Office Policies
Appointments
In order to allow the best possible care for your child, we reserve a specific time just for you and make every effort to see your child as scheduled. We appreciate your promptness and your consideration in not changing your scheduled time. However, if you need to change your appointment, a 24-hour notice is required. If at least 24 hours notice is not given to change or cancel an appointment, or if you miss your scheduled appointment, we reserve the right to charge a fee of $50 for the missed appointment. If your child is unable to be seen because you are more than 10 minutes late for your appointment, you may also be charged the $50 fee for a missed appointment. Patients with two missed appointments may be required to transfer their records to another dentist.
Sedation Reservation Fee
A reservation fee of $100 is required to make an appointment for a sedation visit. This fee will be applied to your portion of the bill on the day of the sedation appointment. If the appointment is missed or if the patient is excessively late, the fee will be kept as a missed sedation appointment charge.
Insurance
Your dental insurance is a contract between you and the insurance company. To assist us in determining your maximum benefit, please bring your insurance explanation of benefits booklet and your dental insurance card to your first visit. We will file your primary insurance claim as a courtesy to you. Although we may estimate what your insurance coverage may pay, it is the insurance company that makes the final determination of your eligibility and benefits. Most insurance plans only pay a portion of the dental fee. Therefore, we ask that you pay the non-covered balance at the time of service unless other arrangements have been made with our office in advance. If your insurance company has not paid on your account within 45 days, you will be responsible for the unpaid balance, and payment will be expected in full at that time. We recommend that you become directly involved in communication with your insurance company in order to expedite payment.
Payment of Fees
Payment is due at the time of service unless you have made prior arrangements with our office. We accept cash, personal check, Visa, and MasterCard. The parent or legal guardian who signs the financial policy is considered to be the responsible party for account payment.
Office Forms
For your convenience, you may download and print necessary office forms. We ask that all of these forms be completed in advance and brought to your first visit. This will allow your child to be seen on time as scheduled. All forms are .pdf documents.
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