Office Policies page art for Pediatric dentist Dr. Charles R. Greenleaf

Office Policies

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We attempt to schedule appointments at your convenience. Preschool aged children are typically seen in the morning when they are well rested and we can work with them, ensuring the best visit possible. Whenever possible, older children are seen in the afternoon. Please be aware that scheduling of appointments is also determined by the procedure that your child is having. We reserve these specific appointment times for you and your child, and make every effort to see our patients on time and ask that you arrive promptly as scheduled. We are aware that unforeseen events sometimes require missing an appointment. Please notify us 24 hours in advance if you are unable to keep your appointment.

Insurance is accepted as a form of payment but any deductibles and co-pays are due at the time of service. We are preferred providers with Blue Cross Blue Shield of Alabama, Delta Dental, MetLife and Southland.

We accept MasterCard, Visa, Discover, Care Credit as well as personal checks and cash. If you have questions about payment, please ask a member of our staff and we will review our payment options to accommodate your financial needs. If special arrangements are needed, please talk to our office manager prior to receiving services.

This financial obligation for your child's dental treatment is between you and our office. The insurance company is responsible to you and NOT to our office. Therefore, IT IS YOUR RESPONSIBILITY TO UNDERSTAND ALL BENEFITS AND AGREEMENTS PERTAINING TO YOUR INSURANCE POLICY. Once your carrier has paid the claim, you are responsible for any difference in fees and the balance will be due upon receipt of our statement. If for any reason, we have not received your insurance carrier's payment within 60 days of the date of service, the remaining balance will be due and must be paid by you.

If the account is sent to collections, 33.3% will be added to the balance. You will also be responsible for any charges incurred with collections action. You waive now and forever your right of exemption under the laws of the constitution of the state of Alabama and any other state. You agree, in order for us to service your account or to collect monies you may owe, Auburn Pediatric Dentistry and/or our agents may contact you by telephone at any telephone number associated with your account, including wireless telephone numbers, which could result in charges to you. We may also contact you by sending text messages or e-mails, using any e-mail address you provide to use.

Our Insurance Policy

To Our Patients with Insurance

As a courtesy, we will be happy to assist our patients with dental insurance by completing your claim forms and electronically filing your claim. We initially ask for a 30% payment at the time of service for any basic restorative work and 50% for any major restorative work that is completed. This includes fillings, extractions, etc. but does not include routine exams or cleanings.

Your insurance reserves the right to adjust procedure codes at their discretion and pay the lesser benefit amount. The insured is responsible for the difference after the insurance has paid the claim. Any co-pays, deductibles or differences in fees are due at the time of service.

Important Notice: Please keep us informed if any changes occur with your insurance such as policy name, insurance company address, change of policy or change of employment.

To Our Patients without Insurance

For our patients without insurance, the total amount on the account will be due at the time of service unless prior arrangements have been made.

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