We are privileged that you chosen us as your dental care provider. We are committed to providing you and your family with quality patient care. This the following is a statement of our financial policy, which you need to understand prior to treatment. If you have any questions please feel free to ask us.
Full payment is due at time of service. We accept cash, checks, and most major credit cards. There will be a $25 fee on all returned checks. Also, we reserve the right to charge for appointments canceled or broken without 24 hours notice.
Insurance
Your insurance policy is a contract between you and your insurance company. We have no control over their decisions and the amount they decide to pay. However, as a courtesy to our patients, we will file your primary insurance claims for you. Before treatment, we will verify your coverage and calculate your deductible and copayments as accurately as possible. Please understand that all treatment plans given are only an estimate based on the information your insurance company provides. All deductibles and copayments are due the day the treatment is rendered. Please be aware that your insurance company does not guarantee payment over the phone. We will not know the exact amount they will pay until they respond to the claim. Regardless of what your insurance company pays, you remain fully responsible for payment of your bill. Once the payment is received on your claim, we will send you a bill for any remaining balance on your account.
Patient Contact Information
Our office occasionally communicates with our patients to provide special promotions, discounts and newsletters from the doctor. By your signature, you are providing us the authorization to utilize all contact information you have provided in efforts to communicate with you in regard to your account, including the utilization of automatic telephone dialing systems.
This notice will be included in our Patient Information Pack and is available for download.
