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The Preventive
Approach |
Accidents Happen |
Scheduling Guidelines
| Payment Procedures

With each visit, your child
receives complete preventive dental care ---
from fluoride treatments to dietary
counseling and tooth brushing instruction.
For further prevention of cavities, we also
recommends sealants. Especially effective
in children without cavities or fillings, a
sealant is a plastic material painted
directly into the grooves on the biting
surfaces of the back teeth, where most
cavities occur.
Kids will be kids and
accidents do happen. To ensure the best
care in case of an emergency, please call
our office as soon after an accident as
possible.
We are aware of school policies,
which make it more difficult for patients to
be out of school for any reason. However,
MEDICAL and DENTAL appointments are EXCUSED
ABSENCES with a doctors school pass and
signature stating the child was in the
office.
We would like to see all school age
patients after school. This is not possible,
therefore, to make certain everyone has a
fair share of after-school appointments, the
following guidelines have been set. Please
help us help your child and others by not
asking for exceptions.
1. Children under 5
years of age will be scheduled only between
the hours of 9:00 a.m. and 1:00 p.m. This
leaves after school hours open for older
children. When the 5 year old enters grades
1 through 12, he/she too will have access to
after-school appointments.
2. Operative
appointments for school-age children will be
available during morning hours, at lunch or
after school two days per week. As much
work as possible will be performed during
each appointment.
3. All long orthodontic
appointments such as putting on braces,
removing braces and orthodontic evaluations
will be scheduled between the hours of 9:00
a.m. and 3:00 p.m.
4. Repair of broken
appliances or braces will be scheduled
during school time.
5. Ortho patients are
scheduled for adjustments once a month,
therefore appointments will alternate. One
month the appointment will be after school;
the next month, during school.
6. Coming
late for an appointment may require
rescheduling so we do not keep other
patients waiting. Please call if you are
going to be late.
7. If for any reason you
fail to come or cancel an after school
appointment, the missed appointment will be
rescheduled during school time so that we
may maintain the pattern of every other
appointment being after school. Your
cooperation in complying with these
guidelines is appreciated. We are concerned
about school policies and believe these
schedules will best benefit every patient.
It is our desire to serve each and every one
of you without causing your child to miss
extensive school time. We appreciate your
choosing our office for your child's dental
care.
We appreciate your
choosing us to provide your dental care.
Because we value our relationship with you
and believe that the best relationships are
based on understanding, we offer these
clarifications of methods of payment for
services.
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We ask that you pay the cost of
the initial examination on the day of that
appointment. Because most insurance policies
have an annual deductible amount, it is
likely that the fee for the examination will
not be covered. We will promptly refund your
payment if your insurance carrier pays.
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Payment in full by cash, check, or charge
card at each appointment as service is
rendered is requested. We accept MasterCard
and Visa card.
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After receipt of a
predetermination of benefits from your
insurance carrier, we will accept payment
for treatment in excess of $75.00 directly
from the company. However, if we do not
receive payment from the company within 5
weeks after the submission of a claim, you
will be expected to pay for all dental
services. In the event of a duplicate
payment, you will be reimbursed.
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Even if you
have insurance coverage you are responsible
for payment of your account. We will be
happy to help your receive the maximum
benefits available under your policy;
however, please realize that the
relationship is between you, the insured,
and your insurance company.
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Payment plans
may be set up for out patients without
dental insurance. If more than $300.00 of
treatment is required, payments can be made
utilizing e-fluids (an automatic debit from
your checking account) or through
Care
Credit.
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If a payment plan is agreed on, you
will be asked to sign a financial agreement.
Payments are due when statements are
received. A 1.5-% service charge will be
added monthly to the unpaid balance.
Computer prepared statements are mailed
monthly, usually by the 25h of the month.
If there is a balance on your account, you
will receive a statement regardless of the
date on which treatment was rendered.
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If insurance is pending, you will receive an
interim statement to let you know that the
account has not been paid. A service charge
will not be made until payment has been
received from your insurance carrier.
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If you require credit for longer than 90 days, you
may talk with us about Care Credit or make
personal arrangements with your bank or
similar lending institution.
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Half the cost of an appliance or prosthesis must be paid
when impressions are taken. This procedure
is necessary because our office must pay a
portion of laboratory costs when appliances
are ordered. The remainder of the cost of
the appliances is due when the appliance is
placed.
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If the patient is a child, please be
aware that the parent bringing the child to
our office is legally responsible for
payment of all charges.
We look forward to
years of close association with you as we
work together to maintain your oral health. Thank you!
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