Thank you got choosing Capeside Oral & Facial Surgery, Inc. We are committed to your treatment being successful. Please understand that the payment of your bill is considered part of your treatment. It is required that you read and sign the following financial policy prior to any treatment at our office.
Payment: We are non-contracted providers with any insurance (medical or dental). We are fee for service, meaning we collect in full at every visit. Payments may be made using cash, check, Visa, Mastercard, Discover, and Amex. We also accept Care Credit, which allows 6 months interest-free payments. Patients with treatment plans that are $5,000 or more will be required to pay 50% of their procedure fee 1 week prior to their appointment as a deposit to hold their appointment. All charges you incur are your responsibility to pay in full.
Cancellations: We require at least 24 hours’ notice to reschedule or to cancel an appointment. Cancellation or rescheduling of your appointment within 24 hours of surgery will require a deposit to reschedule your appointment. After rescheduling your appointment twice, we will require a $500 non-refundable deposit to reschedule the appointment.
Dental Insurance: As a courtesy, we will submit a claim to your dental insurance. Your insurance company will then reimburse you directly according to the terms of your policy. We cannot submit to your medical insurance. For questions, call your insurance company directly. Please bring your dental card or information to your appointment.
Refunds: We will refund any account resulting in a credit balance. All refunds will be made via check and are processed every two weeks.
If payment is delinquent, the patient will be responsible for payment of any collection fee, interest charged, attorney’s fees and court costs associated with the recovery of the monies due on the account.