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Brian Coates, D.D.S., PA
2707 Pinedale Road, Suite A
Greensboro, NC 27408
(336) 282-5331
Thank you for choosing our office for your dental
needs. Obtaining dental treatment is very important for your
overall health, but using dental insurance can be confusing.
Our financial policies are designed to help patients maximize
their insurance plan benefits, and make filing claims easy.
1. Payment is due on the day of treatment. If
we accept assignment of insurance payment, the amount not
covered by your insurance is due the day of treatment (your
portion will be estimated). Total payment is due for first
visits. You may find it more convenient to pay in full at
the time of treatment, and we will direct your insurance company
to pay you.
2. This office will file insurance claims for
you. We are happy to help you by submitting insurance claims
without charge. However, our office does not guarantee payment
or coverage by your insurance company. Dental insurance usually
pays only a portion of your charges and we urge you to be
fully aware of the provisions of your dental plan¡|s
policy. You are responsible for your estimated portion at
the time of service. A late charge will be added to your account
on any unpaid balance 60 days from the date of treatment on
all unpaid balances including outstanding amounts to be paid
by your insurance company(s). We will not accept responsibility
for your insurance company¡|s delay of payment on your
claims.
3. Cash, Check, VISA, Mastercard, American Express,
or Discover are acceptable methods of payment.
4. In the event you are unable to make payment
by any of the methods outlined above, you can ask for information
about third-party lending institutions to assist you in paying
for your dental treatment.
5. Since our time with our patients is very
precious to us and lost time is irretrievable, we must charge
for broken appointments when we have not been notified at
least 24 hours in advance. Our charge for broken appointments
is $25. Our desire is never to find it necessary to make this
charge. Please keep your appointment, we are waiting for you.
Payment Options
Financial considerations should not be an obstacle to obtaining
medical care. Several payment options are available to assist
you in fulfilling your financial obligations:
1. Payment at time of service: This includes
estimated payments by insurance plans, and your co-pay.
2. Monthly payment plans: Wells Fargo Bank offers
3 or 6 month NO INTEREST financing for approved applicants.
There are no hidden fees.
3. Prepayment courtesy: A 5% accounting discount
for all treatment over $600 that is paid in full by cash or
check at the start of treatment. If you have insurance, since
you have prepaid, the benefits will be sent directly to you
from you insurance company.
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You will be asked to sign this policy signifying
your acknowledgment of and agreement to our financial policies
before dental services at Brain S. Coates, DDS, P.A. are rendered.
We look forward to caring for your dental
needs.
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