Financial Policy
We are not a participating provider with any insurance companies. We are not a Medicare or Medicaid provider.
Payments Methods: Payment in full is due at time of service. We gladly accept the following methods of payment:
• Cash/Check
• Visa, Mastercard, Discover, American Express
• Care Credit – offering a 6 month No Interest option and extended payment plans with interest.
*Applications are not processed in office, please visit www.carecredit.com to apply and obtain an account number prior to your scheduled appointment.
Returned Checks: A $50.00 fee will be applied to your account for any check returned by your bank for any reason.
Cancelations/Broken Appointments: Your dental appointments are scheduled carefully with time, materials and dental equipment reserved specifically for your care. We understand that unforeseen circumstances may arise, which may result in a need to cancel or reschedule. We request a 48-hour advance notice for canceling or rescheduling your appointment. Missed appointments add to the cost of dental care when reserved facilities are left waiting empty and time that could be offered to another patient is subsequently unproductive. A $75 charge may be assessed for multiple missed/broken or short notice cancelations. Multiple broken appointments may result in dismissal from our practice.
Deposits: When necessary we do require a deposit in the amount of 20% of the total appointment cost to reserve specific appointment times or for appointment of 3 or more hours. This deposit will be applied to your visit. Should you cancel less than 48 hours prior to or no-show you forfeit the deposit.
Insurance: We do not participate with any insurance companies—we are considered an “out-of-network provider”. As a courtesy to you, we will generate an insurance form at check out for each visit. You may submit this completed form to your insurance company for reimbursement based on the coverage of your policy. To provide this form, you must bring your current insurance card to your visit so that we may gather the information needed to complete the form. It is YOUR responsibility to update this information with us if your coverage changes.
Please remember that your insurance policy is a contract between you and your insurance company. Some or perhaps all the services provided by our office may or may not be covered by your policy. If you have questions or concerns about coverages or limitations on your policy, please contact your benefits provider (if through an employer) or your insurance company directly by dialing the member services number on the back of your insurance card.
