We, the staff of Advanced Prosthodontics and Periodontics, thank you for choosing us as your dental provider. We believe your understanding of our patients’ financial responsibility is vital to that provider-patient relationship and our goal is not only to inform you of the provisional aspects of that financial policy but also to keep the lines of communication open regarding them.

If you do not have insurance, proof of insurance, or participate in a plan that will not honor an assignment of insurance benefits, payment for services will be due at the time of service unless a payment arrangement has been approved in advance by our staff.

Payment Methods

We make payment as convenient as possible by accepting (Cash, Visa, Mastercard, American Express and checks). A $35.00 service fee will be charged for all returned checks. Additionally, you may authorize us to keep your credit card on file for your convenience knowing that we adhere to the highest level of information security.

Dental Insurance

Please remember that your insurance policy is a contract between you and your insurance carrier. We will, as a courtesy, bill your insurance and help you receive the maximum allowable benefit under your policy. We have found that patients who are involved with their claims process are more successful at receiving prompt and accurate payment services from their insurance carrier. We do expect patients to be interactive and responsible for communicating with your insurance carrier on any open claims.

It is your responsibility to provide all necessary insurance eligibility, identification, authorization and referral information and to notify our office of any information changes when they occur. Even a preauthorization of services does not guarantee payment from your insurance carrier. We also require photo identification when accepting insurance information. It is the patient’s responsibility to know if our office is participating or non-participating with their insurance plan. Failure to provide all required information may necessitate patient payment for all charges. When insurance is involved, we are contractually obliged to collect copayments, coinsurance, and deductibles, as outlined by your insurance carrier.

Please be aware that out-of-network insurance carriers often prohibit assignment of benefits and may try to limit their financial liability with arbitrary limits, exclusions, or reductions such as reasonable and customary or usual and prevailing reductions. Our fees are well within such ranges and although we will assist in the filing of an appeal if these limitations are imposed, you as the guarantor are responsible for all out-of-network fees. If we are not contracted with your carrier, we will not negotiate reduced fees with your carrier.

Our goal is to provide the best quality dental care possible in a timely manner. In order to do so, we have implemented a new cancellation/no-show policy. This policy enables us to better utilize available appointment for those patients in severe pain needing immediate care and attention.

Cancellation of an Appointment:

In order to be respectful of the dental needs of other patients, please be courteous and call the office promptly if you are unable to attend your appointment. This appointment time will be reallocated to someone who is in urgent need of treatment.

If it is necessary to cancel/reschedule your scheduled appointment, we require that you call at least 24 hours in advance.

How to Cancel/Reschedule Your Appointment:

To cancel appointments, please call our office at 201-652-7711. If you do not reach the receptionist, you may leave a detailed message on the voice mail. You may also email us at smile@appdental.com. If you would like to reschedule your appointment, please be sure to leave us your phone number and let us know the best time to return your call.

No-Show Policy:

A “no-show” is someone who misses an appointment without calling 24 hours in advance to cancel. “No-shows” cause inconvenience to those individuals who need access to emergency dental care in a timely manner, as well as to the physician and staff. A failure to show at the time of a scheduled appointment will be recorded in the patient’s chart as a “no-show”. The “no-shows” will result in a no-show fee of $75. If a patient accumulates 3 “No-shows”, he or she may be asked to leave the practice.

Late Cancellations:

Late cancellations are appointments cancelled less than 24 hours in advance. Exceptions will only be made in extraordinary circumstances. Cancellations made more than 24 hours in advance of your scheduled appointment time will not be assessed a cancellation fee. The “Late-Cancellations” will result in a fee of $50.

Please remember that you may also be the one in need of urgent dental care. We would like to provide the best and fair dental care to all our patients. Thank you for your understanding.