Payment Policy
Payment is expected when services are performed, unless prior plans are made. You can benefit from a one-time new patient special offer of reduced fees, due at the first initial examination date. Please note, if you miss the cleaning appt. of this special offer, it is forfeited, and you will be charged for the next cleaning appointment.
Payment options:
(for non-insured only & not to be combined with any other special discounted offers!)
Payment in full: A bookkeeping courtesy of 5% or $______ is given for direct payment in full by cash, check or credit card at start of treatment, resulting in a one-time payment. (Balances over $500 only) Financing through creditors: Many health-care creditors are offering flexible payment plans for individuals with good credit standing status. Their services are fast, confidential, and can be done over the phone or the internet. Upon your approval, they usually require no initial payment, and can offer long-term low monthly payments with minimal or no finance charge. Also, pre-payments can be made anytime without penalty. Please note, even though a processing fee may apply to this type of financing, it sometimes can be interest-free for the patients, because the office will be charged instead. Therefore, special discounted offers may not also be financed. Please, inquire about our special promotional offers!
Service charge: If I do not pay the new balance within 30 days of the billing date, a service charge will be added to the account for the current billing period. The service charge will be a periodic rate of 3% per month (or a minimum charge of $5 for a balance under $100) which is an annual percentage rate of 3% applied to the last month's balance. In the case of default of, I promise to pay any legal interest on the balance due, together with any collection costs and reasonable attorney fees incurred to effect collection of this account or future outstanding accounts.
Full payment is due and expected at the time of service, unless prior arrangements with the office have been already made. We accept cash, checks, and major credit cards.
Click here for more information regarding dental insurance at our office.
Payment Options:
Our office accepts the following payment options:
- Cash
- Check
- Debit
- All Major Credit Cards
Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage. All treatment is to be paid in full on the date of service unless you have made other arrangements with our office prior to treatment being started.
Value Smile Dental Plan
For our patients we also provide a savings plan for most of our services. Everyone is accepted, No limits on use, Can include whole family.
Learn About Our Value Smile Dental Plan
Cancellation Policy
As a courtesy to our patients, we make every effort to confirm all appointments in advance. However, it should be noted that it is the patient's responsibility to keep all appointments. A specific amount of time is reserved especially for you and we strongly encourage all patients to keep their appointment. We request at least a 24 hours advance notice prior to your visit, if you must change or cancel your appointment. We will assess a $78/hour for otherwise broken appointments or no-shows. This fee will increase in accordance with the amount of time you have scheduled and will have to be paid before another appointment is made.
Note: A patient may be discharged for multiple attendance issues.
Please Note: Due to the nature of our practice, emergencies and acute walk-in patients may cause the dentists to alter their schedule. We will do our best to see each patient as close to their appointment time as possible. We appreciate your cooperation and understanding regarding these unforeseen circumstances. You receive the same careful attention. However, if time becomes a problem, please let the staff know so we can accommodate your schedule as best as possible
