Thank you for choosing our office for your dental needs. We realize that every person´s financial situation is different, and for this reason, we have worked hard to provide a variety of payment options to help you receive the dental care you need and deserve, and allow you to enjoy a healthy, beautiful smile.
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We are always available to answer your questions or assist you in any way we can.
To maintain our operations and prevent potential misunderstandings, we ask patients to accept and adhere to the following financial arrangements regarding their dental treatment.
If you are a member of a Dental Insurance Plan and have chosen us as a provider of your care, it is your responsibility to:
- Pay your deductible or co-pay at the time of service.
- Pay for services not covered by your insurance carrier.
- Provide us with information relative to your claim, including insurance card number, employer, birth date, address and Social Security number. This information is requested on the Health History Form, which we ask that you complete during your initial or subsequent visit.
As a courtesy, insurance claims are filed at no charge to you.
FULL PAY CASH DISCOUNT: We offer a 5% accounting courtesy for all treatment for which your co-pay is paid in full (cash or check) at the time of service.
MAJOR SERVICE: Two-Payment Option: We offer a two-payment option for Crown, Bridge and Denture treatment. We ask that you pay one-half of your co-payment at the first appointment and the second half at the seat appointment. A 5% accounting courtesy is given on the co-payment portion when paid with cash or check.
TERM LOAN: By arrangement with CareCredit, we offer our patients, upon approval, an interest-free term loan (up to 6 months) with no down payment, no annual fee, and no prepayment penalty. Please ask for an application.
We make every effort to be on time for our patients, so we ask that you kindly extend the same courtesy to us. If you cannot keep a scheduled appointment, please notify us 48 hours in advance. This courtesy on your part will make it possible for us to give the appointment to another patient who needs to be seen.
We understand that situations may arise that would make it impossible for you to notify us 48 hours in advance, and each occurrence will be evaluated based upon your past appointment history. Missed or broken appointments without notice may result in a $75 fee charged to the patient’s account (which is not payable by your insurance).
Estimated patient balances are collected the day services are provided. Please be aware that estimates are based on limited information provided by your dental plan and are not a guarantee of payment. Please contact your dental plan directly if you have any questions concerning dental coverage. For your convenience, we accept Visa, MasterCard, American Express, or Discover. Extended payment plans are available (no interest for 6 months through CareCredit with application approval).
Your check is welcome at our business. If your check is returned, it may be re-presented in an electronic manner. You hereby authorize service charges and processing fees, as permitted by law, to be debited from the same account by paper or electronically, at our option. Your payment by check shall be recognized as acceptance of our electronic check recovery system via CheckmarcUSA.