Financial Policy:

We accept cash, checks, credit cards (Visa, Mastercard, Discover, AMEX) and offer CareCredit.

  1. Payment is expected in full at the time of service unless other arrangements have been made.
  2. A service fee of 2.0% per month will be applied towards unpaid balances after 90 days.
  3. Returned checks are subject to a $25 service charge.
  4. Failure to communicate an overdue balance may result in your account being turned over to a collection agency. The patient is responsible for all fees/costs associated with the collection process.

Insurance:

We participate with Excellus BCBS, Cigna PPO, and UNUM dental insurance.

Your dental insurance contract is an agreement between you and your insurance company. We will
process all insurance claims as a courtesy, but the patient or guardian is responsible for understanding
their dental insurance eligibility and benefits. We recommend asking for a predetermination of benefits
prior to any basic/major dental work. This is only submitted upon the patient’s request and we cannot
guarantee that any coverage estimated by your plan will be paid once a claim is filed.

*Any remaining balance after your insurance has paid is your responsibility.*

Cancellation Policy:

Failure to provide 24hr notice of cancellation may result in a charge. This fee must be paid prior
to rescheduling your appointment.

  1. $50 per hygiene appointment
  2. $75 per ½ hour with the doctor

*If you are more than 15min late, your appointment will automatically be marked as missed and will need to be rescheduled.

THE DOCTORS RESERVE THE RIGHT TO DISMISS YOU FROM OUR PRACTICE AFTER 3
OR MORE MISSED/CANCELLED APPOINTMENTS.*