NEW PATIENT

NEW PATIENTS!

Welcome to our dental practice! We appreciate the opportunity to care for your dental health needs. Our goal is to provide you with high-quality dental care at fees that are fair and just for the services provided.

If at any time we are not meeting your expectations in any way, we ask that you discuss this with us openly and promptly.

Thank you for choosing our dental office. We look forward to meeting you soon.

FORMS NEEDED TO BE FILLED OUT/NOTICES

  • To view our policies click HERE.

  • To fill out HIPAA Patient Acknowledgment and Consent, Dental History, and Medical History forms, click HERE.

  • Apply for CareCredit HERE.

FINANCIAL INFORMATION SECTION

  • We understand the value of insurance benefits and will attempt to assist you in obtaining your maximum benefits in all ways possible. We will gladly process your insurance claims for you and will also estimate your deductible and co-pay. If determinable, co-payments and deductibles will be collected at the time of service. After receiving payment from your insurance company, a bill will be sent from our office for any remaining balance. Payment is required within 30 days unless special arrangements have been made with our office. We accept payment in the form of cash, check, or credit card.

    Although we will process your insurance claims for you, you remain personally responsible for your entire bill. If the claim has not been paid within 45 days, we reserve the right to require the amount due to be paid by you. We will then be happy to assist you in collecting from the insurance company and reimburse you accordingly if necessary.

    Some dentistry (bleaching, cosmetic veneers/bonding, implant restorations) typically not be covered by your insurance company. Payment is required at the time services are rendered unless alternative financial arrangements have been made prior to the initiation or treatment.

  • Payment is required at the time services are rendered for any treatment unless alternative financial arrangements have been approved by and arranged with our office prior to the initiation of treatment. We accept payment in the form of cash, check or credit card.

    Additionally, we offer a 90 day payment plan. We require 1/2 down at the initiation of treatment. The remaining 1/2 must be paid in 3 equal installments over the next 90 day period.

    Although we do not offer payment plans in excess of 90 days within our office, we do work with a third party financing company, Care Credit, to offer extended payment plans. For more information visit the Care Credit website at www.carecredit.com or request a brochure upon your next visit.

  • Advance notice of 24 hours is needed to avoid a $92.00 broken appointment fee.