Our Office Financial Policy

Thank you for choosing us for your dental health care provider. We believe that all patients deserve the very best dental care we can provide and that we won't allow your insurance to dictate your dental care. Please understand that payment of your bill is considered a part of your treatment. The following is a statement of our Financial Policy which we require that you read and sign prior to any treatment. 

FULL PAYMENT AND/OR CO-PAYMENT AND DEDUCTIBLE/S ARE DUE AT THE TIME OF SERVICE. WE ACCEPT CASH, CHECKS, VISA, MASTERCARD, DISCOVER AND AMERICAN EXPRESS CREDIT CARDS AND DEBIT CARDS. WE ALSO OFFER FINANCING THROUGH CARE CREDIT WITH PRIOR CREDIT APPROVAL. 

DENTAL INSURANCE: Co-payment deductibles, and any services not covered by your insurance plan are to be paid at the time the service is provided. The balance is your responsibility whether your insurance company pays or not. Your insurance policy is a contract between you and your insurance company. We are not a part to that contract. If your insurance company has not paid your account in full within 45 days, the balance will be automatically transferred to your account. Please be aware some and possibly all the services provided may be non-covered services and not considered reasonable, usual, and customary under the terms of your dental policy. It is the patient's responsibility to know, understand and track their insurance benefits, deductibles, and maximums. Our front office does their best to estimate your out-of-pocket expenses. Please remember that they are ESTIMATES ONLY. 

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

SELF PAY/IN-HOUSE DISCOUNT PLAN: Payment in full is required at the time each service is completed. If necessary, we can help you arrange for financing through Care Credit. Our business office staff will be happy to explain the details and work with you to set up financing.

MISSED APPOINTMENTS: Unless canceled at least 24 hours in advance, our policy is to charge $75 per hour for missed appointments. We understand that unpredictable events can occur unexpectedly. There will be no fee for weather related cancelations, your safety is our priority. Please understand that missed appointment times are valuable to those patients that may find it hard to come to the dentist at other times. Please help us serve you better by keeping to your scheduled appointments. Excessive cancelations and no shows will result in termination of our treatment agreement and your records can be forwarded to another dental office.

DIVORCE/SEPARATION/CUSTODY SITUATIONS: The parent or guardian who initiates/introduces a minor child to our dental practice will be considered the guarantor and is responsible for payment to us of that child's dental treatment. You, the guarantor, will handle arrangements and negotiations with the financially responsible parent. We will be happy to provide you with an itemized bill for dental treatment and/or process the child's primary dental insurance claim.

MINOR CHILDREN: (under 18 years) The following pertains to all appointments, including routine cleaning & check-ups. A parent or adult guardian must accompany all minor children, including those with a driver's license, and remain with them during their treatment. If this is not possible, we must know where to reach you at that time. This enables us to contact you in case of an emergency or if treatment decisions need to be made. Please send this written information with your child.

RETURNED CHECKS: There will be a returned check fee of $35 for any returned check. This fee may increase depending on the bank's charges. This fee will be added to the outstanding balance and may incur finance charges if not paid within 30 days.