Patient Information 2017-05-18T19:15:36+00:00

Patient Information

Welcome to Beltran Dental Surgery! You can count on us for dental emergencies, wisdom teeth removal, dental implants, cosmetic smile makeovers, permanent dentures and more. Dr. Beltran can even put you at ease during procedures using sedation dentistry. Dr. Beltran’s advanced training mixed with his high-tech equipment can get you a smile you deserve in less time than ever. Our staff is here to answer any questions you might have. Call now.

Patient Forms

New Patients

New Patient Packet
Dental Referral Form


Post-Operative Instructions
Instructions for Meds
Pre-Operative Sedation Instructions

Consent Forms

Consent for Extractions
Consent for Bone Grafts and Implants
Consent for Sinus Procedures
Consent for Biopsy
Implant Policy

Financing & Insurance

Dr. Beltran delivers the finest care at the most reasonable cost to patients. Beltran Dental Surgery offers flexible, low monthly payment options via Care Credit and Lending Club.

patient-financing-made-easy-lending-club-patient-solutionsBeltran Dental Surgery is pleased to present flexible payment plans through Lending Club Patient Solutions. Enjoy a selection of flexible plans with low fixed rates and monthly payments, no upfront payment, and no prepayment penalty. It’s easy to calculate your potential monthly payments. Simply complete a short application which displays fixed rates and monthly payments available for Extended Plans, all without impacting your credit score.

For more information, simply ask a Beltran Dental Surgery team member or visit

813110ba-ec51-4500-b75d-f8a74546c5c7 You can also apply online via Care Credit for financing for any of your dental needs. CareCredit lets you begin your treatment immediately – then pay for it over time with low monthly payments that fit easily into your monthly budget. You can estimate payment options with their payment calculator.

Our team is more than happy to help you with any questions in finding out what type of financing would be best for you to get started right away with your dental treatment plans. It’s fast and convenient, making it easier to regain your dental health today!

With your dental insurance, we want to help you receive the maximum reimbursement to which you are entitled. As a convenience to you, we will help you process your insurance claims in order for you to receive the maximum benefit.

If you have questions regarding your account, please contact us at (813) 602-5958.