OUR FINANCIAL POLICY

• All patients must complete our "financial policy form" before seeing the doctor.
• Full payment is due at the time of services.
• We accept cash, check, and VISA, MASTERCARD, DISCOVER and AMERICAN EXPRESS.
• We do offer an extended payment plan with Care Credit Patient Financing Program.
• We may accept assignment of insurance benefits after your first visit.
• Cancellation Policy: 24 hours notice required! Same day cancellations are subject to a charge.

Regarding Insurance Assignment:
We do require all co-payments to be made at the time of service. The balance is your responsibility whether your insurance company pays or not. We cannot bill insurance unless you bring in all insurance information and a completed original claim form. Your insurance policy is a contract between you and your insurance company. We are not a party to that contract, nor do any of our specialists (i.e. endodontics, periodontics, oral surgery, orthodontics) participate with any discounted insurance plans (i.e. PPO, PDP, Premier). The estimate provided by this office is considered as a guideline until the final payment is received and the patient's account has been reconciled. This office can make no guarantee of the insurance payment as estimated. Claims are submitted promptly after treatment is rendered, and if not paid by the patient's insurance company by the 61st day after treatment, will be billed in full to the patient. Our administrative staff prides itself on helping our patients maximize their benefits. We are always available to answer your questions.