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Your First Visit

When you visit our office for your initial appointment, it will consist of a consultation explaining your diagnosis and treatment options.  Dr. Porchia James will explain your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation, but, some dental insurances have guidelines which restrict same day treatment.  However, a complex medical history and or treatment plan will require a dental insurance pre determination evaluation. We are not in network with any medical insurance companies and we do not accept and or bill to secondary insurances.


Our consultation fee is $110 and our panoramic x-ray is $140 for your initial visit.

If you cancel less than 48 hrs. and no show your scheduled appointment, you will receive a $150 cancellation fee.

Please assist us by attaching the following information to your electronic history form before your consultation:

  • Attach ID (Driver License, Passport, School ID etc.)

  • Attach dental insurance card front and back.  We are not in network with any medical insurance companies. 

  • Attach your referral slip and any x-rays if applicable.

  • Attach medication list if applicable.


Please click the link below and complete your history form electronically.

IMPORTANT: Due to Covid-19 pandemic, we are limited to one patient and one adult per appointment.  Everyone must wear a face mask before entering our office and we will check temperatures too.  Please complete your Covid-19 form online.  You will have four additional documents to complete inside our office.  Outside food and or drinks are not allowed in our office.


IMPORTANT: All patients under the age of 18 must be accompanied by a parent or guardian at the consultation and surgery visit.


A pre-operative consultation and physical examination are mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat and or drink after midnight. You will also need an adult driver with a valid U.S. government issued driver license to drive you home.  If your driver has an expired driver license, we will have to reschedule your appointment.  Please advise driver that he or she can not leave premises during surgery.  Sedated patient can not operate vehicle for 24 hours. Please alert the office before surgery if you have a medical condition that may be of concern (e.g., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (e.g., heart medications, aspirin, anticoagulant therapy, etc.).


If your referring dentist or physician has taken a recent (within 6 months) panoramic X-ray or cone beam CT scan, you may request that they email to If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our office.  Also, remember not all x-rays are covered via dental insurance, because of guidelines added per your employer.  All X-ray systems in our office are advanced and fully digital.


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