We are committed to providing your child with the best possible treatment in a high quality, caring environment. Our goal is to make you and your child’s visit to our office a very positive experience. In addition, we feel that it is imperative that we provide our patients’ family members with a clear portrait of our financial requirements. We feel it is very important to our professional relationship that all of our families, old and new, understand their child’s treatment and their financial obligation to our office. We sincerely thank you for your continued support and belief in our office. We are ready to answer any questions you may have about the items listed.

  • WE ACCEPT CASH, CHECKS, VISA, MASTERCARD.
  • FINANCING – Available through American General Company Finance upon approval of credit. Please ask for an application.
  • APPOINTMENT CANCELLATION/NO SHOW FEE – Appointments that are cancelled or rescheduled with less than 48 hours notice are subject to a fee corresponding to the amount of time reserved for the appointment. Please do not leave cancellation messages on our voice mail, you must speak to our office staff.
  • NEW, UNINSURED AND EMERGENCY PATIENTS – Payment in full on the day services are rendered is expected regardless of insurance status.
  • INSURANCE – Our office will bill your insurance company as a courtesy to you a maximum of two times per claim. If your insurance company has not paid the FULL BALANCE within 45 days, your balance must be paid in full within 60 days after charges are incurred. Finance charges are added to unpaid accounts after 60 days from the date of service. If your insurance company pays more than the balance due, we will send a refund check to you immediately.
  • CO-PAYMENTS – All insured patients are required to pay their co-payment on the day services are rendered. Co-payments without Pre-Authorization are 50% of the total fee plus a fee for Nitrous Oxide, if used. If a Pre-Authorization from your insurance company is received prior to your appointment, co-payment will be due on the date service is rendered.
  • HOSPITAL AND INTRAVENOUS SEDATION CASES – Financial arrangements must be completed prior to the date services are rendered. Payment for anesthesia is always due on the day of surgery.
  • SEALANT PROCEDURES – Full payment on the day services are rendered unless Pre-Authorization is received prior to treatment. If Pre-Authorization is received, co-payment will be due on the date services are rendered.
  • APPLIANCES – UNINSURED PATIENTS – Payment of 50% of the appliance fee is expected when impression is taken. Balance of fee must be paid once appliance is placed.
  • APPLIANCES – INSURED PATIENTS – Patients without Pre-Authorization are required to pay 25% of the appliance fee when impression is taken and 25% when appliance is seated. Patients with Pre-Authorization must pay 50% of the co-payment amount when impression is taken, with the remainder of the co-payment amount paid when the appliance is placed.
  • DIVORCE CASES – A parent who accompanies his/her child for treatment will be considered responsible for all expenses incurred.
  • COLLECTION ACCOUNTS – Should a collection agency become involved in collection of your debt with our office, all credit privileges will be suspended. Further treatment will be on a cash basis only and only after your account is paid in full.