Office Policies

financialpolicyOur office is a fee-for-service practice; therefore payment is due at the time service is rendered unless other arrangements have been made in advance. All patients must complete the Patient Information form, HIPPA and the Office Policies and Goals form.

Full payment (or the “estimated patient portion”, if insured) is due at time of service. We accept cash, checks, debit and credit cards. We do offer an extended payment plan with prior credit approval. See Patient Financing. You are responsible for your account with the office (regardless of whether or not there is insurance involved).

Those with dental insurance will be responsible for their portion or deductible at the time treatment is provided. Most insurance companies respond within four to six weeks. For, those who may still have a remaining balance, a monthly statement will be mailed out. Please call our office at (407) 889-9682 if your statement does not reflect your insurance payment within that time frame. Any remaining balance is your responsibility. Your prompt admittance is appreciated.

Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.

Missed Appointments
Each of your scheduled appointments is a designated time that has been “reserved” just for you! We respect your time and ask that our patients in turn, do the same for us. If you should find that your appointment needs to be changed, a 24 hour notice is required. A cancellation fee of will be charged to those not fulfilling this requirement. Please help us serve you better by keeping your scheduled appointment(s).

The adult accompanying a minor (the parent(s) or guardian) is responsible for full payment or (patient’s portion, if insured) the day treatment is rendered. For unaccompanied minors, payment arrangements must be made in advance with payment accompanying the minor the day of treatment.