- Payment is expected at the time of treatment
- All emergency patients (being seen for the first time) are required to pay in full at time of treatment.
- Patients with insurance may pay their estimated portion, including deductible, at the time of service.It is the parents' responsiblity to see that the insurance company makes prompt payment. Any insurance balance over 60 days is due and payable by the parent.
If my account requires servicing by a collection agency or by an attorney, I understand that I will be liable for collection fees, attorney fees and applicable court costs in addition to my outstanding balance. I hereby authorize payment directly to Dentistry for Children the group insurance benefits otherwise payable to me and authorize release of information regarding treatment to the insurance company.