For your convenience, we accept Visa, MasterCard and Discover. We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at (920) 739-1214. We also participate with Care Credit financing. Information on how to apply can be found at www.carecredit.com.
Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.
To assist our patients with their treatment cost, a 5% reduction applies when payment in full is received at the time of service (this discount is not available to patients with 100% insurance coverage, with insurance plans that offer greater ppo discounts, or with accounts using CareCredit). Our office accepts cash, check, Visa, Master Card,
Discover, and CareCredit.
Insurance plans are a contract between the patient and the insurance company. Insurance coverage varies widely, and benefits cannot be guaranteed. Patients should contact their individual insurance companies if there are questions on plan benefits and coverage. For patients that have both medical and dental insurance, a 20% down payment of the estimate total will be required at the time of surgery. In addition, a Final Payment Arrangement form (secure credit card authorization for payment on balances after insurance) will need to be completed to avoid monthly service charges on balances not paid in full. Insurance claims are filed if complete insurance information is provided to our office. Any remaining balance after insurance has processed is the patient’s responsibility. If there is a credit or overpayment on the account, a refund will be
For accounts with no insurance, medical insurance only, dental implant procedures and/or appliances, full payment is required at the time of service. This makes patients eligible for a 5% discount. If there is a credit or overpayment on the account, a refund will be issued.
If the services received are due to an accident or injury at work, please inform our business staff. Our office will assist with filing claims if complete information is provided. The collection of fees through Worker’s Compensation, personal injury, auto accidents, or other litigation is the patient’s responsibility.
We’re excited to share a new way for CareCredit cardholders to pay online. Check out Pay My Provider! carecredit.com/pay