Dr. Rani Shina, D.D.S,, Inc.
Welcome! We are pleased you have selected us to assist you with your dental needs. Our aim is to provide you with personalized quality dental care. If you have any questions regarding your treatment, please bring it to our attention. We would like to introduce you to our office financial policy.
Payment for service is required at the time of your visit. This helps to reduce our overhead costs resulting in lower fees for our patients. For your convenience, we accept cash, checks, MasterCard, Visa, Discover, and American Express.
If you have dental insurance, we will be happy to assist you in filing a claim and in determining your benefits. Bring your insurance card and booklet with you for your first visit. We will keep it on file for subsequent visits.Please notify us of any changes in your coverage.
All co-payments and deductibles are due when services are rendered. You are directly responsible to our office for payment of your account regardless of the status of your insurance claim. You will receive a statement each month for our office even though your insurance is pending. The estimate provided by this office is to be used only as a guideline until the final insurance payment is received and the patient’s account has been reconciled. *An estimate is no guarantee of the insurance payment, and is clearly stated by the insurance company. However, we are here to assist you, to receive the best care and the most from your benefits.
If we have filed your insurance claim on you behalf and no payment or a “denial of benefits” notice has been received within thirty days, we encourage you to contact your insurance company as to the reason for the delay.
*If your insurance has not paid within 45 days, we will require that you clear your balance. Meaning, you must pay off your account in full and instruct your insurance company to reimburse you directly. See below.
Please be advised that if NO payment is received within 30 days of your statement, and 18% interest rate will be assessed to the balance.
We are happy to work with patients who do not have insurance. Financial arrangements may be available for large cases on an individual basis.
The best dental care can be provided only on the basis of mutual understanding. We, therefore, encourage our patients to discuss any questions they may have regarding our financial policy with our Practice Administrator.
There will be a $50.00 cancellation fee per hour of scheduled time if cancelled with less then 24 hours notice given.