22738 Maple Road, Suite 214, Lexington Park MD, 20653
Fax: 301-862-3385 | E-mail: [email protected]

489 Main Street, Old Field Commons, Suite 201, Prince Frederick MD, 20678
Fax: 410-535-9947 | E-mail: [email protected] 

New Patient Forms

Please print and fill out all forms prior your appointment, so we can expedite your first visit:

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

In addition to your completed paperwork, please bring the following information with you at the time of your consultation:

  • A current photo ID or Driver's License 
  • Dental insurance card
  • Your referral slip from your general dentist, and any radiographic images (if they provided you with any)
  • A list of medications and their dosages, that you are presently taking
Insurance

Dr. Cheryl Budd and Dr. Robert Prior are in network with several major insurances. Please see the provided list below. We are happy to file to your insurance company as a courtesy to you. We accept most traditional insurance plans. Please contact our office to verify acceptance of your plan. Bay Dental Group DOES NOT participate in Health Management Organizations (HMOs).

Dr. Cheryl Budd accepts the following insurances: 

  • United Concordia PPO (*excluding United Concordia for Active Duty Dependents*)
  • Delta Dental PPO
  • Cigna PPO
  • Neighborhood Dental
  • Blue Cross Blue Shield PPO

Dr. Robert Prior accepts the following insurances: 

  • United Concordia PPO (*excluding United Concordia for Active Duty Dependents*)
  • Cigna PPO
  • Neighborhood Dental
  • Blue Cross Blue Shield PPO

Our Locations

Office Hours
Monday: 8:00 AM - 4:00 PM
Tuesday: 8:00 AM - 4:00 PM
Wednesday: By Appointment Only
Thursday: 8:00 AM - 4:00 PM
Friday: 8:00 AM - 4:00 PM
Saturday: Closed
Sunday: Closed