We put our faith in you to keep your appointment. When you make an appointment, we reserve that time exclusively for you. For that reason, if you must change your appointment time we request that you provide us with at least 24 hours’ notice. We do understand things come up, schedules change and illnesses happen and we will handle each case of missed appointments on an individual basis.
Every late cancellation and no show takes away from another patient in need and is a burden on the practice. Due to the heightened demand, scheduling timely appointment for patients is challenging. We also send out multiple reminders via text, phone and email days leading up to the reserved appointment.
If you cancel late or do not show up for your reserved appointment, a refundable deposit (by credit card) will be required for future appointments. The deposit will be put toward your treatment balance.
Reservation Deposit for Hygiene: $125
Reservation Deposit for Dentists: $150
We understand circumstances may arise when an appointment may need to be rescheduled, but please make all attempts to do so within 24 hours. If proper notification is not given or you do not show up to appointment, then the reservation deposit is non-refundable. Patients that have 3 missed or broken appointments will only be allowed to schedule same day appointments. Beyond that may result in dismissal from the practice. If you arrive late, we may need to abbreviate or reschedule your visit.
If you have any questions about our appointment cancellation policy please call us at (603)756-4719.
Cancellation, Missed Appointments, No Show Policy
Insurance & Billing
We can help you maximize your benefits. We recommend that you contact our office prior to your appointment to provide us with insurance information for verification of benefits.
We file insurance claims for all patients with insurance benefits. We accept assignment of insurance benefits, however the balance is your responsibility whether your insurance company pays or not. We cannot bill your insurance company unless you give us your complete insurance information. Your insurance policy is a contract between you and your insurance company. We are not a party to that contract. If your insurance company has not paid on your claim within 90 days, the full balance will automatically be transferred to you. That balance will be due upon billing.
In the event that your insurance company denies payment of a service, you are responsible for that fee. Any unpaid balance after insurance pays is due within 45 days.
We are a Delta Dental Provider.
As with any partnership, both parties have a role to play. Our role is to provide you with quality service. In turn, your role is to pay for your treatment at time of service. Our team will work with you to determine financial arrangements that make sense for both of us.
So that we may file your insurance claim(s) correctly, we ask all patients to complete insurance form before seeing the doctor as that insures our office of obtaining the correct information to better serve you in regards to your benefits.
Any unpaid balance after 60 days is charged a yearly finance charge of 18%. The finance charge is equal to 1.5% of your outstanding balance per month. If your account reaches collection status (90 days) and you make no effort to pay off your account, your account will be assigned to a collection attorney or collection agency.