Financial Policy
Prior to your arrival at our office, we would like to give a brief overview of our dental insurance policy and the type of care we deliver.
Our primary responsibility is to provide you with the finest Periodontal and Implant Therapy possible. Therefore, we do not participate in any dental insurance provider panels. Their limited benefits and bureaucracy compromise the level of care you would receive.
Payment Policy
As a condition of your treatment by this office, payment is due at the time of service. The practice depends upon reimbursement from patients for the costs incurred in their care.
Financial responsibility on the part of each patient will and must be determined before treatment.
Insurance Policy
Patients who carry dental insurance understand that all dental services furnished are charged directly to the patient and that he or she is personally responsible for payment of all dental services.
Although we do not accept dental insurance, we will help you to submit all the necessary forms to ensure you receive coverage due.
The amounts reimbursed will vary depending on which plan you or your employer has purchased from the insurance company.
We will:
- Help prioritize your treatment and determine which problem should be solved first. This way, you, not the third-party, are involved in the decision-making process for your health
- Assist you to file your insurance claims
- You ( the patient ) are responsible for all follow up with insurance questions and payment
- We will supply you ( the patient) with any letters required to confirm dental treatment
Please don't hesitate to contact us if you have further questions regarding financing, to discuss payment options , or any other aspect of the treatment process. Call our office at:
212-588-9959I ____________ understand that the fee estimate listed for this dental care can only be extended for a period of 6 months from the date of the patient examination.
In consideration for the professional services rendered to me, or at my request, by the Doctor, I agree to pay therefore the value of said services to Doctor, or his assignee, at the time services are rendered. I further agree that a waiver of any breach of any time or condition hereunder shall not constitute a waiver of any further term or condition and I further agree to pay all costs and reasonable attorney fees if suit be instituted hereunder.
