Financing Your Care

Payment Options

For your convenience, we accept Discover, Visa, American Express, MasterCard and Care Credit. We also accept cash or a personal check drawn from a local bank. There is a $30.00 fee for a returned check.

Billing Information

We do not send monthly statements, however we will work with your insurance company if you fill out our Insurance and Financial Policy form. Most insurance companies will respond within four to six weeks after your treatment. Any remaining balance after your insurance has paid is your responsibility.

If you do not have insurance coverage or assignable insurance, payment is due on the day of service.

We are here to help! Please call for more information about financing your oral health needs in our office: Cary Office Phone Number 919-567-3293

Financial Responsibilities

ALL ACCOUNTS MUST BE PAID IN FULL WITHIN NINETY (90) DAYS from the date of service. This amount is your responsibility. We will submit your insurance claim to your Primary medical and dental insurance companies as a courtesy to you. This does not imply that your particular plan will cover your anticipated procedure, either in part or in full. If you are not sure if you are covered, please contact your insurance company directly. If processing of your claim has been delayed, we request your assistance in expediting the process. After 90 days, your outstanding balance is due regardless of the status of your insurance claim.

Financial Policy Form

Please review and sign our Financial Policy Form then bring it with you to your first office visit. The security and privacy of your personal data is very important and we have taken every precaution to protect it.

Technical Note

These forms are in PDF format. If you do not have Adobe Reader installed on your computer, you may download Acrobat Reader for free and use it to access these forms.