It is our goal to provide our patients with leading edge dental technologies, the finest dental materials, and expert staff in a comfortable environment.
In order to provide this quality of dental care, we request our patients pay their estimated personal cost of treatment at the time of their visit. We accept most major insurances. As a courtesy to our patients, we will process your claims. It is your responsibility to understand your insurance benefits, maximums and limitations. We will collect your estimated co-payment on the day of service and will bill you for any unpaid amount after your insurance company has paid our office.
Our office accepts payments in the form of cash, check, Visa, MasterCard, Discover, American Express and CareCredit. If a check is returned to our office for any reason, we reserve the right to charge the maximum returned check fee allowed by law. If we receive a returned check, we may, at our discretion, require you to provide all future payments using an alternate method.
Please take the time to read and understand your insurance policy and benefits. In most cases, dental insurance is a contract between your employer and a dental insurance company. The benefits you receive are based on the terms of the contract that were negotiated between your employer and the dental insurance company, and not our dental office. Our goal is to help you achieve and maintain optimal dental care. Our office will do everything possible to help you understand and make the most of your dental insurance benefits. By signing below you do hereby assign our office all payments from your insurance company for services rendered to you or your child and authorize the release of any requested information to them regarding your dental care with our office.
A service charge of 1.5% (18% annual) on the unpaid balance will be charged on all accounts exceeding 60 days, unless previously written financial arrangements are satisfied. Any accounts past due over 90 days may be sent to a collection agency. Should you fail to pay as agreed and your account is sent to collections, you will be responsible to pay your past due amount plus any charges the agency charges us to perform this service.