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New Patient Info

Philadelphia Patient Forms - New Patient Information

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions at all.

This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Payment Options

For your convenience, we accept cash, personal checks, and major credit cards.  We also offer dental work to be paid via CARECREDIT (need logo inserted here).  With CARECREDIT, dental work can be finished and paid immediately with your CARECREDIT card.  There are different plans with CARECREDIT, from low interest to NO interest payment plans.  Payment is expected at the time services are performed. When more extensive dental care is necessary, financial arrangements can be made with our office.  We also offer SENIOR CITIZEN DISCOUNTS at our practice.

     

 

Dental Insurance

As a service to our patients, our practice accepts most dental insurance programs, including non-managed care, indemnity (traditional) and PPO out-of-network. We are not part of any managed care network. Our accounting staff will prepare all the necessary forms for your dental benefits. However, we remind you that your specific policy is an agreement between you and your insurance company. Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated. Our staff will gladly submit a pre-treatment estimate to your insurance company so that you will know what your benefits will be.

The fees charged for services rendered to those who are insured are the usual and customary fees charged to all our patients for similar services. Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with our usual fees. You should be aware that different insurance companies vary greatly in the types of coverage available.  It is a common misconception that since you pay your dental insurance premium yearly that there are no more costs to you (the patient).  Also, some companies take care of claims promptly while others delay payment for several months.