PAYMENT POLICY:

Keeping your mouth healthy means keeping you healthy! It is our goal to provide the best possible dental care for you and your family. We want to do everything we possibly can to make the best possible dental care both pain-free and affordable. Please ask one of our administrative staff for information regarding payment options if you are interested.

Payment is due at time of service. There is cash or check discount for total fees over $250 with one of these payment methods only. Debit does not apply.

Payments including co-pays, deductibles, coinsurance, outstanding balance or any additional fees charged by your insurance are due at the time of service regardless of which parent/guardian/stepparent is responsible for medical/dental expenses. We will ask that the parent/guardian/stepparent bringing the child into the office pay the co-payment, deposit, and/or outstanding balance at the time of the visit. We are not a party to your divorce agreement. We will collect payment from the parent/guardian/stepparent who brings the child to their visit. If the divorce decree requires the other parent to pay all or part of the treatment costs, it is the authorizing parent’s/guardian’s/stepparent’s responsibility to collect from the other parent. We will not bill or split bill the other parent. If the other parent chooses to request a copy of the patient financial account, we will provide it, but only upon request and with the permission of the primary parent/guardian. It is the sole responsibility of the attending/primary parent/guardian to make sure all balances are paid. Statements go to one parent, which is the parent/guardian that attends the appointments, and they are free to forward copies on to the other parent.

As a courtesy for those with insurance, we will accept assignment of your insurance; though, your estimated portion is due at the time of service. The balance or any portion not paid by the insurance company within 60 days is your immediate responsibility. Liberty Hill Dental, PLLC is considered out of network with all dental carriers. There are instances when the insurance company will pay the subscriber (the patient) for the services provided in this office. If that should happen, it will be the responsibility of the patient to pay the total amount of the bill in full (unless previous arrangements have been made). We will then file a claim to your insurance for you and your insurance company will pay/reimburse you for the services rendered.

IF YOU HAVE INSURANCE:

• All fees are your responsibility regardless of insurance payment
• You are responsible for providing current insurance information
• Estimated patient responsibilities are due at the time the service is rendered
• Any balance not paid by insurance within 60 days is your immediate responsibility

Our goal is to provide quality dental care that you have come to know and trust to all our patients. No-shows, late arrivals, and cancellations make it more difficult to see our patients in a timely manner. As a courtesy, your appointments can be confirmed electronically the week before your scheduled appointment by email and/or text messaging from our online appointment scheduling software because we know how easy it is to forget an appointment you booked months ago.

From this confirmation email and/or text, you have the option of the following:

• Confirm your appointment from the link provided in the email;

• Confirm your appointment by simply responding with the letter “C” in the confirmation text;

• Cancel your appointment with a response to do so;

• Respond back from your confirmation email and/or text with any changes or issues;

• Call the office at 512-515-0171 to reschedule your appointment;

• Call the office at 512-515-0171 and leave a message if it goes to voice mail;

We appreciate the fact that you have chosen Liberty Hill Dental to provide for your dental needs and always want to respect your time. We always strive to get our patients that are in pain or having a dental emergency in that same day. Please call Liberty Hill Dental as soon as you know you will not be able to make your appointment. When possible, please call at least 24-48 hours in advance. Appointments are in high demand, and your advanced notice will allow another patient access to that appointment time.