We are committed to providing our patients with the best dental care possible. Included in that commitment is an open dialogue of our fees and financial policies.
Payment is due at the time of service. If you have dental insurance, your estimated co-payment is due at the time of services. For your convenience, we offer payment options in addition to cash and checks including credit card payments. We accept the following credit cards: Visa, Mastercard and bank debit cards.
Your insurance policy is a contract between you and your insurance company. As health care providers, we are not a party to that agreement. We want to emphasize that our relationship is with you, not your dental benefit provider. There are no guarantees of health insurance benefits. If your insurance does not cover all or part of the treatment provided, you will be responsible for payment of fees which are not reimbursed by insurance regardless of the estimate initially provided to you. However, we are committed to helping our patients maximize their benefits and we will work with you to achieve the maximum benefits for your coverage. If you have dental insurance, we will complete and submit a claim form to your benefit provider as a courtesy to you. If you are covered by a plan that gives you a discounted fee schedule, the discounted fee will be charged to your account and recognized by the insurance carrier upon receipt of claim. If your insurance has a preferred provider list and we are not on that list, you may be responsible for additional costs.
Treatment Plan Estimate
Once we have assessed your dental condition, we will present you with a treatment plan. Please note that the dental benefits are subject to various limits as determined by your benefit provider. All co-payments are due at the time of service.
As a courtesy to our patients, we offer payment plans through CareCredit. You may apply online, by telephone, or by facsimile.
Should an overdue account exceed sixty (60) days, one and one-half percent (1.5%) interest per month (18% per year) will be charged. In the event your account exceeds ninety (90) days after all insurance claims have been paid, your account will be sent to a collection agency and/or small claims court and an additional $25.00 will be charged for administrative purposes.
Patients writing checks that are returned for any reason are subject to a “return check charge” of $35.00. In the event that a check is returned, we will require cash or a cashier’s check as payment for the original balance in addition to the returned check charge.
As a courtesy to our patients, we will remind our patients of their appointments by telephone. Once an appointment has been made, this scheduled time has been reserved for you. We understand that circumstances arise that may prevent you from making your scheduled appointment. However, please note that should you fail to show for your appointment or fail to cancel your scheduled appointment within twenty four (24) hours of the scheduled appointment time, you may be subject to a charge.
Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.
Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated.
Please bring your insurance information with you to the consultation so that we can expedite reimbursement and provide you with an accurate estimate of your treatment cost.