Please provide adequate notice for a change in your appointment
We want to thank you for choosing us as your dental care provider. When you make a dental appointment, we reserve a treatment room, appropriate staff, and equipment just for you. In order to give you and each of our patients the best possible care, we request at least 1 business day notice for any changes to your scheduled appointment. Canceling or missing appointments with short notice makes it impossible for us to offer your reserved slot to another patient. Just as we want you to succeed in your oral healthcare goals, we hope you wish us to succeed in our practice goals. If insufficient notice is received you will be assessed a fee per appointment. The fee is $50 per appointment. For extensive treatment, involving lengthy appointments, you may be asked to make a deposit based upon the appointment length.
Please complete and honor your Financial Agreement
We are committed to providing you excellent care and payment of your bill is part of successful treatment. Each patient/account guarantor will be responsible to sign a Financial Agreement that outlines our billing practices and insurance policies in detail.
Payment is due in full for services rendered at each visit with cash, check, or credit card. If you have insurance benefits you may assign them to our practice according to our insurance policy as outlined in our Financial Agreement.
When we provide you a diagnostic or preventive care service, your fees will be billed according to our prevailing fee schedule. If at any time you wish to know the specific fees in advance of your appointment, we will be happy to provide this to you. However, we cannot always anticipate the services you will need before your appointment. For example, the doctor may request a different type of x-ray than the one we had quoted. We assume our patients will be responsible for such changes in their course of treatment.
When new treatment is diagnosed, we will explain the procedures and associated fees before we begin treatment. In such cases it is our practice to make definite financial arrangements with patients before treatment begins. We’re pleased to offer different payment options including low or no-interest payments through Care Credit.
Please note we do not accept nor participate with any DMO/HMO insurance plans, prepay plans, discount programs, or Medicaid.
Please understand that we can only ESTIMATE your dental insurance benefits.
A dental benefit plan is a financial tool that belongs to the patient. It is usually a contract between an employer and an insurance company on behalf of the patient. Summit Dental is never a party to this contract.
There are over 36,000 different dental insurance plans in the state of New Mexico alone. Dental insurance plans come with lots of variety. They are designed with different deductibles, maximums, copayment percentages, allowances, exclusions and limitations. As if that isn’t complex enough, there is no universal format which insurance companies use to communicate their benefits to consumers, employers, or healthcare professionals. Because of the complexity and variety of these plans we will never guarantee benefit payment from your insurance company. Whenever we provide information on your insurance benefits, please understand that we can provide only an ESTIMATE.
Every dental insurance plan is specific contractual language that spells out your dental benefit plan. We are not a party to that contract and therefore it is impossible to guarantee insurance benefits to any patient. We ask you to understand that we can only ESTIMATE your dental insurance benefit. We wish you to be aware that when services are provided to you at Summit Dental, you are responsible for all fees associated with dental services regardless of insurance estimation. We communicate this in the following ways.
- Upon registration, patients enter into a signed financial agreement which clearly communicates how we will handle their dental insurance.
- Our written treatment plans clearly remind the patient that dental benefits are estimated.
- When engaging in financial conversations with patients we endeavor to re-communicate the estimated nature of dental benefits and the responsibility of patients for their treatment fees.
While we can’t guarantee benefits, we can assure you that we employ decades of experience when we research a dental plan on your behalf. When you provide dental insurance information to us, we prepare for your dental appointment by researching your dental insurance plan using a variety of sources. We compile a profile of your plan based on what we discover in the research process. This information is used to estimate your dental benefits. We pride ourselves in our ability to unravel the mysteries and benefits of your particular plan and don’t charge a fee for researching or filing your claims. We look for common limitations and exclusions and strive to uncover them during our research process. Because we are not a party to your insurance benefit contract, the process can’t be exact (and occasionally not even close), and that is why we can’t provide insurance benefit guarantees.