Invisalign Be prepared to provide us with:
  1. Present medical condition
  2. Drug allergies
  3. Problems with medications
  4. Changes in any medication
  5. List of current medication and over the counter medications
  6. Last visit to doctor
Bethesda Chevy Chase Dental is an exceptional office providing the highest quality of dental care for children, adult and elderly. Our comprehensive cosmetic restorative includes but not limited to, Metal free restorations, Porcelain Veneers, Periodontal therapy for gum infection, Veneers, Dental Implants, Cosmetic Smile Makeovers, Zoom, Invisalign (invisible braces), Bondings and Root Canals.

We make our services high quality but yet affordable. We offer no-interest payment plans. We are happy to answer any questions you may have. So schedule your next dental appointment as soon as possible. Looking forward to meeting with you. Contact Us

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Bethesda Chevy Chase Dental Care

6831 Wisconsin Ave., Suite P101,
Chevy Chase, MD 20815
301.986.8777


We accept these insurances:
One Net PPO
, DC Medicaid, Aetna, Aetna Student Health, Alliance/One Net, Ameritas, Ameritel Life Insurance, Anthem Dental, Assurant Employee Benefits, Blue Cross Blue Shield, Carefirst Blue Cross Blue Shield, Cigna, Coventry Health, Delta Dental, Denex Dental, Dental Benefit Provider, Dental Network of America, DentalQuest, Dentemax, Eastern Life & Health Insurance Co., GEHA, Great West, Group Benefit Services, Guardian, Humana Dental, John Alden Insurance, Mamsi (PPO only), Met Life, Premera Blue Cross Principal Life Insurance Co., Rayant Insurance Company of New York, Regence Blue Shield, Standard Life & Accident, Sun Life Financial, The Principal Plan Dental, Tricare, Unicare, United Concordia, United Healthcare