Financial Information

FORMS OF PAYMENT
We accept most major credit cards, checks, money orders, and cash. In order to pay with a check or credit card, you must have your social securtiy number and driver's license number on file with our office.

NO SHOW FEES
We reserve the right to charge for appointments canceled or broken without 24 hours advanced notice. This fee will be no more than $50.00 per scheduled appointment per patient.

RETURNED CHECK FEES
There will be a “returned check fee” added to the account for any returned check. Accounts that have “returned check” activity may be considered as a “cash only” account.

REFUNDS
Should a credit balance occur on an account after treatment has been completed and insurance has been paid on all claims, refunds will be made upon request.

X-RAYS
It is the policy of this office that as a courtesy upon request, if the balance of the account is paid in full, copies of the X-rays will be sent to the dentist of your choice at no charge to you. Upon approval by Dr. Brandt, copies of X-rays may be given to the parent or guardian upon request and will incur a $25 duplication fee.

APPOINTMENTS
Your scheduled appointment time has been reserved specifically for you. We request 24-hours notice if you need to cancel your appointment. We are aware that unforeseen events sometimes require missing an appointment. Our policy is that if 24 hour Cancellation/Reschedule notice must be given.

INSURANCE
Our office is committed to helping you maximize your insurance benefits. Because insurance policies vary, we can only estimate your coverage in good faith but cannot guarantee coverage due to the complexities of insurance contracts. Your estimated patient portion must be paid at the time of service. As a service to our patients, we will bill insurance companies for services and allow them 45 days to render payment. After 60 days, you are responsible for the entire balance, paid-in-full. If you have any questions, our courteous staff is always available to answer them.

 

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