Insurance Verification

Not sure if Petra Dental accepts your insurance?

Submit your information and our team will verify your dental benefits for you.

Please note: If you are not the primary insurance subscriber, kindly include the subscriber’s full name, date of birth, relationship to you, email address, phone number, and home address in the additional comments section

For MetLife plans: The Member ID may be listed as your Social Security number. About Us:

Name (required)

Full Name

Last Name

Email(required)

Number(required)

Date of Birth(required)

How did you hear about us?(required)

Dental Insurance Carrier(required)

Member ID or SSN(required)

Group / Employer Name(required)

Group ID(required)

Policy Start Date(required)

Home Address (incl. Zip Code)(required)

Additional Comments

Photo of Dental Insurance (Optional)