Patient Information

Financial Policy

In an effort to maintain a high level of professional care and keeping dental costs from increasing, our office
policy for payment for your services may be paid as follows:

1. ALL EMERGENCY TREATMENT: Full payment at time oftreatment.
2. We accept MasterCard, Visa, and Cash.
3. Extended payments are available upon enrollment with Care Credit.

Accounts outstanding more than 30 days from treatment date will bear interest at 1% per month or 12% per

All treatment involving a laboratory procedure will require an appropriate down payment.

All treatment involving a laboratory procedure will be paid in full at the time of completion or before.

For more information contact us today.

Insurance Information

Dental insurance is a highly complex area that creates confusion for many dental patients. The
complexities of dental insurance and the lack of sufficient information provided by some insurance
companies make it almost impossible for some patients to properly understand THEIR benefits.

Dental insurance is a contract between you (your employer) and the insurance company. We are only a
third party to this agreement. The benefits that you will receive are based on the terms of the contract
you (your employer) and the insurance agreed to and not our dental office. The patient is directly
responsible for all fees.

Unfortunately, some of the services that you may need or want will not be covered by your dental
insurance. 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. Our office will complete and submit dental insurance forms to the company to achieve the
maximum reimbursement to which you are entitled and will work diligently to make this happen as
quickly as possible. We can make no guarantee of any estimated coverage and insurance benefits.

For more information contact us today.