Payment

We will accept assignment of benefits from your insurance company. However, you will be responsible for the full balance including any amount that is not paid by your insurance company. Payment is expected in full for each appointment as services are rendered. We accept cash, personal checks, MasterCard, or Visa Discover and American Express. If you have any questions regarding insurance or payment arrangements, please let us know and we will be happy to provide you with more information.

In certain unusual circumstances an account balance may occur. We require all outstanding balances to be paid in full by thirty (30) days unless other arrangements have been made. Thank you in advance for your understanding of our financial policy! As always, we are always happy to answer any questions.

Insurance

We are happy to file your insurance claim as a courtesy. However, there is no direct relationship between our office and your insurance company. The type of plan chosen by you, and/or your employer determines your insurance benefits. As such, we have no say in the selection of your insurance company, no control over the terms of your contract, the methods of reimbursement or the determination of your insurance benefits. We will accept assignment of benefits from your insurance company, but you are responsible for the full balance including any amount that is not paid by your insurance company.

Pre-treatment Authorization

Some insurance companies recommend an estimate of the work to be done and the fees to be charged before determining their benefits to you. If so, we will provide you with the pre-treatment fee estimate. In this case, it will be up to you to decide if you wish to proceed with treatment before the insurance benefit is determined.

Printable Forms

• Welcome
• Financial Policy