Ellis General Dentistry

Dennis W. Ellis, DDS, PA

Financial Policies

This statement is designed to inform you of our financial policies. We make every effort to control the cost of dental treatment, and we believe our fees are affordable, reasonable, and fair. Our fees are based on the time and complexity of your case, and they reflect the skill and individual attention required to deliver the highest quality of care.

PAYMENT POLICY:

We depend on your payment at the time of your visit to help control costs. We have established the following payment options for our patients. Our fees may be paid as follows:

  1. For routine dental services, payment is expected in full at each visit.

  2. For any remaining balance, payment is due in full within 30 days of statement date.  All accounts outstanding more than 60 days will bear interest at the rate of 1.5% per month or 18% per year.

  3. Use of VISA, Mastercard, Amex, debit card, or check is offered for your convenience.

  4. We realize that some patients may have unexpected or extensive treatment plans, making payment difficult at the time of treatment. Extended payment plans are available upon special request. All major treatments and any procedures involving a laboratory fee will require an appropriate down payment.

DENTAL INSURANCE:

We do not file dental insurance, and we are not considered “in-network”. Your dental insurance plan is a contract between you or your employer and the insurance company. The insurance company is responsible to the patient and the patient is responsible to the doctor for payment. Insurance companies base their payments on what you or your employer has contracted for, and this payment typically is only a precentage of a table of fees for a given zip code area. This is why your insurance benefit sometimes is not the same as our fees. Please be aware that most insurance companies only provide coverage for a portion of needed dental services and some procedures may be excluded from coverage altogether. This dental office is dedicated to providing you with the treatment you need while your insurance carrier is only obligated to pay what your contract calls for. We urge you to be fully aware of the provisions of your policy before you begin treatment.

At each visit, please ask one of our business personnel for an insurance statement of services rendered. This form will provide all the information necessary for your insurance company to fully process the claim, so that you may receive all the benefits you are due. Many insurance companies prefer that extensive treatment plans be prior approved or “pre-authorized” so that exact benefits may be determined in advance of treatment. We can provide you with a pre-authorization form and will be happy to help you fill it out.