New Patients
The following pages are provided to help prepare you for a great experience at our office. Give us a call if you have any questions. Our dental receptionist and office manager will help you with scheduling appointments, completing necessary paperwork, and billing.

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Patient Forms
To save time on the day of your appointment, new patient registration forms are available for download. You may complete them before your appointment, or if you need help, our staff will be happy to assist you in our office.

New Patient Registration Forms


Insurance and Financial Policies

Insurance Information

If you have dental insurance we will help you determine the coverage you have available. In order to best assist you, it is important that you submit your dental and/or medical insurance information to us with your new patient paperwork a minimum of two business days prior to your scheduled appointment. This allows us time to contact your insurance company and obtain a breakdown of the benefits you or your employer purchased from the company.

Should you be diagnosed with treatment services, we will be able to provide you with a detailed plan which will give you an estimate of how much your insurance company may pay for each procedure, as well as the portion you will be expected to pay at the time of service.

Professional care is provided to you, our patient family, and not to an insurance company. The insurance company is responsible only to the patient as a benefit from the individual or employer plan purchase, and the patient is responsible to the doctor. We will assist you every way we can in filing your dental or medical claim, and handling insurance questions from our office on your behalf.

Financial Responsibility

In an effort to reduce the cost to you, the patient, while maintaining the highest level of professional care, we have established the financial policy as follows:
•  Payment of any account balance is due in full within 20 days of statement date
•  We gladly accept Visa, MasterCard, cash, or CareCredit


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Mt. Scott Endodontics
Matthew R. Baumgarth, DDS, MS


10365 S.E. Sunnyside Road
Suite 260
Clackamas, OR 97015



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