Financial Policy
Our office is committed to providing you with the best possible care and we are pleased to discuss our professional fees with youat any time. Your clear understanding of our Financial Policy is important to our professional relationship. Please ask if you haveany questions about our fees and our financial policy.
Patients must complete all information forms prior to seeing the dentist or hygienist. A copy of your insurance card will be retained in your electronic file. If your insurance changes it is your responsibility to notify our dental office of that change.
Payments
Co-Payments: By law, we must collect your carrier-designated co-payment at the time of service. Please be prepared to pay that co-payment at each visit.
Non-Copayment Plans: If your plan does not require a co-payment and we participate, we will accept the designated fee. You are responsible for any deductible and balance your plan indicates on their explanation of benefits.
Self-Pay: Payment is expected at time of service.
Account Balances: You are responsible for the timely payment on your account. Please call the office and speak to the office manager for payment plans if you are in a financial hardship.
Return Check Policy & Fee
We accept local checks. There is a $25.00 fee for any checks that are returned.
Dental Insurance
As a courtesy to our patients, we will file your dental claims and accept the assignment of benefits from participating insurance providers. In order for us to be able to provide this service, please provide us with all accurate and current dental insurance information. Your employer has arranged the contract between you, your insurance company, and your employer. We are not a part to this contract. Ultimately, any balance you have remaining for services is your responsibility.
Discontinued Treatment
If for any reason you choose to discontinue treatment that includes lab fees the total lab fee will be owed.Our
Office Accepts: Cash ▪ Check ▪ Visa ▪ Mastercard ▪ Discover ▪ American Express ▪ Care Credit