Hatfield Dental Clinic
(979) 968-5813



Bleaching
Bridges
Crowns
Dentures
Extractions
Fillings
Gum Disease
Implants
Nitrous Oxide
Partial Dentures
Root Canal
Sealants
TMD/TMJ
Veneers

 

 

HATFIELD DENTAL CLINIC, P.C.
FINANCIAL POLICY

We are pleased that you have chosen Hatfield Dental Clinic for your dental needs.  In order to better inform you, please read the following summary of our financial policy.

 Insurance

You, as the patient, are responsible for all charges regardless of insurance coverage.  As a courtesy, we are happy to file claims with your insurance company for services rendered.  Your deductible, co-payment, and/or co-insurance are due at the time of service.  Any balance left on the account after insurance payment is received is the responsibility of the patient or financial guarantor.  After 30 days, you will receive a statement for the balance on your account and it may show over 30 days past due because we were waiting on insurance payment.

Payment

We realize that patients have financial needs, and we will do our best to find a solution that will work best for you.  We accept Visa, Mastercard, Discover, American Express, Care Credit, personal checks and cash.  There will be a $25.00 fee assessed for returned checks.  To keep your account in good standing, please remit payment by the due date on the statement.  Patients with outstanding balances 60 days or more overdue must make arrangements for payment prior to scheduling future appointments.  All accounts 90 days past due will be referred to the small claims court.

Missed Appointments/Late Cancellations

Your appointment is time set aside especially for you.  Broken appointments represent a cost to us, to you, and to other patients who could have been seen in the time reserved for you.  Please call our office 24 hours prior to your appointment if you must cancel or reschedule.  Unfortunately, if the required notice is not given, a minimum fee of $35.00 will be charged and immediately payable.  Excessive abuse of this policy may result in discharge from the practice.