Practice Limited to Periodontics and Dental Implants/ 610-566-2217

Financial Policy/Insurance

We hope that by establishing clear and mutually agreeable financial arrangements at the start of treatment, you will be more comfortable and we can concentrate our efforts on your dental health.

At your consultation visit, after a thorough discussion of your treatment plan with Doctor Garrison, either Kathy or Patty, our Financial Coordinators, will discuss payment options with you. For your convenience, we accept Visa and MasterCard.

For patients with insurance benefits, we request that you bring your insurance information with you to your first visit. We will then forward all necessary claim forms to your provider as your treatment is completed.

Assignment of Benefits:
Assignment of benefits means that your carrier can send its portion of your treatment fee directly to our office. This can only be done if your policy permits it and you agree to it. With this arrangement, we can make financial arrangements for payment of your portion.

The responsibility for your entire fee remains with you, as the contract for your insurance benefits is between you and your carrier. They have no contractual relationship with our office. If payment from your carrier is not received in our office within 60 days from the service, you will be billed for the outstanding balance. Any questions about your benefits should be answered by your employer.

Non-Assignment of Benefits:
If your policy does not allow or you chose not to assign benefits directly to our office, you must make arrangements for payment of the entire fee. Your insurance claim will be processed for payment at your treatment visit and submitted for you.

If you have any questions concerning this policy, your insurance claims or statement, please contact Kathy or Patty, our Financial Coordinators. They will be happy to serve you.
422 Manchester Ave
Media, PA, 19063
tel: 610-566-2217
fax: 610-566-7539
[email protected]