OFFICE POLICY

We are here to serve you in a comfortable and professional atmosphere. We are committed to providing you with the very best quality of dental care. Our goal is to make your experience an exceptional one. If your visit with us did not meet your expectations, please tell us. Your opinion matters and helps us determine the areas where we are doing well and where we can improve.

Scheduling , Cancellation, Financial and Billing Policy

  1. Scheduling Policy (No Exceptions) :Your appointment time is a reservation between you and the Dentist or Hygienist and is set aside especially for you, usually 6 months in advance. We ask that you please arrive at least 5 minutes in advance of your scheduled appointment time. New patients, please arrive 20 minutes early. If you do not arrive 20 minutes ahead of your appointment time, we cannot guarantee that all services will be able to be completed as the staff will be limited in the amount of time allocated to treat you. Failure to keep a scheduled appointment not only compromises your dental health but prevents other patients from receiving necessary care and increases the cost of delivering care for everyone.
    1. If you must change an appointment, we require notice a minimum of 2 business days in advance. Although we understand that emergencies do arise, there is a fee for all broken appointments (No-Shows) or appointments cancelled without two (2) business days notice, regardless of the reason.
    2. If you No-Show to an appointment, all other scheduled appointments will be cancelled.There will be a fee due to satisfy the No-Show and a non-refundable deposit will be required, in advance, in order to reschedule any future appointments.
    3. Cancellation and No Show Fees:
      1. Hygiene appointments - $50.00
      2. Appointment in Doctor’s chair - $15.00 per 10 minutes (Example: The cancellation/no show fee for an hour long appointment is $90.00)
    4. Appointment changes and cancellations are not accepted via text, email or voicemail as this is not our main form of communication and those types of communications can sometimes be incomplete, not received in time or can be missed all together. For any cancellations, please call the office during hours of operation.
    5. It is the patient’s responsibility to update their cell phone number and email address in order to receive email and text reminders for appointment confirmations.
    6. Multiple cancellations and/or No Shows will result in dismissal from the practice.

 

  1. Treatment Planning Policy :Our office prides itself on making the very best treatment recommendations therefore we do not let insurance limitations and allowances dictate our treatment recommendations. It is important to remember that you are a partner with us in your oral health and that treatment decisions should be made together, based on your actual needs. Your dental plan may not cover the full cost of the specific treatment that you require. Many plans only provide for the least expensive course of treatment.

 

  1. Patient Payment Policy :Any estimated out-of-pocket expense is due in full prior to or at the time treatment is provided. For your convenience, we accept checks, cash, Visa, Master Card, Amex, Discover and Carecredit. Payments can also be made online through our website by clicking the Patient Connect tab. When receiving a statement for a balance owed, all balances are due 10 days from the date of the statement. Balances over 180 days old are subject to being sent to Collections. The patient assumes the costs for any collection attempts.

 

  1. Dental Insurance Policy :
    1. Our office DOES NOT, under any circumstances, confirm benefits with your insurance company prior to any appointment. If you have insurance, it is your responsibility to be aware of what your dental benefits are, the details of your coverage, and if you have used a portion of your benefits at another office. Additionally, network participation is not guaranteed. It is your responsibility to know if the doctor that is treating you is actually "In-Network" or "Out-of-Network" with your insurance plan. This "participation status" may alter your insurance coverage significantly.
    2. As a courtesy to you, we will estimate your out-of-pocket patient responsibility. The estimated patient responsibility is due prior to or at the time of your visit. Please be advised that this is an estimate only, and although we gladly file insurance claims for you, any and all balances and uncovered procedures are ultimately your responsibility.  The estimated insurance coverage that our software may generate is NOT a guarantee of benefits, as our system calculates based on generalized and typical insurance benefits which may differ from your specific plan benefits, parameters and limitations.Our office software is NOT directly linked to your insurance company and your insurance company will never guarantee benefits for anyone.  The practice depends upon reimbursement from the patients for the costs incurred in their care, and we cannot render services on the assumption that our charges will be paid by an insurance company.
    3. All insurance benefits are assigned to the Doctor and dental records may be released to the insurance company. Any balances that have not been satisfied by insurance that are over 60 days old are ultimately your responsibility.

 

  1. Cancelled Checks and Overdue Balances Policy :We will be fair in working out special finances with you, but please also be fair to us with your commitments. There will be a $35 cancelled check fee applied to your account in the event that your check payment should not clear for any reason. Accounts are turned over to collections when an overdue balance reaches 180 days overdue. At that time, payment arrangements will not be offered and payment in full is expected in order to remove an account from collections. Any collection fees will be your responsibility.

 

  1. Responsible Party Policy :
    1. For children under the age of 18, the Parent that brings the child to the appointment is the person responsible for all charges, regardless of who the insured parent is.
    2. For dependents from the age of 18 to 23, IF the child was registered with the practice during the age where a parent would have been responsible for the charges, THEN that parent will continue to be responsible until they notify the practice that they are no longer responsible AND the dependent signs their own office policy acknowledging that they are now responsible for their own charges going forward. Any charges incurred during this transition will always be the responsibility of the initial responsible party.
    3. For Spouses, regardless of insurance connection, each spouse will always be responsible for their own charges. Please note that accounts are usually linked within a family and only one family member can be listed as Head-of-Household (name on statements) and it is that person’s responsibility to notify their spouse of their individual financial responsibility and any balances due. Accounts can be split upon request only, otherwise they will be joined.