Financial Policy

If you have dental insurance and benefit coverage has been verified, we will be happy to accept assignment and file the claim on your behalf. You are required to pay the patient portion we estimate your insurance will not cover, including deductibles, at the time of treatment. 

While we do our best to carefully estimate the expected amount your insurance will cover, we do not know for certain what your insurance will cover. You are responsible for any remaining balance. The parent/guardian/family member bringing the child to the appt is responsible for paying the patient portion and must have a method of payment with them at the appointment. Our office does not call spouses, ex-spouses, family members or any other 3rd party to obtain payment. 

We accept cash, check, MasterCard, Visa and Discover credit cards but not AmEx. For patients without insurance we recommend exploring payment options with or and applying for credit on their website before any treatment begins.

Please be advised that the policy of this office is to charge $50.00 for a missed appointment unless canceled by contacting our office 2 business days prior to their appointment. We have other patients on waiting lists and require adequate lead time to schedule them into any earlier times that may become available.

Accounts with balances 90 days or more past due will be assessed late fees. Unpaid balances that are 120 days or more past due will be submitted to a 3rd party medical collections service and a collections fee of 15% of the unpaid balance will be assessed and all credit bureaus will be notified. Once submitted for collections the patient account is inactivated and no longer a patient of the practice.

Our New Patient Forms contain our Financial Policy agreement which parent(s) are required to sign as part of our agreement to treat your child.