Serving Richmond, VA
Richmond pediatric dental practice for infants, kids, and teens — board-certified pediatric dentist, sedation dentistry for anxious or special-needs patients, and the kind of warm low-pressure first-visit experience kids actually look forward to coming back to.
Richmond pediatric dental practice for infants, kids, and teens. Board-certified pediatric dentist, sedation dentistry for anxious or special-needs patients, and the kind of warm low-pressure first-visit experience kids actually look forward to coming back to. Most major insurance accepted, sliding-scale and Smiles for Children participation.
By the Numbers
Years in Richmond
Kids Treated
Google + Healthgrades
Pediatric Dentist
and Special Needs
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The Reality
Sound familiar?
These are the situations we help Richmond customers solve every week.
- →Your toddler had a bad first dental visit at a general dentist and now you can't get them back in the chair
- →Your child has sensory or anxiety challenges and most dental offices don't know how to accommodate that
- →You just moved to Richmond and need a pediatric dentist who takes your insurance and isn't booked 6 months out
- →Your kid's first tooth came in and you're not sure when the first dental visit is supposed to happen
- →Three pediatric practices quoted three different cost ranges for sedation dentistry and you can't tell which is fair
Our Services
What we do.

Service · 01
First Visit & Routine Cleanings
First dental visit by age 1 (or within 6 months of first tooth) — exam, gentle cleaning, fluoride application, and a relaxed get-to-know-you conversation. Routine cleanings every 6 months from age 2+. We work at your child's pace, with parent in the room for younger kids and during anxiety-prone visits.

Service · 02
Cavity Treatment & Sedation Dentistry
Tooth-colored fillings, stainless-steel crowns for primary molars, pulpotomies, and extractions when needed. Nitrous oxide ("laughing gas") sedation as standard for anxious patients. Conscious oral sedation and full general anesthesia (in-office hospital partnership) for complex treatment plans or special-needs patients.

Service · 03
Special Needs Dental Care
Sensory-friendly treatment rooms with adjustable lighting, weighted blankets, fidget tools, and longer appointment slots. Experience with autism spectrum, Down syndrome, ADHD, and physical-disability accommodations. Coordinated care with pediatricians and other specialists.

Service · 04
Orthodontic Screening & Early Intervention
Orthodontic screening starting at age 7 (AAPD recommendation). Early-intervention referrals for crossbite, severe crowding, thumb-sucking habits, and growth-related airway concerns. Ongoing space maintenance and habit appliances when needed before full orthodontic treatment.
The Difference
Why Richmond parents pick Cottonwood.
Board-Certified Pediatric Dentist
Dr. Cottonwood is board-certified through the American Board of Pediatric Dentistry — only about 60% of pediatric dentists hold full board certification. That's 2 additional years of post-dental-school training specifically in child development, behavior management, sedation, and special-needs care.
Sensory-Friendly Treatment Rooms
Adjustable lighting, weighted blankets, fidget tools, headphones with kid-chosen music, and longer appointment slots are standard — not extra. Treatment rooms are acoustically dampened to reduce equipment noise. Special-needs accommodations coordinated before the appointment, not improvised at it.
Most Major Insurance + Smiles for Children
In-network with Delta Dental, Anthem, Cigna, MetLife, United Concordia, and most major carriers. Active Smiles for Children (Virginia Medicaid pediatric dental) provider. Sliding-scale fee assistance for families without coverage. We verify benefits before the first visit so there are no surprises.
First Visit Is a Conversation, Not a Procedure
First visits for kids under 4 are deliberately low-pressure: meet the team, see the room, count the teeth, gentle exam. No drilling, no stickers contingent on "good behavior," no scary-stranger dynamic. The goal is a kid who actually wants to come back in 6 months.
Common Questions
You probably want to know.
When should my child have their first dental visit?+
By age 1 or within 6 months of the first tooth — whichever comes first. AAPD and AAP both recommend this timing because early visits prevent the things that scare kids on later visits (cavities, urgent extractions, anxiety from a first-visit problem). Free first-visit consultation for under-2s.
Do you accept my insurance?+
We're in-network with Delta Dental, Anthem, Cigna, MetLife, United Concordia, Aetna, and most major dental carriers. We're an active Smiles for Children (Virginia Medicaid) provider. We verify your specific benefits before the first visit so you know exactly what's covered.
What if my child is anxious or has special needs?+
We work with anxious and special-needs patients every day — about 25% of our caseload. Sensory-friendly room setup, weighted blankets, longer slots, parent-in-room for any age, nitrous oxide as needed, and conscious oral sedation or full general anesthesia for the most complex cases. We coordinate accommodations before the appointment.
How does sedation dentistry work?+
Three levels: nitrous oxide (mild, wears off in 5 minutes after the mask comes off — most common), conscious oral sedation (a pre-appointment medication that keeps the child calm and minimally aware — used for moderate complexity), and full general anesthesia (in-office hospital partnership — used for major treatment plans or significant special-needs cases). We recommend the lightest level that fits the case.
What does it cost without insurance?+
First visit (exam, cleaning, fluoride, X-rays as needed): $185–$285. Routine recall cleaning: $145–$185. Tooth-colored filling: $185–$385 per tooth. Sedation: $145 nitrous, $385–$580 oral, $1,400–$2,400 general anesthesia (separate facility fee may apply). Sliding-scale assistance available — ask at intake.
Schedule a low-pressure first visit. We'll do the rest.
First-visit appointment for infants, kids, and teens — typically scheduled inside 2–3 weeks. Insurance verified before the visit. Sensory and special-needs accommodations coordinated in advance. We meet your kid where they are.
📞 (804) 555-0153Visit Us
Richmond, VA
Cottonwood Pediatric Dentistry
5400 Patterson Ave
Richmond, VA 23226
Phone
(804) 555-0153Service Area
Richmond · Henrico · Chesterfield · Short Pump · Glen Allen · Midlothian · Mechanicsville · Greater Richmond Metro
