Welcome to our practice! We appreciate the opportunity to provide you with the highest quality of dental care in a warm and caring environment. We've provided this letter to answer questions you may have regarding our financial policies. Insurance: Our office will gladly submit your insurance claims for services rendered. We will work hard to ensure that you receive the maximum dental insurance benefits entitled to you. We do ask that you pay any applicable co-pay or deductible at the time of service. Our office staff can provide you with your estimated balance. Please remember that your insurance is a contract between you and the insurance company, not your dentist and the insurance company. Though we will estimate your insurance benefits as close as possible, it is only an estimate. An insurance claim is normally processed within 30-60 days. Should the claim go unprocessed we may ask you to intercede on your behalf. All treatment fees are the responsibility of the patient. Should insurance not pay in a timely manner, the patient is responsible for the fee in full. We will, of course, provide you with all the necessary forms and information needed to pursue your insurance reimbursement.
Payment Options: Our office coordinator will explain your treatment fees, estimated patient balance, and discuss methods of payment: cash, checks, Visa, MasterCard, and Discover. We also offer an outside financial service as an alternative financial option.
Late Charges: A 1.5% late charge of your unpaid and owed balance may be assessed each month. Please realize that failure to keep your account current may result in your account being referred to a collection agency or a lawyer. In case of default of payment on this account, you agree to pay all collection and legal fees incurred in order to collect the current amount owed.
A returned check fee of $30.00 will be applied to each returned check. If we receive more than 2 returned checks, we will request all payments be made in cash, credit card or money order.
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