Financial Policies

Payment is due at the time service is rendered unless other arrangements have been made in advance. For your convenience, we accept Cash, Check, MasterCard, Visa, and Discover. Financing is also available through Care Credit and Capital One Healthcare.

We do not file insurance for consultation visits or x-rays (except Delta Dental). An itemized receipt to file with your insurance company will be given to you upon checkout. Simply attach the receipt to a claim form.

Please remember you are fully responsible for all charges regardless of your insurance coverage.

Insurance Information

For your convenience, we will submit insurance claims for procedures over $300, providing we have had an initial consultation and 10 days to verify coverage and determine benefits. Emergency treatment as well as treatment rendered on the first visit must be paid in full on the day of service.

After the consultation and prior to your surgery, we will call your insurance company and get "verbal" confirmation of eligibility and benefit coverage. Although every attempt is made to obtain correct information, the number of insurance companies and plans make it impossible for us to calculate the exact amount your insurance will pay for certain procedures. Therefore, the amount we ask you to pay on the date of service is only an estimated amount. You will be responsible for any balance remaining after payment is received from your insurance company.

Many factors affect the amount your insurance will pay. Some of these are:

  • Deductibles
  • Policy limitations for certain procedures
  • Yearly maximums
  • Benefits already used
  • Student status requirements
  • Plan year renewal dates
  • Usual and customary fees
  • Coordination of benefits or non-duplication clauses
  • Allowable amounts
  • Fee schedules
  • Missing tooth clauses
  • Age limitations

We make every effort to obtain accurate information from your insurance company. However, the information we receive from your insurance company is not a binding agreement for payment.

It is important that we have copies of both your medical and dental insurance cards before we can proceed with verification. Some of your procedures may be covered under your medical insurance and some under dental. Additionally, some procedures may only be covered if provided in conjunction with other procedures.

We work with all indemnity insurance plans. However, we are not preferred providers with any insurance company except Delta Dental. We are not providers for any HMO plans. We are not Medicare or Medicaid providers. We cannot, nor can you, submit Medicare claims.

If you have questions regarding your insurance, please contact our office. Our insurance staff is very familiar with insurance and will be happy to help you.

4300 Oak Park Lane • Fort Worth, Texas 76109
817-731-2789 phone 800-333-9189 toll free 817-207-9980 fax

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