|
Phoenix Arizona Artistic Dental at the Biltmore
Sedation Dentist |
|
 |
| John P Dougherty DDS |
|
|
|
|
2333 East Campbell Avenue
=
Phoenix
=
AZ 85016
=
602 840-5400
|
|
|
|
|
|
|
At Artistic Dental at the Biltmore our goal is to maximize your insurance
benefits and make any remaining balance easily affordable. If
you have any questions regarding your insurance benefits, please
don't hesitate to call our office at 602 840-5400 to review your concerns.
Payment Options
- Payment in full is required at time of
treatment.
- Cash, check, Visa, MasterCard,
American Express, and
Discover are all accepted as payment in our office.
- CareCredit (simple application, credit
approved) is available for those who desire a payment plan.
Insurance Filing
You are financially
responsible for all charges whether or not paid by insurance. As
a courtesy to you, we will submit your dental claim. Our office can
only be responsible for giving you an estimate of what your co-pay
will be. That co-pay will be due the day treatment is performed. In
the case that there is a remaining balance after the insurance
company has paid, or if they do not pay at all, that balance will be
due and payable from you immediately. Each insurance policy is
unique and we urge you to contact your employer's human resource
department or insurance company for an explanation and accounting of
your benefits.
Notice of Privacy Practices
We are required by law to maintain the
privacy of, and provide individuals with notice of our legal duties
and privacy practices with respect to protected health information.
Signature is only acknowledgement that you have received our Notice
of Privacy Practices.
Missed Appointments
Missed appointments are a contributing
factor to the rising cost of healthcare. We require a 24 hour notice
to change an appointment time. We cannot accept cancellations from
the answering machine left within 24 hours prior to your
appointment. If an emergency should arise and you are unable to
reach our office in the time allotted please contact Dr. Dougherty
at (602) 432-6277. There will be a $100 charge assessed to your
account should the required notice not be given.
Delinquent Accounts
Should any account become delinquent (60
days or older), I understand that interest charges may be assessed
at the rate of 18% APR. I also understand that if my account is
turned over to a collection agency I will incur collection costs
(30%) and attorney fees, and will be added to my balance. Returned
checks will be assessed a $25 non-sufficient funds charge.
If you would like to review our financial arrangement options in advance of treatment, please call
602 840-5400.
|
|
|
Dental Financing
In Phoenix Arizona and serving the surrounding
Scottsdale - Tempe - Chandler - Glendale AZ areas.
|
Home |
Meet the Dentist |
What We Offer |
Newsletter | Map & Hours |
Appointments |
Ask the Dentist |
Professional Referrals
Copyright 2004
Internet Dental Alliance, Inc. Terms of Use
|
