Keenan Green Family Dentistry
Family and Cosmetic Dentistry
We are committed to providing you with the best possible care and we are pleased to discuss our professional fees with you at any time. Your clear understanding of our Financial Policy is important to our professional relationship.
FULL PAYMENT IS DUE AT TIME OF SERVICE for any amount that will not be paid by insurance.
EMERGENCY PATIENTS: If you are not a patient on record and require emergency treatment, you must pay in full at time of treatment.
Our office will then provide you with necessary paperwork to allow you to file for reimbursement from your insurance company.
INSURANCE: We will file claims to most insurance companies for you. We will need a copy of your insurance card and driver’s license.
DISCOUNTS: A 10% discount will be given for cash payment WHEN PAID IN FULL at time of service.
USUAL AND CUSTOMARY: Our practice is committed to providing the best treatment for our patients, and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates.
CANCELLATION FEE will be applied to account if our office is not notified within 24 hrs of your appointment.
LATE CHARGES: Late charge may apply to any past due balance. If it is necessary to take collection action against a past due account, any collection fees incurred will be the responsibility