In an effort to keep
dental costs down while maintaining a high level of professional care, we have
established the following payment plans for the use of our patients. Fees may be
paid as follows:
A. Payment in
full for each appointment as service is rendered.
will be expected to pay the cost of the initial examination on the day of that
appointment. If you have dental insurance we will file for you as a courtesy to
you after the first appointment. You will, however, be expected to pay your
deductible and your portion of what your insurance may not cover at each
appointment. In the event of duplicate payment, you will be reimbursed.
Charge Cards - Visa,
MasterCard or Care Credit.
The Federal Truth in Lending
Law does not allow an agreed period of payment to be longer than (3) months
without some rather complicated financial charge arrangements. We do not wish to
pass finance charges along to our patients; therefore, if you require credit for
a period of time in excess of (90) days, personal arrangements should be made
with the office manager, or your bank.
Please be aware that the parent bringing the
child to our office is legally responsible for
payment of all charges.
Remember, even if you have insurance coverage,
ARE RESPONSIBLE FOR PAYMENT OF YOUR ACCOUNT.
Please realize that the relationship is between you, the insured patient, and
your insurance company.
Payment in full, regardless of insurance pending, is required within
6 weeks. Accounts with balances outstanding for more than 120 days
may be placed with an outside agency for collection.
account which is overpaid will receive a prompt refund.
Our office reserves the right to stop filing your
insurance if at any time there is a problem with your account because of
your carrier, or your willingness to cooperate.
Thank You for Your Prompt Attention in this Matter.
For More Information on Dental Insurance, Please Read
"FACTS YOU SHOULD KNOW ABOUT DENTAL INSURANCE".