Periodontist Upland, CA – San Bernardino

  (909) 949-2881

Patient Information

At Inland Perio with Dr. Daniel Kunihira, Dr. Dan Newbold, and Dr. Mark Kunihira, we strive to always treat our patients with respect while providing a warm and welcoming environment where they will receive the highest quality of periodontal dental care. We make it our goal to have every patient leave our office knowing they received the services they need to maintain a healthy mouth.


Our office is currently accepting new patients. Please call one of our two locations to make an appointment. Once you make an appointment, that time will be reserved for you. If you are unable to keep your scheduled appointment, please call us at least 48 hours in advance. This courtesy allows us to accommodate other patients who are in need of treatment.

What to Bring to your First Appointment

To provide you with prompt dental treatment, please be sure to bring the following when you visit our practice for your initial visit:

Please arrive 15 minutes before your scheduled appointment time to fill out necessary paperwork. If you would like to complete your paperwork prior to your appointment, you may print and fill out the appropriate forms found below.


We accept most dental insurance plans. Please familiarize yourself with your insurance plan, paying close attention to co-pays. Our accounting staff will prepare all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company.

Please know that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. We do not render our services on the basis that insurance companies will pay all of our fees. We base our treatment on what is best for you.


Payment is expected at the time services are rendered, unless other arrangements have been made. This includes any co-payments or deductibles (amount not covered by your insurance).

For your convenience, our office accepts Visa, MasterCard, American Express, and CareCredit.

Patient Forms

Below you will find our new patient forms. Feel free to print and complete the forms before your first visit with us. While we do not require that you complete this paperwork prior to visiting our practice, this will save you and our staff time when you come in for your appointment.