Patient Information

First Visit

Financial Options

Your new patient appointment will consist of an examination by Dr. Andricsak. She will review your medical and dental history. This is an opportunity to get to know you and your dental needs. Plus, this time gives you a chance to meet our staff and find out more about our office.

After the examination, our treatment coordinator will review your custom treatment plan that is specific to your needs and to the overall health of your mouth. Then the patient coordinator will go over what is to be expected at each appointment, fees, and answer any other questions you may have.

IMPORTANT: A parent or guardian must accompany all patients under the age of 18 at the consultation visit.

New Patient Forms

Save time, take care of the paperwork now.

Our New Patient Forms are now available for download so that you can complete your form at your convenience. This gives you the time you need to carefully review our policies and procedures outside of the office and makes your first visit easy. Click on the link below to download the form, print it out and bring it to your first appointment.


Dr. Andricsak’s office is open:

Monday 9am - 7pm
Tuesday 9am - 5pm
Wednesday 8am - 2pm
Thursday 8am - 2pm
Friday Closed
Saturday Closed

We will schedule your appointment as promptly as possible. If you have pain or an emergency situation, every attempt will be made to see you that day.

Please call (732) 244-3444 with any questions or to schedule an appointment.

Financial Policy

We are committed to providing quality and affordable dental health care. You have multiple options for payment available. For your convenience we accept cash, check, money orders, major insurance, Visa, Mastercard, and Discover.

Visa MasterCard Discover CareCredit

For larger treatment plans we are pleased to offer CareCredit with low or no interest payment options. Please click on the logo for more information. We will work with you to fit quality care into your budget by financial arrangements or by staging treatment over time. Like most things do not be afraid to communicate your situation.

Payment is required at the time services are performed. Other financial arrangements are available when extensive dental care is necessary, or when the dentistry performed exceeds your budget or insurance benefits. We will be sensitive to your financial circumstances within the framework of sound business practices.

We deliver the finest care for our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

Financial arrangements need to be made prior to treatment to avoid any misunderstandings.

If you have questions regarding your account, please contact us at (732) 244-3444. Many times, a simple telephone call will clear any misunderstandings.

We understand that unexpected dental bills can strain finances. If this happens to you, don't hesitate to call us at (732) 244-3444. If you keep the line of communication open with us, we will be able work out an acceptable arrangement.

For questions about payment and financing, please contact our office. We are happy to help!


At Jersey Shore Smile, we want to change the way you see dentistry. Our Smile Savings Program is the simple and straightforward way for patients to spend less money for quality dental care without the hassle of traditional dental insurance.

NO Yearly Maximums  • NO Deductibles  • NO Claim or Pre-Authorization Forms  • NO Waiting Periods

The Smile Savings Program is a revolutionary new program from Jersey Shore Smile for families and small businesses who do not have dental insurance. This program is a discount savings plan and not a dental insurance plan. It is meant to provide families and small businesses an affordable option for their dental needs.



• 2 Exams • 2 Basic Cleanings • All Necessary X-rays • 1 Oral Cancer Screening • 1 Cosmetic Consultation • Unlimited Emergency Exams



• 2 Exams • 2 Basic Cleanings • All Necessary X-rays • 2 Fluoride Treatments

QUESTIONS? CALL US AT (732) 244-3444

*This program is a discount savings plan and not a dental insurance plan. It cannot be used along with any other dental plan, workers' comp claims, referrals to specialists, or in conjunction with other discounts or promotions. Other restrictions may apply. Call for details. Prices subject to change.

Using a unique combination of science & artistry — we can literally redesign your smile.