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Financial Policy
Fees

The fee for your endodontic treatment will be based on the extent of treatment.  During your visit we will discuss the probable number of visits, their length, and the fees involved.  Endodontic fees usually range from $800 to $1200 and it is our policy that your care is paid for at the completion of treatment.

 

Financial Policy

Thank you for choosing us as your dental care provider. Our office is committed to providing you with the best possible care. Please understand that payment of your bill is considered  part of your treatment. The following is a statement of our Financial Policy and will require your signature prior to any treatment. 

 

 

 

 

Regarding Payment

We accept the following forms of payment: Cash, Check, Visa, MasterCard, Discover, and Care Credit.

 

Payment for services is due at the time services are rendered unless prior arrangements have been made with the doctor and the office manager. Interest may be charged for all payments that are past due.

 

Payment for minor children, accompanied by a parent or legal guardian, is expected by the chaperon on the date of service. For unaccompanied minors, non-emergency treatment will be denied.

 

Checks that are returned to our office from your financial institution are subject to a $20.00 returned check fee. This fee covers the processing fees that are charged to our office.

 

Regarding Insurance

Your insurance policy is a contract between you and your insurance company. We are not a party to that contract. In the event we do accept assignment of benefits and your insurance company has not paid your account in full within 30 days, the balance may be transferred to your account. Please be aware that some, and perhaps all, of the services provided may be non-covered services and not considered reasonable and customary under the terms of your insurance policy. Our practice is committed to providing the best treatment for our patients and we charge what is the usual and customary for our area. You are responsible for payment regardless of any insurance companies arbitrary determination of usual and customary rates.

 

Your complete insurance information must be presented at the time services are provided. Insurance claims cannot be backdated. Most benefits will be verified verbally before your insurance company can be billed.

 

All estimated insurance co-pays and deductibles must be paid at the time of service. We make a good faith estimate for you based on verbal verification of benefits from your insurance company. This allows us to anticipate how much your insurance may pay. We can not guarantee how much your insurance will pay, nor if they will pay at all. If there is any discrepancy in the estimated amount once your insurance is received, we will issue a refund, a credit, or send a statement for the difference. You are responsible for all outstanding charges. 

 

Our office would be happy to submit a pre-treatment estimate to your insurance company for anticipated dental procedures. A pre-treatment estimate may delay care for several weeks, but it would be a better estimate of what your insurance will pay. 

 

We would be happy to discuss our charges and how they relate to your particular situation. We also realize that temporary financial situations may affect timely payment of your account. If such problems do arise, we encourage you to contact us promptly for assistance in the management of your account.

 

Thank you for understanding our Financial Policy. Please let us know if you have any questions or concerns.