To prevent any misunderstanding, we would like to inform you of our financial policies prior to your treatment. All fees are due at the time of treatment. If you have dental insurance coverage we will be happy to file your dental claims on your behalf, but it is important that you understand all fees for services are ultimately your responsibility. Our staff will inform you of your estimated uninsured portion prior to beginning treatment. The estimated uninsured portion is due at the time of service.
Treatment Plan/Estimate of Benefits will be considered valid for 12 months if the described treatment plan/procedures are performed while the patient is insured under the contract; however, benefits cannot be impacted by plan changes and policy provisions including plan maximum and deductibles. Eligibility cannot be verified until the date of service is rendered.
Once we have received payment from your insurance company any remaining balance will be due with 30 days. Balance over 30 days will be subject to processing fee per month on unpaid balances.
I understand that it is my responsibility to inform The Center for Oral and Maxillofacial Surgery, Dr. Henry Rowshan of any changes to my insurance coverage. I further understand that any charges denied by my new insurance company are my full responsibility. I understand it is my responsibility to know the limits and restrictions of my insurance coverage.
We offer a multitude of payment options. We accept payment by cash, personal checks and major credit cards (Visa, MasterCard, American Express). In addition, should you be interested in longer term financing, we offer the services of Care Credit, the leading dental financing company. There will be a $45.00 fee for any returned checks.
Should you have any questions regarding the financial policy, please discuss them with our front office staff.