PATIENT FORMS FINANCING
Patients Forms & Financing
The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete an online appointment request.
Please fill out the forms online by using the buttons below prior to your appointment so we can help you to utilize your time efficiently. Click on New Patient Portal if this is your first visit with us.
For your convenience, we accept cash, personal checks, money orders, and most 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.
As a service to our patients, our practice accepts most dental insurance programs, including indemnity (traditional) and PPO in-network programs. We are not part of any managed care (HMO) network. Our accounting 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.
Many financing options are available, including 0% interest financing
As a service to our patients, we are pleased to offer dental financing through CareCredit®, the nation’s leading patient payment program.
CareCredit® Dental Financing
CareCredit offers a full range of payment plans so you can find one that works best for you. With the popular No Interest Payment Plans* there are no interest charges if you pay your balance in full within the specified time period. Monthly payments can be as low as 3% of your balance. For procedure fees from $1,000 and up, CareCredit offers 24, 36, or 48 month plan options with low monthly payments available.
CareCredit can be used by the whole family for ongoing treatment without having to reapply and by using dental financing such as CareCredit for your dental care, you can save your other credit cards for household or unplanned expenses.