Statement

We thank you for choosing our practice and are pleased that you chose us to serve your dental needs. We are serious about providing superior dental care at reasonable prices and proud of our dedication to our patients. Our goal is to help you feel and look you’re very best through excellent dental care.

Payment Policy

As a condition of treatment by our practice, ultimate responsibility for payment is yours and is paid in FULL, less estimated insurance, is expected at time of service unless prior arrangements have been made.

For your convenience

1. We accept payment by check, debit and credit cards (Visa, MasterCard, Discover and American Express).

2. For treatment plans over $350 and qualified patient, we provide an authorized monthly auto charge to your Visa, Master Card, or Discover for a period of 2 to 6 months at no additional cost.

3. We provide Fee for Service payment courtesy discount from 3% up to 10%, depending on treatment plan and type of payment method.

4. Interest free financing: For treatment plans over $500 you can apply for an interest free loan with fixed payments for a period of 6 to 12 months. Longer terms are also available. We can give you an instant approval with a simple credit application.

Late payment and returned check

1. A service charge of 1½% per month (18% per year) and a dept recovery charge of $25.00 will be charged on unpaid balances exceeding 60 days.

2. In the event that your account must be sent to a collection agency for none-payment, you will be responsible for all cost of collection fees, court fees and attorney fees.

3. A $35.00 service charge will be added to your account for all returned checks.

Dental insurance

Dental benefits are designed to assist you in some of the cost of your dental treatment. Some insurance is subject to annual deductible and pays a portion of your treatment up to a modest annual maximum limit. It is your responsibility to know what your Dental insurance covers, and your annual deductible and limit.

We will do our best to see that you receive your full benefits. However, ultimate responsibility for payment is yours and financial arrangements must be defined before dental treatment begins. Your portion is payable on day of treatment. Emergency cases will be handled by the patient paying for treatment at the time of service, and your insurance will reimburse you.

We DO NOT file secondary insurances. That is the patient’s responsibility, however, the proper paperwork will be provided to our patients in order for them to file with their secondary insurance.

Remember, your insurance policy is a contract between your employer and your employer’s insurance company—we are not party to that agreement. Therefore, our office cannot accept responsibility for negotiating a settlement with your insurance company on a disputed claim.