Thank you for choosing Joiner and Zwart Dentistry as your dental care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered part of your treatment.
The following is a statement of our financial policy.
Understand that regardless of any insurance status, you are responsible for the balance due on your account. You are responsible for any and all professional services rendered. This includes but is not limited to: dental fees, surgical procedures, tests, office procedures, medications and also any other services not directly provided by the dentist.
Unless we receive notice of cancellation 48 hours in advance, you may be charged $50.00. Please help us serve you better by keeping scheduled appointments.
Please remember your insurance policy is a contract between you and your insurance company. We are not a party to that contract.
As a courtesy to you, our office provides certain services, including a pre-treatment estimate which we send to the insurance company at your request. It is physically impossible for us to have knowledge and keep track of every aspect of your insurance. It is up to you to contact your insurance company and inquire as to what benefits your employer has purchased for you. If you have any questions concerning the pre-treatment estimate and/or fees for service, it is your responsibility to have these answered prior to treatment to minimize any confusion on your behalf.
Please be aware some or perhaps all of the services provided may or may not be covered by your insurance policy. Any balance is your responsibility whether or not your insurance company pays any portion.
FULL PAYMENT is due at the time of service. If insurance benefits apply, ESTIMATED PATIENT CO-PAYMENTS and DEDUCTIBLES are due at the time of service, unless other arrangements are made.
Please indicate below the form of payment you wish to choose.
Cash or check
Visa, MasterCard, Discover
If you qualify, a monthly payment plan is available for your convenience through Care Credit.
In Office Savings Plan
Unpaid balance over 30 days old will be subject to monthly interest of 1.5% (APR 18%). If payment is delinquent, the patient will be responsible for payment of collection, attorney’s fees, and court costs associated with the recovery of the monies due on the account.
If you have any questions, please contact our office and we will be glad to discuss with you.