Insurance and Billing
We are preferred providers for Delta Dental, Superior Dental, Metlife, Cigna and accept additional insurances. We do not accept Anthem or Medicaid. Please contact us for more information.
Payment Options
We accept checks, cash or credit cards such as Visa, Discover and MasterCard, as well as CareCredit. Please see our Financial Coordinator for details. We are happy to file insurance for your reimbursement as long as you are free to choose your own dentist.
Financial Policy
All patient balances are due immediately at time of service. Please ask us if you are interested in learning about third party financing offered through CareCredit, which may allow you to finance your treatment in low monthly payments.
Should a balance accrue on the account, a statement will be sent and payment is to be made, in full, by the date on the statement. If payment is not paid within 30 days, interest may be applied to the entire account balance. A revised statement with the new account balance, payable immediately, will be sent.
A returned check fee will be applied for each check payment returned to us by your bank.
Dental insurance is a contract between the patient, their employer (if applicable) and the insurance provider. Submitting claims for payment to the insurance provider is a courtesy provided by the dentist, not an obligation. Ultimately, I am responsible for any services that are unpaid by my insurance provider.
If there is dental insurance on the account, I understand that the office will provide a pre authorization estimate based on the dental information I have provided. Final payment is subject to the terms and conditions of my insurance provider on the date of service. As such, until payment is received from my insurance provider, no patient payment is final.
PLEASE NOTE: WE ARE NO LONGER A PARTICIPATING PROVIDER FOR ANY MEDICARE SUPPLEMENT PLANS. You may still use Medicare plans at our office. Please check with your plan to assure that you have Out of Network Benefits. By signing this agreement you understand that you will be balance billed for anything that your plan does not allow.
WE ARE NOT A PROVIDER FOR ANY STATE FUNDED DENTAL PLANS AND ARE UNABLE TO BILL TO THEM.
Estimates and treatment plans are based upon information gained from the examination. As with any dental treatment, there may be unforeseen treatment adjustments and/or complications. This is a preliminary estimate only and lab charges (if applicable) have been estimated and included in the total.
Estimates do not take into consideration any money that was billed toward my financial maximum or frequency limits that may have been used at other dental offices.
A submission to my insurance provider will be sent to determine an approximate final investment. However, it is an estimate only. Final insurance splits may be adjusted upon receiving the predeterminations. Predeterminations from my insurance provider(s) are NOT a guarantee of payment.
As with any dental treatment, there may be unforeseen treatment adjustments and/or complications. The office will make an effort to anticipate any changes in the treatment plan and advise me at that time. However, such events are unpredictable. Likewise, the timing or spacing of appointments may need to be modified as needed to accomplish the best result possible.
I have read, understand and agree to the above financial policy for payment of professional fees. I understand that I am ultimately responsible for all fees for services rendered to me and/or my family.
Financing Options
CareCredit is here to help you pay for treatments and procedures your insurance doesn’t cover. We offer No Interest* financing or low minimum monthly payment options so you can get what you want, when you want it. You can even use CareCredit for your family and favorite pet.
With three simple steps, including an instant approval process, it’s easy to apply for CareCredit. After you’re approved, you’re free to use CareCredit for the services you choose including LASIK, veterinary, dentistry, cosmetic, hearing aids and more.
CareCredit is endorsed by some of the most credible organizations specific to each healthcare profession we support. And CareCredit is a GE Money Company, so you know you can count on us. For over 20 years, we’ve been helping over five million cardholders get the healthcare treatments they want and need.
Now you don’t have to worry about saving up for the procedures you want and need. With CareCredit, the decision’s in your hands to get what you want, when you want it. For more information or to apply online, visit carecredit.com