New Patient Information
Please contact us if you have any questions regarding which forms must be completed for your appointment.
New Patient Form- Child (Age 18 and under)
HIPAA Privacy Practices (General Information)
Financial Options
Payments
Your treatment plan will include a breakdown of all applicable fees, and we will inform you of all costs before treatment is administered. Payment is due at the time of service for any portion not covered by insurance. This payment would include any deductible and/or estimated co-payment per your policy.
For your convenience, we accept cash, personal checks, and major credit cards. Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements can be made with our office. Please ask a member of our staff, and we will review our payment options to accommodate your financial needs.
Insurance
As a service to our patients, our practice accepts most dental insurance programs, including non-managed care, indemnity (traditional) and PPO out-of-network. Our staff will prepare all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will be.
The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.
Additionally, we offer payment through CareCredit. CareCredit is a healthcare credit card designed for your health, beauty, and wellness needs. It’s a way to pay for the costs of many treatments and procedures and allows you to make convenient monthly payments. For complete details of healthcare financing terms we offer, please call or visit our office.