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DENTAL INSURANCE AND PAYMENT OPTIONS
WE ARE NETWORK PROVIDERS ON THE GUARDIAN, UNITED CONCORDIA,
DELTA DENTAL AND AMERITAS DENTAL INSURANCE PLANS
Co-payments and deductibles are due at the time of service
ALL OTHER PPO PLANS WE WILL PROCESS YOUR CLAIMS ACCORDING
TO POLICY
Co-payments and deductibles are due at the time of service.
PAYMENT OPTIONS: WE TAKE THE FEAR OF COST OUT OF DENTAL
CARE FOR OUR PATIENTS WHO NEED TO MAKE PAYMENTS WE ARE PROUD
TO OFFER THE FOLLOWING SERVICE:
CARECREDIT PAYMENT OPTIONS:
We understand that most of our patients do not have the ability
to write large checks to pay for services at the time of treatment.
Because of that, we have signed up to provide this wonderful
financing source for our patients so that they can have the
dental care that they deserve. By being able to make affordable
monthly payments with a reasonable interest rate our patients
are able to complete the entire treatment plan and enjoy the
benefits of having a new smile instead of just being “patched
up” and having to keep coming in for painful “emergencies.”
There are two choices of options:
Interest free for 3-6 or 12 months. You pay no interest for
the agreed period of time as long as the entire balance is
paid off during the interest free period. You must make the
monthly-required minimum payment.
Extended Payment Option. You pay a monthly amount including
a low APR starting immediately. Your payment is usually smaller
than the interest free but it is for a longer period of time.
Payments must be received on time.
The process is easy and takes only a few minutes in our
office OR you can call from the privacy of your home.
QUESTIONS ON CARECREDIT? CALL 800 839-9078
PATIENT INFORMATION AND
HEALTH HISTORY FORM
HIPAA RELEASE FORM
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