Nashville Dental's Free Fee Analysis Form
Please fill out the information below to find out how your fee schedules can be negotiated and have a positive impact on your patients, practice, and bottom line.
Office Name
Contact Person
Phone
Contact Email
Please Review your email address, to ensure it is spelled correctly. Emails are held in strict confidence and not shared outside of Nashville Dental, Inc.
City and State
Practice Management Software
Eaglesoft
Dentrix
Open Dental
Curve
Easy Dental
SoftDent
Oyrx
CareStack
Ascend
PlanetDDS
Tab32
Dovetail
MOGO
Other:
Insurances You are in Network with?
Delta
Blue Cross Blue Shield
Cigna
Humana
GEHA
Guardian
United Healthcare
DentaMax
Ameritas
MetLife
Aetna
Physicians Mutual
Southland
United Concordia
Renaissance
Spirit
Principle
Liberty
Anthem
Other:
Select the ones that you know you are in network with.. It is okay if there are more or less than shown here, this is just to get a general idea.
Your NDI Rep
Please Choose One
Please Choose One
Adams, Danny
Brent, Richard
Buffaloe, Clarita
Champagne, Kevin
Clements, Colby
Craft, Kevin
Crain, Scott
Crawford, Jason
Day, Michael
Dodson, Scott
Gilliam, Bert
Greer, Matt
Head, Patrick
Henderson, Matt
Huelsman, Brad
Jessee, Tamra
Lensing, Bill
Long, Jeff
McCary, Charles
O'Brien, Brody
Rees, Ken
Rogers, Jim
Sanford, Randy
Schaeffer, John
Schmidt, Carolyn
Stewart, Jeff
Stone, Kevin
Tennant, Brian
Thorpe, Terri
Timms, Joyce
Walden, John
Wolfram, Tim
Other
Don't Know
Don't Have one
Any additional questions or comments?
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