Dear Patient:
Please carefully review the following financial policy guidelines.
Bucks County Smiles is a Fee for Service practice, and we require payment for your treatment at the time of your dental visit. We accept cash, personal check, Visa, Mastercard, Discover and American Express.
If your charges are in excess of $400, and you pay in full by check or cash, by the day of your scheduled service, we will extend a 5% bookkeeping courtesy to you. There will be only one courtesy (discount) applied on an account for each service.
If you have a dental benefit plan, we are happy to submit an electronic claim on your behalf. Any dental benefit plan is a contract between you and your dental plan carrier. We cannot guarantee what services will be covered by your plan or what payment amount will be made by your dental benefit plan in contribution to costs of services. Any questions regarding your benefit plan or reimbursement policy should be directed to the benefit carrier or your health benefits coordinator.
Dental benefit carriers will either send payments to you, OR directly to our office.
After 60 days, if we do not receive payment from your insurance plan, the balance will become the responsibility of the patient. Unpaid patient balances will be forwarded to collections after 90 days of non-payment.
Any appointment that is broken or cancelled with less than 24 hours’ notice will be assessed a fee of $50 per half hour of appointment time. We will charge a fee of $25 for returned checks.
Thank you for your cooperation regarding our Financial Policy. We promise to provide oral healthcare of the highest standards to you, our valued patient.