All private and third party insurance companies recommend a pretreat estimate for any dental procedure. Our insurance specialist will submit a pretreat estimate on behalf of the patient if requested. A pre-treatment estimate is not a guarantee of payment. When the services are complete and a claim is received for payment, your dental insurance company will calculate its payment based on your current eligibility, amount remaining in your annual maximum, and any deductible requirements.
All co-pays quoted are estimates; we do not guarantee the final payment of an insurance company. As a courtesy we will attempt to pull your benefits and file your dental insurance claim(s) for you; however your full account balance is primarily your responsibility. The estimated co-pay is due at the time of service. Please remember your insurance policy is a contract between you and your insurance company, feel free to call the 1-800 number on the back of your card to verify your benefits. After we have received payment for service from the insurance company, you will either be billed for the balance or sent credit check within thirty business days of insurance payment. We do not refund any monies to credit, debt or health saving cards.
Each patient is financially responsible for his or her own account and responsible for providing the most current insurance information. Any balance that goes past 60 days will be sent to a collection agency. Please remember that all unpaid balances and deductibles are the patient’s responsibility. The estimated co-pay is due at the time of service. We use Labcorp. Insurance Listing
D0460: Pulp Test
D3330: Molar Root Canal
D3320: Premolar Root Canal
D3310: Anterior Root Canal
D3348: Molar Retreat
D3347: Premolar Retreat
D3346: Anterior Retreat
D3425: Apico Molar
D3426: Extra Root
D3430 (x2): Retro Grade Filling
D3421: Apico Premolar
D3425: Extra Root (#5 / #12)
D3430: Retro Grade Filling
D3410: Apico Anterior
D3430: Retro Grade Filling
For Patients with Dental Insurance
Co-pays, deductibles and coinsurance are due at the time of service in full. You may pay by cash, check, VISA, MasterCard, Discover or American Express. Co-pays and/or deductibles from insurances and/or remaining balances after insurance can be paid with CareCredit.
For Patients without Dental Insurance
Payment for all services performed is due in full at the time of service. You may pay in full by cash or check and receive a 5% discount. ATM, debit or bank cards do not apply. You may pay by VISA, MasterCard, Discover or American Express without a discount.
For Patients using Care Credit
Co-pays and/or deductibles from insurances and/or remaining balances after insurance can be paid with CareCredit. You can reach Care Credit at www.carecredit.com or 1-800-365-8295. Applications to CareCredit must be done prior to your treatment appointment. We will need the approval information prior to scheduling your treatment.
Non-Intravenous Conscious or Nitrous Oxide Sedation
If you are having Non-Intravenous Conscious Sedation there will be a charge of $134.00 due at the time of service. If you are having Nitrous Oxide Sedation there will be a charge of $134.00 due at the time of service. These charges are not paid by insurance and will be added to your co-pay or total.
You may preregister with our office by filling out the following forms and bringing them with you to your visit.