We are committed to seeing that your family receives the best care in a great environment. The following is a statement of our Appointment and Financial Policies, which we require you to read and sign prior to any treatment. Please understand that this Financial Policy is enforced to allow us to run effectively and efficiently. This allows us to concentrate on what we do best – taking care of you and your child.
Please feel free to contact us to schedule an appointment or to answer any questions you may have.
We are pleased to offer the following office hours:
|Monday – Thursday:
|| 8:00 a.m. – 5:00 p.m.
|| 7:00 a.m. – 1:00 p.m.
|| 9:00 a.m. – 7:00 p.m.
|| 11:00 a.m. – 7:00 p.m.
|| 8:00 a.m. – 5:00 p.m.
|| 7:00 a.m. – 4:00 p.m.
|| 8:00 a.m. – 3:00 p.m.
|| 8:00 a.m. – 2:00 p.m.
Your scheduled appointment time has been reserved specifically for you or your child. As a courtesy, we will try to confirm all appointments 1 or 2 business days prior to the appointment. However, it is your responsibility to remember and keep scheduled appointments. We kindly ask that you give a 24-hour notice if you need to cancel your appointment. In the event there is less than 24 hours’ notice, please call as soon as possible so that the appointment time may be given to another patient. There is a $25 fee for a missed appointment or appointments cancelled with less than a 24-hour notice. We will schedule an appropriate amount of time for your child’s treatment. We understand that unexpected delays and emergencies occur. If you are more than 15 minutes late for your appointment, we may ask you to reschedule to allow the full time with you or your child another day, and to be courteous to those with appointments after you. You will be billed a $25 fee for the second late appointment. After two missed or late appointments, you may be asked to seek care from another dental provider.
Insurance and Payment
If you have dental insurance, we will submit your claim for reimbursement to our office. However, we do require payment of your deductible and payment of your ESTIMATED portion (amount that insurance will not cover) for treatment at the time services are rendered. Any overpayment made on the account will be promptly returned to you by our office. Any remaining balance will be billed to you. In the event your insurance plan has not paid us within 45 days, you will be responsible for the balance, regardless of pending reimbursement. If your insurance carrier is Delta Dental, full payment may be due at the time of service due to their reimbursement policies.
The amount of dental benefits you receive is determined by your employer, your union or your insurance company – NOT by this dental office. We cannot render treatment on the assumption that our fees will be paid by your insurance company, or that treatment is determined or dictated by your insurance plan coverage. Our usual, customary and reasonable fees oftentimes do not correspond to your insurance company’s. You are responsible for payment regardless of the insurance company’s arbitrary determination of usual and customary rates. It is your responsibility to review your insurance policy and to understand your specific dental benefits. The more you know about your specific plan, the better we can serve you.
We are here to help you and explain any insurance information you may not understand and to assist you in the reimbursement process through communication with your insurance company. We will do everything that we can to help you receive your benefits, such as transmission of your insurance claim, sending radiographs, explanation of treatment letters, necessity and urgency letters, and telephone conversations to insurance companies to provide needed information, all at no additional cost to you.
At your examination, you may be presented with a treatment plan. The treatment plan will include a breakdown of fees, estimated insurance benefits and the patient portion due at the time of service. We routinely submit pre-determinations to your insurance company to help maximize your dental benefits and to provide you with an estimation of your insurance coverage and your financial obligation.
We will accept payments in the forms of cash, checks, money orders and Visa, MasterCard, American Express and Discover credit cards.
Financing for amounts over $300 is available through CareCredit Patient Plans. Please contact our office for more information. You may contact CareCredit at (800) 365-8295.
If you are billed for any outstanding balance, please be aware that balances carried over 30 days will be charged a rebilling fee of $5 per monthly billing statement and a finance fee of 1.5% (18% annual rate). In the event that the bill is not paid within 90 days, information that is necessary for collection purposes will be forwarded to our professional collection agency.
This office is NOT party to your divorce decree. The responsibility for minors rests with the accompanying adult.