Please provide CURRENT insurance.
As a courtesy, we can file your PRIMARY dental insurance (excluding DHMO plans)
If insurance cannot be verified by staff, the patient will be considered self-pay and payment due at the time of service.
Your insurance policy is a contract between you, your employer, and/or your insurance company. We are not a party in the contract. Knowing policy coverage details are the patient’s responsibility, but we will assist whenever we can.
We are happy to submit Insurance pre-treatment estimates upon request.
If you have dental insurance, your estimated patient portion may be required at the time of service.
We require the insured’s social security number if we will be carrying any balances on account, including pending insurance. The alternative option is for payment in full at the time of service with payment from insurance to be directed to the insured.
Any remaining balance after insurance has paid their portion will receive a billing statement.
PAYMENT IN FULL IS EXPECTED WITHIN 20 DAYS OF THE 1st BILLING DATE
Overdue Balances: 30+ DAYS PAST DUE BALANCES SUBJECT TO 1.5% MONTHLY SERVICE FEE
Payments not received by the billing due date will incur a late fee of $10 and a finance charge (18% annual).
Accounts requiring multiple billing statements prior to receiving payment due will require a credit/debit card number to be held on account for future balance billing. An alternative option is for payment in full at the time of service with insurance remitting directly to the patient.
Continued delinquency may lead to dismissal.
If an account is forced into collection action, the patient agrees to pay all costs involved with the collection, including agency and attorney fees, court costs, and accrued interest, and late charges.
Minor patients must be accompanied by a parent or guardian during operative treatment.
Please inquire with the front desk staff if a variation may be needed.
Due to safety concerns, children are not allowed in treatment rooms while their guardian is receiving care.
Minors placed on an account will NOT be removed from the acct (regardless of age/insurance) unless requested by the guarantor PRIOR to services rendered.
FULL PAYMENT IS DUE AT THE TIME OF SERVICE
We accept cash, personal check, debit card, VISA, MasterCard, Discover, and American Express.
No-interest financing may be available through CareCredit. For more information see our admin team.