Thank you for choosing us for your dental needs. We are committed to providing you withexcellent care, and convenient financial arrangements are a part of successful, predictable treatment results. Our financial arrangements are based on an open and honest discussion of recommended treatment options, respective fees and our patients’ financial capabilities. Please read and sign the following:
Payment in full is due at the time of service unless prior financial arrangements are made. We at Dundee Dental Smile PC
have rights to refuse/re-schedule an appointment if payment is not made.
We offer several payment options:
- We accept Cash, Checks, Visa, MasterCard, Discover, and American Express.
- We offer monthly payment plans in accordance with the office credit guidelines.
- We offer extended payment plans through a third party financing partner, CareCredit.
Our office is committed to helping our patients maximize their benefits. As you may be aware, medical and dental insurance is becoming extremely complex. We are always available to answer your questions, however, your insurance policy is a contract between you and your insurance company and as a medical provider, we are not party to that agreement. Your patient portion must be paid at the time of service. We ask our patients to provide us with complete dental insurance information. As a service to our patients, we will bill insurance companies for services and allow them 45 days to render payment in full. After 60 days you are responsible for the entire balance and it will be due in full. The quality of insurance policies varies greatly; therefore we can estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts.
Payment for services for the treatment of minors can be made by check, cash or credit card and is the responsibility of the adult accompanying that minor.
Once an appointment has been made, please remember that this has been reserved specifically for you. We reserve the right to charge a fee for all canceled or missed appointments without a 24-hour notice ($75 fee will be charged for canceled or missed Saturday appointments without a 48 hour notice).
The policy of this office is to charge 1.5% monthly (18% annual percentage rate) or a billing charge which will be applied to all accounts over 90 days past due. We will charge $35.00 for returned checks. A 5% service fee will be applied to the monthly payment options if the total amount is $1,000 or over.
Fees incurred to collect payment will be billed to a payable by the patient’s account holder.