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Financial Agreement

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PLEASE READ CAREFULLY

Payment is expected at the time of service unless other financial arrangements have been discussed.

We will gladly process your primary and secondary insurance claims with the following understanding:
  • Dental insurance is an agreement between you and your insurance company; therefore we can only estimate your dental benefits. This estimate is not a guarantee of payment by your insurance company. You are responsible for any charges your insurance company does not pay.
  • Your out-of-pocket portion and deductibles are due at the time of service.

 

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