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Welcome to our office. We thank you for selecting our office to take care of your dental/medical needs. We
value our patients greatly and we want your experience
here to be genuinely pleasant and professional.
We require all patients/guardian to supply a picture ID and valid insurance card at the time of service.
Our office consultation fee/co-payment is due at
the time of service. We will gladly file your
insurance for reimbursement and any overpayment will
be applied to your surgery fee.
At the end of your consultation appointment, each
patient will be given a proposed treatment plan. The
proposed treatment includes the fee for surgery, the estimated insurance reimbursement, and the estimated patient
share.
Our office will contact your insurance company to
verify eligibility and an estimated percentage of coverage. However,
if the insurance pays less than the quoted estimate,
the patient is responsible for payment on the balance
immediately.
Please be informed that we are happy to assist you
by filing an insurance claim for reimbursement. However,
the patient/guardian is responsible for any and all
balances due on the account if the insurance fails
to pay within 60 days.
The patient/guardian will be responsible for all costs if the account is placed with a collection agency.
The balance of services must be paid within a 90-day
period or the account may be reported to the IRS as
a “Cancellation of Debt.”
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