Thank you for choosing The Kids' Dentist as your child's oral health care provider. The following is a statement of our Financial Policy that we require you to read and sign prior to any treatment.
Payment: Full payment is due at the time of service unless special arrangements are made. We accept cash, checks, or most major credit cards.
Insurance: We may accept assignment of primary insurance benefits; however, deductibles and co-payments are due at the time of service. Your insurance policy is a contract between you and your insurance company; we are not a party to that contract nor responsible for procedures not covered for any reason. We must have complete and up-to-date insurance information to bill on your behalf. If your insurance has not paid within 60 days, the balance becomes your responsibility.
Finance Charges: A monthly late fee of $10 will be billed to any account unpaid for 60 days without payment arrangements. An interest charge equal to 12% APR will be added to balances over 60 days old.
Unpaid Accounts: Accounts 90 days past due may be sent to a collection agency or settled in small claims court. You will be responsible for a $100 collection fee and/or any court fees incurred.
Missed Appointments: Unless canceled at least 24 hours in advance, our policy is to charge $50 for missed appointments.
Returned Checks: If a check is returned for insufficient funds, there is a $25.00 charge, and from that point on checks and credit cards will not be accepted.
