We are committed to offering convenient financial solutions to the families we serve. Our finance team will provide you with a pre-estimate of your child’s coverage or any fees you may be responsible for such as deductibles, copayments, or non-covered procedures. Charges must be paid on the same day of service. We accept cash, checks, and most major credit cards (MasterCard, Visa, and Discover).
Billing Statement: Your bill will include date(s) of service, treatment rendered and applicable fees, payment due date, and any past due amount(s) or late fee(s). The patient portion is any copayment, deductible, or non-covered service item of a claim that ultimately becomes your responsibility.
Returned Check Policy: There is an additional $35 fee for returned checks by the bank.
Outstanding Balances: If your balance is more than 60 days past due, a re-billing fee of $10 will be added to your account. We will be glad to send you a refund check by mail if your insurance ultimately pays us. Delinquent accounts more than 90 days past due will be turned over to a collection agency. This action may adversely affect your credit rating.
Cancellation Policy: After a series of two (2) missed or broken appointments with less than 48 hours advance notice, a fee of $20 per child will be applied to your account. This charge must be paid for before another appointment can be scheduled. We understand issues can arise unexpectedly and offer limited leniency.
Dental Insurance: It is your responsibility to know the finer details of your insurance benefits. As a courtesy to our patients, our office submits claims electronically. Please provide us with accurate up-to-date insurance information before each visit. Keep in mind all insurance companies include a disclaimer stating verification of coverage is not a guarantee of payment. By law, your insurance carrier is required to release payment to a participating provider within 30 days of processing a claim. You are responsible for any balance on your account after 30 days whether or not your insurance carrier has paid your claim in full.
Out-of-Network coverage: If we are an out-of-network dental provider, you are responsible for the total cost of services rendered on the day of treatment. Our staff will provide you with postage and the information you will need to submit a paper claim for your direct reimbursement. It is your responsibility to track your out-of-network claim(s).
Sprout Savings: We are happy to offer a 5% courtesy discount for treatment paid in full by cash or check on the same day of service. This discount cannot be combined with other discounts or promotions.