Financial Agreement • Silverdale, WA

Financial Agreement

Financial Agreement

It is our goal for patients to clearly understand their treatment needs as well as their financial responsibility before treatment begins. It is our desire to make dental treatment affordable to all of our patients. We therefore offer the following financial arrangements:

5% Cash Discount: For cash and/or check payments in full at time of treatment. An additional 5% courtesy is offered to our patients 65 and older.

VISA – Mastercard – Discover

Patients with Insurance: Estimated portion not covered by insurance due at time of treatment.

Patients without Insurance: Payment for dental services is due at time of treatment.

Care Credit: Your estimated portion for treatment can be put on a CareCredit Account, our in-office financing partner. Applications for CareCredit are available at our front office or you can request approval online at www.carecredit.com.

For Our Patients with Dental Insurance

We are glad to assist you in obtaining maximum benefits from your dental insurance plan. To help us assist you, please bring your insurance benefit book and your insurance card to your first visit. Once your plan coverage is verified, we accept payment from your insurance company for the portion covered by your policy.

Our staff will assist you in obtaining maximum dental insurance benefits, and will verify the coverage that your particular program provides. On the date of your office visit, you are responsible for your deductible and the portion we estimate your insurance does not cover.

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