We believe that all patients deserve the very best dental care we can provide. We also believe that everyone benefits when specific financial arrangements are agreed upon. Please understand that payment of your bill is considered a part of your treatment. Full payment is due at time of service. We accept cash, checks, VISA, MASTERCARD, DISCOVER, AMERICAN EXPRESS, and debit cards. The following is a statement of our Financial Policy which we require that you review prior to any dental treatment.
We request that any co-payments, deductibles, and any services not covered by your insurance plan be paid at the time the service is provided. The balance is your responsibility whether your insurance company pays or not. We cannot bill your insurance unless you bring in all insurance information at your initial visit. Your insurance policy is a contract between you and your insurance company. We are not a party to that contract, therefore you are ultimately responsible for knowing your policy coverage and benefits. If your insurance company has not paid your account in full within 45 days, the balance will be automatically transferred to your account. Please be aware some and possibly all of the services provided may be non-covered services and not considered reasonable, usual, and customary under the terms of your dental and/or medical policy. Refunds for overpayment will be sent after all treatment is completed and insurance has been collected.
Usual and Customary Rates
Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates. There will be a minimum of 50% down payment at the time of service for any dental procedure that requires the service of a laboratory (crowns, bridges, dentures, etc.). For dental work not requiring the service of a laboratory a minimum of 20% down payment will be required at the time of service.
Unless cancelled at least 24 hours in advance, our policy is to charge for missed appointments at the rate of $50. We understand that unpredictable events can occur unexpectedly. However, understand that missed appointment times are valuable to those patients that may find it hard to come to the dentist at other times. Please help us serve you better by keeping your scheduled appointments. Excessive cancellations and no shows will result in termination of our treatment agreement and your records can be forwarded to another dental office.
Any account that has not received payment in 90 days will be handed over to a collection agency that will pursue the responsible party for reimbursement. This will negatively impact your credit history and limit the treatment you can receive at our office. There will be a finance charge of 1.5% per month applied on all account balances after 90 days.
Thank you for understanding our financial policy. Please let us know if you have any questions or concerns. We look forward to providing the highest quality dental care in a relaxing and caring atmosphere.