Patient Portal, Forms, and Online Exam Scheduling

For your convenience, below are forms that you will need to complete and bring with you to the consultation.

Simply click the form(s) to download the PDF, print, and fill them out completely. Bring them with you on the day of your consultation. If you have any questions, please call our office at 817-379-1200

Dental Insurance:

To help our patients achieve easier access to dental care, we participate with multiple PPO insurance plans. We are happy to help you maximize your dental benefits to help you achieve the treatment you need. We will file your claims and help you in understanding and answering any questions regarding your dental insurance plans. Please contact us for a list of our participating dental insurance plans at (817) 379-1200.

Understanding Your Dental Benefits:

Many people think that dental insurance functions just like medical insurance. In reality, they are quite different. Depending on your dental plan, most insurance plans will cover cleanings, exams, and x-rays. Each year there is yearly maximum that each plan has. This yearly maximum will help cover all or part of many dental restorative treatments such as fillings, crowns, implants, and gum therapies. If you have questions or need help understanding how your benefits
may work for you, please call us anytime!

Care Credit Financing:

At Munilla Dental, we offer third party financing through Care Credit. By applying and qualifying for Care Credit, patients can receive no interest or low interest financing for their health care needs. Payment plans are flexible and can be tailored to fit your financial situation. Call our office today to find out more or apply online at

Munilla Dental

2815 W Southlake Boulevard,
Suite 120,
Southlake, Texas. 76092

Office Hours

  • Monday8:00 AM -5:00 PM
  • Tuesday8:00 AM -5:00 PM
  • Wednesday10:00 AM -7:00 PM
  • Thursday8:00 AM -5:00 PM
  • Friday8:00 AM -5:00 PM