Financial Policy2248 Pine Street West Columbia, SC 29170 Phone: 803-755-0039 Fax: 803-755-0007 Appointment Policy Our office will make every effort to confirm your appointment, so please contact our office if your home or work phone number has changed. It is very important to return our calls when we are confirming your appointment. If you need to reschedule your appointment with our office, please give us twenty- four hours notice. Insurance Policy As a courtesy to our patients, after we have confirmed your dental insurance coverage our office will file your insurance claim directly to your insurance carrier. Please understand that dental insurance is a contract between the patient and the insurance carrier, not between the insurance carrier and the dentist. Please keep in mind that any deductibles and co-payments are your responsibility and any co-payments quoted by our office are only estimates. Your employer has chosen the limits of your policy and every insurance policy is different. It is your responsibility to know the coverage and limitations of your policy. Estimates quoted by our office are based on an average dental policy. In the event that your insurance carrier does not pay as much as we have estimated or does not pay your dental claim at all, you will be responsible for the balance due. There are times when your insurance company will send you verification of insurance questionnaire in that event please fill out any information they request, if this is not done your insurance company will withhold any payments and you, the patient, will be responsible for the balance. Financial Policy For your convenience, our office accepts Visa, MasterCard, Discover, Debt cards, personal checks and cash payments. Financing is available through Care Credit. Payment is due at the time services are rendered. Patients with confirmed dental coverage are required to pay all applicable deductibles and co-payments at the time services are rendered. There are no exceptions with this office policy 2248 Pine Street West Columbia, SC 29170 Phone: 803-755-0039 Fax: 803-755-0007 Monday 8am - 12:30pm Tuesday - Friday 8am - 5:30pm T H R E E F O U N T A I N S F A M I L Y D E N T A L ![]() ![]() |
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