As our patient, you have important rights relating to inspecting and copying your medical information that we maintain, amending or correcting that information, obtaining an accounting of our disclosures of your medical information, requesting that we communicate with you confidentially, requesting that we restrict certain uses and disclosures of your health information, and complaining if you think your rights have been violated.
We are glad to assist you in obtaining the maximum benefit from your dental insurance plan. Most plans only cover a portion of the dental fee, which means you, will be responsible for your deductible and the portion your plan will not cover. We will estimate your portion, to the best of our ability. Once your plan coverage has been verified, we will accept assignment of payment from your insurance company. Payment of your estimated portion is expected at the time you are in our office for dental care, unless prior arrangements have been made. Once insurance has paid, any remaining balance will be billed to you.
Unless specific prior arrangements have been made, full payment is due at the time of service. For large cosmetic cases, arrangements will need to be made prior to the commencement of the case. For your convenience, we accept VISA, MasterCard, American Express, Discover, Cash and personal checks.
We offer financial flexibility with Citibank and Care Credit. Citibank and Care Credit are convenient and require no down payment. We offer low monthly payments for dental treatment up to $25,000 with very low to no interest. Your treatment coordinator will be happy to provide additional information and answer any questions. Just think, in 15 minutes you can be approved and ready to get your beautiful smile right away. Ready to apply? Apply online for your Care Credit or Citibank card today!
Our appointments are scheduled to respect your time. We reserve a specific time for your care and we make every effort to see you at that appointed time. We appreciate your promptness and consideration in not changing your scheduled time. However, if you do need to change an appointment, a 48 hour notice would be appreciated.
NOTICE: PATIENT PRIVACY
We are committed to preserving the privacy of your personal health information. In fact, we are required by law to protect the privacy of your medical information and to provide you with literature describing:
How medical information about you made be used and disclosed and how you can access this information:
We are required by law to have your written consent before we use or disclose to others your medical information for purposes of providing or arranging for your health care, the payment for or reimbursement of the care that we provide to you, and the related administrative activities supporting your treatment. We may be required or permitted by certain laws to use and disclose your medical information for other purposes without your consent or authorization.
We have available a detailed Notice of Privacy Practices, which fully explains your rights and our obligations under the law. We may revise our Notice from time to time. The effective date at the top right hand side of this page indicates the date of the most current Notice in effect.
You have the right to receive a copy of our most current Notice in effect. If you have not yet received a copy of our current Notice, please ask at the front desk, and we will provide you with a copy.
If you have any questions, concerns or complaints about the Notice or your medical information, please contact our office at 770-428-5959.