Introduction
Bridges & Partials
Composite Fillings
Crowns & Veneers
Dentures
Extractions
Nightguards
Periodontal Treatment
Preventive Care
Root Canal
Teeth Bleaching
X-Rays

 

Our office is committed to providing you with the best dental care. In order to achieve this goal, we need your cooperation as well as your understanding of this payment policy.

Payment for services is due at the time the care is provided, unless other arrangements are made with our Financial coordinator. We accept cash, personal checks, Visa, MasterCard, and Discover.

If you have dental insurance we are available to help you receive your maximum allowed benefits. We will gladly process your insurance claim forms provided we are given complete and accurate insurance information, as well as release of benefits and information to your insurance company. We expect and appreciate payment of the "estimated" patients' portion for your treatment at the time of visit. Your insurance is a contract between you and your insurance company; therefore, all balances on account is your responsibility. Insurance companies that require their own forms must be provided by you.

Charges are made for broken or cancelled appointments without 24 hours notice (excluding weekends and holidays). We do not carry accounts over 90 days and if your pending insurance claims reach this point we will be asking for your assistance in dealing with your insurance company. We bill your dental insurance claims as courtesy service only. Interest of 1 1/2% per month is charged to accounts over 90 days.

If you have any questions regarding our financial policy, please contact our office to answer any of your questions.

 
HIPAA Forms