....Thank you for choosing us as your dental care provider. We are committed to providing you with excellent treatment using state of the art techniques with mercury free environment for the best results. This policy must be read, agreed to, and signed prior to any dental treatment.

Cash Patients:
Patients with no insurance are expected to pay in cash, check (having ID card or Driver’s license for identification) , credit card, care credit the day the service is rendered in order to receive 10% discount .
It is our policy that any dental treatment involving laboratory work are required half of the payment at the day of starting the procedure. The remainder of balance is to be paid in appropriate increments as treatment progress, so that the treatment is PAID IN FULL at the time they are placed (unless specific financial arrangement are made in advance for the rest of the unpaid portion).

Insurance Patients:
The coverage that a particular insurance company offers will differ according to the exact plan that you signed up for. Very few insurance policies cover 100% of the cost of your treatment. As a courtesy, our office will bill and provide the insurance companies with the necessary information to get the most coverage possible including a detailed letter, pictures and x-rays. We will also submit the claims electronically for faster processing. We will estimate, as closely as possible, the amount of your coverage until we actually receive the payment from the insurance company, IT IS JUST AN ESTIMATE.

PAYMENT POLICY

1. You will be asked to make your insurance co-payment (your portion of the estimated charges) the day the service is rendered.
2. Sometimes an insurance company will make a partial payment for the treatment or sometimes refuse to pay for arbitrary reasons. In this case, we will resubmit the claim with all necessary information . If the insurance company hasn’t paid after 60 days of the treatment, the full balance will become your responsibility. If the insurance company pays afterwards, you’re going to be refunded for the amount paid.

1. Late Payment Fee:

• ..........After 90 days from the treatment date, if full payment has not been collected, a late fee charge will be added to your account at 18% annual interest ..........rate. You will also receive a final notice letter. If failing to pay, accounts will be handled by a collection agency.

1. Discounts

After a treatment plan is agreed upon, if you decide to schedule all the appointment necessary to complete the treatment plan at the start of treatment, you will receive a 10% discount for your portion.

CANCELATION FEE

When an appointment is set for you, we’ll have the room, the doctor, the assistant and office staff waiting and ready to start the procedure for you.

Making a short notice cancellation or not showing up costs the practice a lot and prevents other patients from receiving treatment. Therefore, we kindly ask you to call us 2 business days in advance for any cancellation, otherwise, your account will be charged $55.00 late cancellation fee.
Please note that there is a $30 charge for any returned checks.

The above policies apply equally to parents and guardians of minors being treated.
Thank you for reading and understanding our financial policy. If you have any questions or concerns, please feel free to ask at a time. We wish to be of assistance in any way we can.