• Office Financial Policy

  • DENTAL INSURANCE

  • As a courtesy to our patients, we will complete and submit insurance forms relative to dental treatment without charge. We will submit a “pre-determination” or “pre-authorization”, if requested, to ascertain your out-of-network insurance benefits.

  • OFFICE PAYMENT PLANS

  • Our professional treatment is rendered to you, not the insurance company. You are responsible to us for the obligation of payment for treatment. Your insurance company will reimburse you directly at the completion of treatment according to the terms of your policy. You can be assured that we will do our best to see that you receive full benefits within the structure of your particular dental plan. However, ultimate responsibility for payment is yours and financial arrangements must be defined before dental treatment begins. Our practice does not accept assignment of benefits and we cannot submit claims to Medicare or Medicaid.

    Office Payment Plans:
    1) Payment is due at the time services are rendered.

    We accept Check, Cash, Visa, MasterCard, American Express, and Discover

    To finance payment beyond the completion of treatment:

    2) Care Credit financing is available, if eligible

    We offer 6 and 12 Month deferred interest plans with Care Credit
    Promotional term availability is dependent upon amount financed

    3) Lending Club financing is available, if eligible

    We offer 6 and 12 Month no interest plans with the Lending Club
    We offer up to 60 months extended payment plans as low as 3.99% - 19.99 % depending upon
    applicant’s credit and term selected

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  • I acknowledge that I have read and understand the Office Financial Policy for ROBERT F. FAULKNER, D.D.S., INC.

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