All fees or copayments must be paid at the time services are rendered.
We accept payment by major credit cards, cash, or check. There will be a 25.00 service charge on all returned checks. We will submit all claims to your insurance company using the information that you provide to us at the time of your dental appointment.
Please note that your specific coverage is a contract between you and your insurance company. If your visit is denied and payment is not made by your insurance company, you will be responsible for the remaining balance.
Note: You are responsible for identifying primary vs secondary insurance coverage to our staff. This will provide the most accurate treatment estimates. Failure to list properly will result in claim denial. Any unpaid claim(s) and/or balance as a result of inaccurate/misleading insurance information will result in a bill. Patient/parent is responsible for submitting all tertiary claims. Please be considerate and give at least 24-hour notice if you need to make any changes to any of your appointments with our office.
Following your child’s exam, we will present you with a treatment plan listing any necessary treatment. ** Please be aware that THIS IS AN ESTIMATE ONLY.** As a courtesy to you, we will submit your claim to your insurance company. However, we can not guarantee insurance payment. If your insurance company does not pay the expected amount due to inactive/ ineligible status, you will be responsible for the unpaid balance. Note: Once x-rays are taken, treatment needs may be updated. If the cost is less than the estimated amount, you will be refunded the overpayment. If it is more, you will have to pay the difference. If referred from another office, please bring a copy of your x-rays or we will charge for new ones. The exact cost to you can only be determined after the procedure is complete and your insurance company has processed the claim.