Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be done the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Please assist us by providing the following information at the time of your consultation:
IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.
A pre-operative consultation is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink 8 hours prior to your surgery. You will also need an adult to drive you home.
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e. diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are on any medication (i.e. heart medications, aspirin, anticoagulant therapy, etc.)
If your dentist or physician has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.
BASIC POLICY
Payment for services rendered is due in full at the time of service. Our office accepts cash, personal checks (there is a $25 returned check fee), and credit cards however no American Express. We also offer convenient financing.
SURGERY FEES
All co-payments, deductibles and payments for non-covered surgical procedures are due the day of your surgery.
FOR PATIENTS WITH INSURANCE
As a service to our patients, we will bill your insurance carrier, provided proper paperwork is provided to us. We will also assist you in billing your secondary insurance carrier, if applicable. Every effort will be made to closely estimate your co-payments and deductibles that are due at the time of service, but the ultimate responsibility for any unpaid balance rests on you. Please understand that insurance is a contract between you and your insurance company. If an insurance carrier has not paid within 60 days of billing, any unpaid professional fees are due and payable in full from you.
NON-COVERED CHARGES
Any charges not paid by your insurance carrier will require payment in full at the time services are provided or upon notice of insurance claim denial. To assist our patients, we offer financial arrangements and/or alternative financing sources. Please ask our billing personnel for additional information.
PERSONAL INJURY CASES
This office does not accept liens nor bill for auto-accident or other liability or lawsuit-related cases. The patient is responsible for services provided at the time of service.
FOLLOW-UP VISITS
Periodic post-operative office visits may or may not be covered under your insurance plan; however, these may be required by the attending doctor to monitor your health.
CANCELLATION OF APPOINTMENTS
Our goal is to provide high quality of care at low cost to our patients and in fairness to other patients and the doctor, we require at least 24-hours notice when canceling an appointment. The practice reserves the right to dismiss patients with excessive canceled appointments.
EXPLANATION OF FEES
Your fee for service includes your visit with the doctor based on the time and complexity of your condition and any treatment provided. In addition, proper attention to your case requires that the doctor spend more time working for you outside your direct visit with him or her. Such time may include:
If you are coming in for a consult, x-rays are usually needed. Your dentist may supply them or we may need to take additional pictures depending on your particular consult. Read more...