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Office Policies
Cancellation Policy:
Our practice is dedicated to quality care and
exceptional service. We respect the importance of your time and hard
work to schedule appointments that accommodate the scheduling needs of
all of our patients. Broken and missed appointments create scheduling
problems for other patients as well as the practice. If you find that
you must change your appointment, we require a minimum of 48 hours
notice (2 business days) so that we are able to accommodate another
patient. A fee of $35.00 will be charged for broken or missed hygiene
appointments (those broken or missed without the 48-hour advance
notification). A fee of between $35-$100 will be charged for missed
treatment appointments with the dentist (depending on the scheduled
treatment and the time reserved for the appointment). When reserving an
oral sedation appointment, we require a $250 deposit. The deposit will
be applied toward payment of treatment. If the appointment is cancelled
or broken with less than a 48-hour advance notice, the deposit is
non-refundable.
Financial Obligation/Payment Policy:
Patients with Dental Benefits: As a courtesy to our
patients who have dental benefits, we are happy to file your claims
electronically from our office. Under most circumstances, we do require
at least a partial payment towards services at the time the services are
rendered. For “restorative” treatments (Ex: fillings), we require at
least 30% of the treatment total. For “major” treatments (Ex: crowns,
bridges, extractions, root canal treatment), we require at least 50% of
the treatment total. For any preventative and/or diagnostic services
(Ex: prophylaxis, diagnostic films, exams), we do not require any
payment at the time services are rendered. Please understand that it is
your responsibility to know your specific plan/policy’s coverage. Your
dental benefits may cover less or more than what we estimate or collect
from you initially. Therefore, after we receive payment from your dental
benefits provider, there may be a balance leftover which we will send
you a statement for requiring you to pay within 30 days; or, there may
be a credit leftover. If the credit is $10 or more, you should receive a
reimbursement from us within 10 business days. If the credit is less
than $10, we will apply it to your next visit unless you contact us
requesting a reimbursement check.
Patients without Dental Benefits: Patients without
dental benefits are required to pay in full at the time services are
rendered.
Care Credit Payment Plan Options:
We understand that regardless of whether or not a
patient has any dental benefits, care, maintenance and treatment are
necessary to maintaining good overall health; but medical expenses can
be unexpected and costly. That is why we are happy to be able to offer
all of our patients the advantage of the Care Credit patient payment
plans. With their high acceptance rate, these plans offer no interest
(up to 12 months) and low interest (up to 60 months) payment plan
options to almost everyone. (Please see the enclosed brochure for
details.)
Returned Checks:
A fee of $25.00 will be charged on all returned checks.
Treatment Plans:
If you do not receive a Treatment Plan Report at
the end of your appointment, please ask us to print one out for you. The
report includes all of the correct ADA codes and fees so that you can
plan ahead, schedule your treatments in phases and even contact your
dental benefits provider to learn about their estimated coverage amount.
(Please remember that treatment plan estimates are subject to change
after 90 days.)
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