Dr. Nejadi, Dr. Rokita, Dr. Brown-Joseph and Dr. Belhaj and their staff are proud to be a team whose primary mission is to deliver the finest and most comprehensive periodontal services available today. We are concerned about your dental care and want to ensure you that it is performed in the most responsible manner. In order to assist you with the investment in your dental health, we have outlined our payment policy.
Payment of services is expected at the time of service or due within 30 days of the date of service. We accept cash, MasterCard, Visa, and Discover.
If you have dental insurance, we will be happy to process your primary insurance claim form. (Secondary insurance filing is the patient’s responsibility.) Please provide us with a completed insurance form. We will ask you to pay your initial exam/consult fee, and we will submit to your insurance company for your reimbursement. We will gladly, send a pre-determination to your insurance company for the proposed treatment. The pre-determination response from your insurance company will indicate the amount they will pay per procedure, and you will be financially responsible for any balance not covered by your insurance company. The two exceptions to this insurance policy are Blue Shield and Delta Dental of PA. Their policy is to reimburse the patient directly for all fees per the plan benefits.
We must emphasize that, as a dental care provider, our relationship is with you, not your insurance company. While the filling of insurance claim is a courtesy that we extend to our patients, all charges are your responsibility from the date the services are rendered.
If you have any question about the above information or any uncertainty regarding insurance coverage, PLEASE do not hesitate to ask us. We are here to help you.
We appreciate at least 48 hours cancellation notice. Consistent cancellation of appointments with less than 48 hours’ notice may be subject to a $25 minimum cancellation charge.
Checks returned by your bank are subject to a $20 processing charge.
Account unpaid after 30 days from the date of service are subject to a finance charge at the rate of 1.5% per month (18% annum).