Thank you for choosing our Heber Spring Dentist as your dental health care provider. We are committed to providing you with the best treatment. Please understand that payment of your bill is considered a part of your treatment. The following is a statement of our Financial Policy, which we require you to read and sign prior to any treatment.
All patients must complete our Information form before seeing Dr. Wilson.
PAYMENT IS DUE AT TIME OF SERVICE UNLESS PRIOR ARRANGEMENTS HAVE BEEN MADE. WE ACCEPT CASH, CHECKS, OR VISA/MASTERCARD.
Your insurance coverage is a contract between you and your insurance company. We are not a party to that contract. As a courtesy to you, we will gladly file your insurance claims for you. However, all co-pays and deductibles are due at the time of service. In the event we accept assignment of benefits, you are still ultimately responsible for all charges. If your insurance company has not paid your account in full within 45 days, the balance will be due from you.
Usual and Customary Rates
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.
Thank you for understanding our Financial Policy. Please do not hesitate to ask us any questions or share any concerns you may have.