Cancellation Policy: Due to the high patient no-show rate in our office, we must attempt to maintain an efficient patient flow to accommodate our large patient population. To best accomplish this, we have implemented office policies to help regulate appointment scheduling, including no-show appointments.

Our office policies are as follows:

Our office will call to confirm all appointments with you. We will begin confirming 72 business hours in advance. If we are unable to reach you, we ask that you call back and confirm that you are keeping your appointment. Should we not be able to confirm these appointments with you, we will be forced to forfeit the appointment to another child on our waiting list. You are responsible to informing our office of changes in your contact information.

It may be necessary for our office to dismiss patients that fail to keep appointments without notifying our office staff at least 48 hours prior to their scheduled appointment.

A $50 cancellation fee will be assessed for each patient that no-shows or cancels an appointment without notifying our office staff at least 48 hours prior to their scheduled appointment for continuing care or new patient appointment.

A $100 cancellation fee will be assessed for each patient that no-shows or cancels an appointment without notifying our office staff at least 48 hours prior to their scheduled appointment for a treatment appointment.

Thank you for assisting us in making appointments accessible to all children.

Financial Policy: We are dedicated to providing our patients with the best treatment available and base our treatment recommendation on what will be best for your child and not what your insurance company does or does not pay for. As a courtesy, our office will be happy to submit any insurance claims for your child. Your dental insurance is a contract between you, your employer and your insurance company; therefore, you are ultimately responsible for your insurance coverage. Any co-pays, deductibles, or known percentages for your child’s dental care must be paid prior to services being rendered. However, please remember that in most cases these figures are only estimates. We cannot guarantee what your insurance will pay. You will be responsible for any services not covered or paid by your insurance carrier.

Prior to completing any treatment, we will provide you with a cost estimate indicating our total fee, what we expect your insurance coverage to be, and your estimated out-of-pocket portion. This is only an estimate based upon generalized information provided by your dental insurance.

We ask that you contact us immediately after making any changes to your dental coverage, so that we may keep accurate and current records of your account and to expedite reimbursement of your dental benefits.

We allow a maximum of 60 days for your insurance company to clear account balances. After 60 days, any unpaid portions will be due in full by you.

For your convenience, we accept cash, money orders, cashier’s checks, personal checks, Visa, Mastercard, and CareCredit. All returned checks will be subject to a $25.00 fine. After attempts to collect outstanding funds and a grace period of 90 days from the day of service, the parent or legal guardian responsible for the account will be sent to directly to the credit bureau to settle the financial obligation. I agree to pay all finance charges, collection costs, attorney fees, and all other costs associated with collection of my outstanding accounts as allowed by law.