Dentist - Indianapolis | Allison Run Office Park | 5511 E. 82nd St, Suite F | Indianapolis, IN 46250

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We Welcome New Patients

 

 

Welcome to our dental practice!  We are so glad to have you as a patient and look forward to the opportunity to meet your dental health needs!  Our goal is to serve our patients on a long term basis by providing the same care we would give to a valued family member or friend.  So that we can achieve this part of our mission together, we want to make you aware of our financial policy and your obligation so there are never any surprises. 

Payment

  • Payment for services is due at the time services are rendered unless specific arrangements have been made in advance.
  • Payment may be made with cash, check, Visa, Mastercard or Discover.
  • We offer interest-free and long-term affordable payment plans through CareCredit. 
  • We will pass on any fees charged to us by our bank for returned checks or non-sufficient funds.

 

Insurance

  • As a courtesy to our patients who are covered by insurance, we will bill your insurance for you and accept assignment of benefits.   We want to empahsize that our relationship is with you, not your insurance company.  It is your responsibity to know your benefits and all charges are your responsibility from the date services are rendered. 
  • We will estimate your co-payment to the best of our ability based on your policy outlne, but it's not an exact science.  Benefits are determined after receipt of a claim and are based on your insurance company's considered fees for "Usual and Customary", which can vary greatly from one insurance company to the next.
  • Co-payments are due at the time of service.  If there is a remaining balance following payment from insurance, this balance is due upon receiving a statement.
  • We strongly suggest you become familiar with your specific insurance plan and your covered benefits.  Every insurance plan is different and some routine procedures may not be covered or may be limited to certain frequency.

 

Statements

  • Statements are automatically generated for patients with a balance due after activity has been made on your account (insurance payment, patient payment, etc).
  • Statements are due 15 days after the statement date.  If no payment is made by the next statement date, a late fee of $5.00 will be applied to your account. 
  • Accounts that have not received any payment or acknowledgment for 4 consecutive months will be subject to additional service fees and referred to a professional collection agency or legal procedings will begin.
  • Open communication regarding your account is highly encouraged.  We are very receptive to working with you in difficult financial times.  The lack of communication often indicates a lack of concern on your part. 

 

Billing Charges

  • Account balances over 90 days may be subject to late fees, collection referral or legal action unless prior arrangements have been made. 
  • You will be responsible for all fees associated with collecting your debt.
  • We will make a report with the 3 major credit bureaus, which will have an adverse effect on your credit score.