Financial Information

We are dedicated to the success of your treatment and appreciate your trust in us. Please note that your bill payment is integral to your treatment process. Kindly review and sign the following policy.

Full Payment is Due at the Time of Service

We Accept:
• Cash
• Credit Cards
• Debit Cards
We DO NOT accept checks.

Insurance Participation
Our practice participates with most dental insurance plans. Any coinsurance, deductibles, and disallowed charges are due at your visit.
• After filing your insurance claim, any remaining balance not covered by your insurance will be your responsibility.
• We will file your claim as a courtesy if we do not participate in your insurance plan. However, you are responsible for all charges on your account, regardless of any “usual and customary fee” determinations by your insurance carrier.
• The full account balance becomes your responsibility if an insurance claim remains unpaid after 60 days

Past Due Balances
• Balances not paid within the stated period on your billing statement are subject to a monthly finance charge.
• If your account is referred to a collection agency, you will be responsible for all associated costs, including attorney fees.
• Accounts may also be reported to small claims court and/or all three major credit bureaus

Appointment Cancellation Policy
We kindly request two business days’ notice if you cannot keep an appointment. This allows us to offer the appointment to another patient in need. Appointments canceled or rescheduled without proper notice will incur a $100 fee.

Once again, thank you for selecting us as our oral surgery care provider. We are committed to delivering high-quality care and ensuring your satisfaction. If you have any questions regarding our financial policies, please do not hesitate to ask.