Our staff is happy to assist you with your insurance questions. As a courtesy, we will file the patient’s insurance claim. Please understand that we do not have a contract with the insurance company, only the insured does. It is therefore the insured’s responsibility to correct any problem of payment with the insurance company. We are not responsible for what benefits are or are not paid on a claim. We can only assist you in estimating your portion of the cost of treatment. We are not responsible for any errors in filing your claim.
If a patient does not have dental insurance or is not eligible for dental insurance, then payment in full is required on the day of service. If a patient is retro-activated with their insurance, then our office will reimburse the insured once our office has been paid by the insurance company.
When patients are scheduled for operative appointments (i.e. sealants, fillings, nitrous oxide, etc.) we will estimate the patient’s financial portion and require the estimated amount to be paid on the day of service. We accept cash, check, or credit card (Visa or MasterCard). There will be a $35 fee if your check is returned.
Medical Photography Release/Approval:
Dr. Jeannette M. Pope‐Ozimba's Pediatric Dental Office is dedicated to the use of the most advanced technologies available in giving and documenting your child’s medical and dental care. To this end, we have invested in electronic medical records. This means that all items traditionally maintained in a paper format will be obtained, stored, and cataloged digitally. This record will also include digital photographs of your child(ren) for identification by our licensed professionals and staff. Any lesions, procedures, or other items which may be documented visually will also be stored and reproduced in this manner.
I hereby authorize the licensed professionals and staff of Dr. Jeannette M. Pope‐Ozimba's Pediatric Dental Office to obtain and reproduce photographs of my child(ren)’s likeness(es) for purposes of medical records. I also approve the use and reproduction of clinical photos for referral, coding, charting, marketing, advertising, and educational purposes.
By executing below, I acknowledge I have read and understand the Office Policies for Dr. Jeannette M. Pope‐Ozimba's Pediatric Dental Office and will comply with same.