Office Financial Policy

In order to provide the quality of care that you desire and to minimize administrative costs, it is necessary to have an understanding between our families and the dental office regarding payment for services. We will discuss all treatment and fees with you. The office accepts the following forms of payment: CASH, CHECK, VISA, MASTERCARD, DISCOVER, and INSURANCE assignment.

Financing

Financing available through CareCredit®

Families With No Dental Insurance (Cash Pay)

Full payment is due at each visit per services rendered.

Families with Dental Insurance

You must provide your insurance I.D. card at your appointment. We must have a copy of your insurance card on file. We must have the policy ID number, group number, telephone numbers, and address information regarding where to file the claim. Without this information we will be unable to file the claim.

You assign the benefits to the office and we file the insurance. Payment will come directly to our office.

***At the time of your visit we will require you to pay the estimated portion that your insurance does not pay.

If benefits are denied or no response is received within 60 days of filing, the balance is due and payable by the family. The final responsibility for the account remains with the family.

If you are unable to provide your insurance information at your dental visit, full payment will be due each visit for services rendered.

Families with Discount Dental Plans

Our office does not participate in any discount plans. Full payment will be due at each visit per services rendered.

** A $25.00 charge will be assessed on all returned checks to our office. **