If you are a New Patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.
Thank you and please call our office if you have any questions at all.
Patient Forms (coming soon)
This web site uses files in Adobe Acrobat Portable Document Format 
(pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.
Payment Options
For your convenience, we accept cash, personal checks, money orders and major credit cards. Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements with our financial partners can be made through our office.
Insurance
As a service to our patients, our practice accepts most dental insurance programs, including non-managed care, indemnity (traditional) and PPO out-of-network. We are not part of any managed care network. Our accounting team will prepare all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will be.
The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.
*Standard Disclaimer and Patient Information per: Missouri State Board Regulations as pertaining to Teeth Whitening, Cosmetic, Sedation & Implant Dentistry*
All are non-specialty interest areas that require no specific educational training to advertise. Drs. Schlotz and Von Rump are GENERAL DENTISTS and are engaged in the practice of GENERAL DENTISTRY in the State Of Missouri. Thus, they are NOT licensed in the specialties of prosthodontics, orthodontics, periodontics or oral-maxillofacial surgery.
TMJ Treatment is a non-specialty area not recognized by the ADA and requires no specific educational training to advertise.
*Standard Disclaimer and Patient Information Regarding Oral Sedation and Dentistry performed under General Anesthesia (commonly referred to as Sleep Dentistry)*
Conscious Sedation is taught as part of post graduate residency programs approved by the ADA. Dr. Wm Schlotz and Von Rump have not completed such an ADA approved residency program.
It is a requirement (set forth by the Missouri Dental Board) that a licensed dentist be further licensed (Division of Professional Registration, State of Missouri) to perform oral sedation (aka Enteral Conscious Sedation) in the state of Missouri. Dr. Schlotz and Team have taken the Mandatory Training and Education for this licensure which includes over 20 hrs of training and education in the area of Oral Sedation and Medical Emergency Management. Dr. Schlotz and Team have also taken a 2nd Non-Mandatory course (of 25 hrs) in Oral Sedation and Emergency Medical Management.
Upon this licensure in the field of Oral Sedation, an "Enteral Conscious Sedation Permit" is thereby issued to licensee. Dr. William J. Schlotz has received certification and has been issued License #2009005253.
PLAZA HEALTH Dentistry has received an ENTERAL CONSCIOUS SEDATION SITE CERTIFICATE issued by the Missouri Dental Board (certificate/license #2009004858).
Dr. Schlotz and Von Rump are not providers of Deep Sedation Dentistry (wherein the treating dentist is also responsible for the deep sedation - commonly referred to as "sleep dentistry").
General Dentistry at PLAZA HEALTH Dentistry is performed under General Anesthesia ONLY in concert with Premier Dental Anesthesiology (Board Certified MDs) as the attending caregivers and physicians of the general anesthesia.
PLAZA HEALTH Dentistry has been issued, by the Missouri Dental Board, a DEEP SEDATION/GENERAL ANESTHESIA SITE CERTIFICATE (#2008025661).