"Quality Dentistry With A Gentle
Touch"
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PAYMENTS/INSURANCE/FINANCIAL ARRANGEMENTS Payment for visits to the office are due on the date of service. In the event it becomes necessary to send the patient a bill for payment not received on the date of service, a $5.00 billing fee will be added each month the balance is outstanding. If you are an insured patient, we will make every effort to verify your insurance coverage prior to your first visit. We will process your insurance forms with any needed information for you to mail. Insurance payments are mailed directly to you usually within 2 weeks. All payments are due at the time of service unless prior arrangements are made with our financial secretary. After the initial exam a treatment plan is presented and costs can be discussed at the second visit. Financial arrangements may be made with the help of the business manager for large treatment plans. This should be discussed after the treatment plan is made and before treatment has begun. Please make an appointment with the business manager if you need to discuss your treatment and financial arrangements. We accept Visa, Mastercard, Discover, American Express, personal checks and cash. Health Care Creditline and CareCredit are several Dental Credit cards we can help you apply for. In the event a check is returned for non-sufficient funds, a charge will be placed on the patients account. Thereafter, the patient will need to pay for his/her service with cash or credit card for the next six months.
BREECH OF FINANCIAL AGREEMENT/DELINQUENT ACCOUNTS We at Wheatfield Family Dentistry provide high quality dental services, in good faith of payment, to our patients. Any account over 120 days past due, without financial arrangements, will be sent to a collection agency which may affect the patients ability to receive future credit. If you are having difficulty paying your bill, please contact our office. We can work something out. Thank you for choosing Wheatfield Family Dentistry as your dental health provider. We consider it a privilege to provide dental care to you and your family.
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Wheatfield Family Dentistry
Wheatfield Tonawanda Dentists and Dentistry
Copyright ©1999 Wheatfield Family Dentistry
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