Click here to download financial policy form to sign and bring in to your appointment

We are committed to providing you with the highest quality dental care utilizing only the best materials and technology available.  In our process of doing so, we have formulated a financial policy to continue to provide you with several options to choose from, in order to meet your financial needs.

DENTAL INSURANCE:
Our office is happy to cooperate with our patients who are covered by dental insurance.  However, it is your responsibility to inform us when your policy changes, so we can bill the correct insurance company. We also ask that YOU read your policy thoroughly, so that you are fully aware of the benefits provided and the limitations imposed. Please call your insurance company if you have any questions concerning your plan.  In order to provide you with optimal treatment, each patient is treated according to their individual dental needs; we do not diagnose according to your insurance plan benefits.

All incurred charges are ultimately the responsibility of the patient, regardless of insurance coverage.  Your employer and the insurance company have negotiated a contract that “our office” was not involved in.  We do not control how your benefits are paid or your contractual limitations.  You are our patient; we treat you, not the insurance company and our agreement is with you.  Because of this, if the insurance company fails to honor our request for payment, then any balance after 60 days (2 months) becomes your responsibility and will become due in full immediately.  If the dental insurance payment is less than we originally estimated, then the remaining balance must be paid by you within thirty (30) days.  If you receive an insurance check in error for services provided by this office, we expect the check to be sent to us within 24 hours.  All provider adjustments are made when the insurance pays your claim.  In the event the insurance does not pay as estimated, we will bill you the remaining balance, your payment is due within twenty (20) days of the statement date.

PAYMENT OPTIONS:
For your convenience, we accept debit, Visa, Master Card, American Express, personal checks and cash.
We do not accept counter checks or out of state checks.

Payment in full is due at the time of treatment

The following is available for patient balances over $350.00

- 3 month payment plan:  1/3 down at the start of treatment (leave a CC/debit card # for the next two payments, to be charged at agreed upon date).  We will also accept post dated checks from an established local bank with your information imprinted on the check.   Payment arrangements are subject to approval

- We now offer interest free payment plans with Care Credit.  Please see one of our front desk staff members to discuss this option.