OUR PAYMENT
&
FINANCIAL POLICIES

We are committed to providing you with the best care possible to achieve total oral health. In order to achieve these goals, we need your assistant and your understanding of our financial guidelines.
  • As a condition of your treatment by this office, financial agreements must be made in advance.
  • In the event that you do not have dental insurance, we ask that payment be made in full at the time services are rendered.
  • Most dental insurance plans do not cover 100% of the cost of your treatment. Because of this, you will be asked to pay your co-insurance/co-payments and any deductible the day services are rendered.
  • We will estimate as closely as possible your coverage, but until we actually receive payment from your carrier, it is just an estimate. If we do not receive payment from your carrier within 60 days, the entire balance is due from you.
  • All emergency dental services or dental services performed without previous financial arrangements must be paid for in full at the time services are rendered.
  • Please understand that we file and accept assignment of your insurance benefits as a courtesy to you. If your insurance denies coverage or does not pay for any reason, you are ultimately responsible for any and all charges incurred in our office.
  • Any unpaid balance older than 60 days will be subject to a 1.75% per month (21% annual). Balances older than 90 days will be subject to collection proceedings. If it becomes necessary to effect collections of any amount owed on this or subsequent visits, the patient will be responsible to pay for all costs and expenses, including reasonable attorney fees.
  • Returned or cancelled checks will be subject to a $35.00 fee.
  • There is a no show/cancellation fee for all appointments. The fee is $50.00 and will be charged per hour of time scheduled. Please give 48 hours notice if you are unable to keep your reserved time.

For your convenience, our office accepts cash, personal checks, and Visa,
MasterCard, and Discover credit cards for services.