Our Financial Policy

In an effort to maintain treatment fees at a minimum while maintaining a high level of professional care, we have established the following financial policy for our office. Please feel free to discuss our fees with us at any time. Before any dental treatment has begun, the patient and/or responsible party will receive a consultation regarding treatment plan and cost.

We require payment day of in full for the portion, not covered by dental insurance, of dental services to be rendered. For procedures that take multiple appointments to complete, payment may be split up over the number of appointments required. We accept Cash, American Express, Visa, MasterCard, Discover, Personal Checks and outside financing through Care Credit and Java. Outside financing credit applications to help assist with the cost of your dental treatment are available upon request.

By signing below the patient agrees, there is an understood “Assignment of Benefits” to Oak Cliff Dental Center. In some instances, the assignment of benefits is sometimes mistakenly overlooked by insurance companies and mailed to patients; and in that scenario the patient is responsible for signing the check over to Oak Cliff Dental Center and the balance will be the patient’s responsibility.

As a courtesy to our patients with insurance, we will file your insurance claim, allowing you to pay only your deductible and/or estimated co-payment of services are rendered. Please remember that the contract is between you and your insurance company. We make every effort to give you an accurate estimate of what your portion of our fees will be, based on the information provided to us. However, we have no way to guarantee the actual terms of your policy. Any dispute coverage or the amount of reimbursement is between you and your insurance carrier. If your insurance policy in any case does not pay full estimation, the balance is then responsibility of the patient. By agreeing to this policy you agree to all such conditions.

At Oak Cliff Dental Center we schedule our appointments to provide each patient with our undivided attention. In order to accomplish this, we require a 24-hour confirmation on all appointments. Please be advised that you will be charged for cancellations with less than 24 hours’ notice at the rate of $50.00 for examination/hygiene appointments and $75.00 for dental procedure appointments. Should the patient change their mind for whatever reason during treatment, patient will still be responsible for full payment.

We appreciate your confidence in choosing our practice. Please do not hesitate to inquire with a staff member should you have any questions regarding this policy.

I have read, understood and agree to the Office Financial Policy stated above.