Patient Information for Advanced Dental

Financing:

• CASH OR CHECK
  Receive a 5% bookkeeping courtesy by paying in full before, or at the time of service. For treatment requiring more than one appointment, the entire treatment plan must be paid in advance, or at the first visit in order to receive this 5% courtesy.
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• CREDIT/DEBIT
  Receive rewards, miles or cash back from your credit card company by paying in full at the time of service. We accept all major credit cards including MasterCard, Visa, Discover, and American Express. Many of our clients prefer to pay with their credit cards as it allows them to maximize their existing rewards program.
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• DENTAL INSURANCE BENEFITS
  Receive a bookkeeping courtesy when you pay in full at the time of service and allow your insurance company to process the claim and send the insurance benefit check directly to you. To help you maximize your benefits, we will complete and submit your insurance claim electronically for you. Once your insurance carrier has processed the claim, you will be reimbursed directly by them for any eligible benefits.
  **NOTE: If you elect to assign your insurance benefits to our office, you must pay your estimated patient portion for your visit and leave a signed and valid credit card authorization form on file with us (complete the back of this form) which will be used to pay any remaining balance in the event your insurance company doesn’t pay the expected, or estimated amount.
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• IN-OFFICE SAVINGS PLAN ~ typically for patients not covered by dental insurance
  We are happy to introduce and offer a unique and wonderful program to assist our patients without insurance - the Advanced Dental Savings Plan has been created just for you. For one low annual fee, you, your spouse and your dependents are eligible to receive a limited number of diagnostic, preventative and/or periodontal hygiene services each year and you will receive special pricing for all other treatments provided by our office. There are no claim forms to deal with; no pre-existing conditions, exclusions or limitations; no waiting periods; and no embarrassing questions in order to qualify. Ask one of our team members about enrolling in our Savings Plan today!
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• MONTHLY PAYMENTS
  If you prefer to pay a little each month toward your dental care, we’ve made special arrangements with several, reputable third-party healthcare finance companies. This will allow you to complete your treatment and still be able to budget for affordable, monthly payments over time- many times with interest-free options and terms. One of our team members will be happy to discuss this payment option and current financing specials with you. **NOTE: an administrative fee of 5% will be added to all financed treatment plans. (see terms and conditions of financing application).
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• TREATMENT DEPOSITS
  A 10% deposit is required for all Doctor Visits, as well as any appointments during evening & Saturday high demand appointment times. This deposit becomes non-refundable with less than 48 hours’ notice of cancellation, missed or broken appointments, but may be transferred one time in the event of a last minute notification of a change in your schedule