OUR FINANCIAL POLICY

Thank you for choosing us as your dental care provider.  We are committed to your treatment being successful.  Please understand that payment of your bill is considered part of your treatment.  The following is a statement of our Financial Policy, which we require you read prior to any treatment.

All patients must complete our Registration and Medical/Dental History form before seeing the doctor.

FULL PAYMENT IS DUE AT THE TIME OF SERVICE
WE ACCEPT CASH, CHECKS, OR VISA/MASTERCARD. 

CASH DISCOUNT
For our Senior patients without dental insurance benefits, we offer a 5% discount when your fees are paid for in full on the day of your treatment.

REGARDING INSURANCE
We may accept assignment of insurance benefits after your second visit.  However, we do require that you pay your portion (co-pay or deductible) at the time of service.  This may be 40%-60% of the total bill.  The balance is your responsibility whether or not your insurance company pays.  We cannot bill your insurance company unless you give us your insurance information and allow us to make a copy of your insurance card.  Your insurance policy is a contract between you and your insurance company.  We are not a party to that contract.  Please be sure to read and know your own insurance policy.  If your insurance company has not paid within 90 days you will be responsible for the balance in full.  Please be aware that you will be responsible for any treatment received but not covered by your policy.

REGARDING INSURANCE PLANS WHERE WE ARE A PARTICIPATING PROVIDER
All co-pays and deductible are due prior to treatment.  In the event your insurance coverage changes to a plan where we are not a participating provider, refer to the above paragraph.

USUAL AND CUSTOMARY RATES
Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area.  You are responsible for payment of any insurance company's arbitrary determination of usual and customary rates.

PATIENTS WITHOUT INSURANCE
Patients without dental insurance are responsible for payment in full when dental treatment is received unless financial arrangements have been made prior to appointment.

FINANCIAL ARRANGEMENTS
In the event a short-term financial arrangement is necessary, payment options will be discussed on an individual basis.

INTEREST & LATE FEES
As stated on our Patient Registration form, we reserve the right to asses an annual 15% interest charge on all overdue accounts 60 days after original charge is made.  Late fees will be assessed to payments received after the due date on the statement.

Thank you for  taking the time to understand our Financial Policy.  Please let us know if you have any questions or concerns.