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An integrated approach to dentistry for those who value their time, health and appearance.

New Patient Forms for Lux Dental Thienville WI

Patient Forms

To prepare for your upcoming appointment, Lux Dental provides our patient forms online. Arriving with forms completed before your visit will also help ensure timely check-in at your appointment time.

Please go to our secure online portal to complete your forms electronically.

How to Fund Your Dental Care

At Lux we are happy to accept most dental insurance plans. Whether we are partnered with your carrier or considered an unrestricted provider, we will always work on your behalf to help you get the most out of your benefits while still providing the highest quality of care. As a courtesy, we will submit claims to your dental insurance company on your behalf. 

Lux is currently in-network with Delta Dental and United Healthcare.

For those patients of ours who are uninsured or underinsured, we have created the Lux Dental Membership Club to assist with your dental care. Visit our FAQs to learn more about how to fund your care.

Lux Dental Membership Club

Everyone should have access to a healthy smile. Our Membership Club gives our patients the ability for elevated care whether they are uninsured, under-insured, or simply want to look into other options.

  • CHILD | <13 y.o.

    • Periodic exam 1-2x/year

    • Bitewing x-rays 1x/year

    • Cleanings 2x/year

    • Fluoride 1x/year

    • Emergency exam 1x/year

    • Any necessary PA x-rays

    • Complimentary consults

    • 15% off all treatment

    • Oral cancer screenings

    $27/month

  • ADULT

    • Periodic exam 1-2x/year

    • Bitewing x-rays 1x/year

    • Cleanings 2x/year

    • Emergency exam 1x/year

    • Any necessary PA x-rays

    • Complimentary consults

    • 15% off all treatment

    • Oral cancer screenings

    • $50 off Take-home whitening

    $35/month

  • ADULT PERIO

    • Perio exam 1-2x/year

    • Bitewing x-rays 1x/year

    • Perio maintenance 3x/year

    • Emergency exam 1x/year

    • Any necessary PA x-rays

    • Complimentary consults

    • 15% off all treatment

    • Oral cancer screenings

    • Laser gum treatment

    • $50 off Take-home whitening


    $52/month

Post-Treatment Instructions

Congratulations on investing in yourself and your new smile! Please see below for information and downloadable documents regarding Lux Dental’s post-treatment instructions.