Financial Information

woman looking over financial documentsOral Surgery procedures are frequently covered by both medical and dental insurance.

Certain insurance companies require a written referral from your primary care physician before we can see you. Currently, Aetna medical plans require a physician referral.

We require that you pay any deductibles, co-payment, and fees over your yearly maximum at the time of surgery. Our treatment coordinators will be happy to work with you to determine the extent of your insurance coverage and the amount needed on or before your surgical appointment.

Please be sure to read your insurance booklet and forms carefully. If you are in doubt as to whether your procedure is covered, please check with your insurance agent or managed care office.

ALL ACCOUNTS MUST BE PAID IN FULL WITHIN NINETY (90) DAYS from the date of service. This amount is your responsibility. We will submit your insurance claim to your Primary medical and dental insurance companies as a courtesy to you. This does not imply that your particular plan will cover your anticipated procedure, either in part or in full. If you are not sure if you are covered, please contact your insurance company directly. If the processing of your claim has been delayed, we request your assistance in expediting the process. After 90 days, your outstanding balance is due regardless of the status of your insurance claim.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks after your treatment. Any remaining balance after your insurance has been paid is your responsibility. Your prompt remittance is appreciated.

If you do not have insurance coverage or assignable insurance, payment is due in full on the day of service.

For your convenience, we accept all major credit cards, Gpay, and Apple Pay . We also accept cash or a personal check drawn from a local bank. There is a $30.00 fee for a returned check. We also accept Care Credit to help you finance your care. Please ask our Administrative Patient Care Coordinators if you are interested.

We are participating members of several insurance companies, including (but not limited to) Delta Dental, and Met Life. However, patients with these and all other insurances will be required to meet the deductible, co-payments, and fees over the yearly maximum as well as non-covered services if applicable.

We will ask you to sign a financial responsibility statement reflecting acknowledgment and understanding of this policy at your initial office visit.

Looking For Excellent Oral Surgical Care?

Dr. De Tolla can treat a variety of problems related to the mouth, teeth, and face. Call us to learn more or to schedule an appointment.

Call us: 603-436-3608