Financial Policy

Peter Maragos DDS, MSD, LLC

4313 Regal Ave., Brunswick, Ohio 44212

PH: 330-273-4867 FX: 330-273-4868

FINANCIAL POLICY

To assist you with your dental care investment, we provide the following payment options:

Cash, Check, Money Order, Credit Cards including Visa, MasterCard, Discover, American Express and CareCredit.

If you have DENTAL insurance, your ESTIMATED out of pocket expense will be due at the time of service. If insurance pays more or less than anticipated, you will be credited or billed to the difference. 100% is due the day of treatment if you do not have dental insurance

We also offer our Express Checkout where you can keep your credit card on file to be used for automatic payments in lieu of billing statements. (See Credit Card Option on Signature Page)

Our office reserves the right to stop filing your insurance if at any time there is a problem with your account because of your carrier or an unwillingness to cooperate. It is your responsibility to give accurate insurance information so that filing the claims can be done on a timely manner.

In an effort to help you understand your insurance policy and maximize your insurance benefits, we would like to share some facts about dental insurance with you.

Fact #1 - Dental insurance is a contract between you, your employer, and the insurance company. We are not a party to that contract. We can estimate what might be covered but you are ultimately responsible for all services.

Fact #2 – Insurance companies do not dictate your dental treatment. They are there ONLY to contribute to expenses. If your dental insurance chooses not to cover treatment, you are responsible for the entire fee. Unfortunately, insurance companies are in the business to make money, not do what is best for their clients.

We will file your insurance at no charge. In order to provide this service, we will need your updated and accurate insurance information before each appointment.

If at 45 days the insurance company has not paid, you are responsible for payment on the account. You should contact your insurance company immediately regarding the non-payment of your claim and to be reimbursed.

All balances are due at 30 days. If the account is not paid in full at 90 days, the collection proceeding will begin. All charges incurred in the recovery of a delinquent account including late fees, interest and collection fees will be the patient’s responsibility.

Please do not hesitate to ask questions about our financial policy. We want you to understand and be comfortable with our policies. If you have any questions regarding your insurance, we ask that you contact your company regarding the specifics and details of your plan.

BROKEN APPOINTMENT POLICY

It is the responsibility of the patient (or the parent, in the case of a child) to notify the dental staff any time they will not be available for their appointment, at least 24 hours prior to the scheduled appointment time. If less than 24 hours’ notice is given, there will be a fee of at least $70.00 or 5% of treatment total for the broken appointment and after three broken appointments, we will no longer schedule you for services.

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