We want to thank you for trusting us as your health care provider. We are honored to have the opportunity to serve you.
Our office wants all of our Champaign, IL patients to be able to comfortably afford dental care. We offer the following financial policy so that our patients can have the opportunity to decide which payment option suits your needs.
If an account becomes more than 30 days overdue, it will be subject to a 1.5% finance charge per month. In the event that your account is past due, it may be turned over to a collections agency and/or attorney. In that case, you agree to be responsible for all reasonable fees necessary for the collection of the account including, but not limited to, collection agency fees of 50% of the balance due, and costs and reasonable attorney fees of 33% of the balance due.
We ask our patients to please give us a 24-hour notice if you need to cancel or reschedule an appointment. There will be a minimum of $50.00 charged for any broken appointments. If you have two or more broken appointments, we will need your next appointment fee to be paid in advance before scheduling.
Our office understands the value of insurance benefits and will gladly work with you to help you receive the maximum benefit available to you. We will accept the payment benefits from the insurance company after you have paid your portion. Most dental insurance plans do not cover 100% of the cost of treatments. Because of this and the extreme delay in receiving payment from the insurance company, you will be asked to pay your deductible and your portion of your charges the day the service is rendered. We will estimate as closely as possible your coverage, but until we actually receive the payment from the insurance company, it’s just an estimate. We will assist in you dealing with your insurance company, but the ultimate responsibility lies with you. If an insurance company will not pay our office directly or in a timely manner, as in the case of the Delta Dental and State of Illinois, you are responsible for the entire amount of the treatment at the time it is rendered. We will submit a claim to the insurance company on your behalf.
Methods of Payment
Cash Personal Check
Frequently Asked Questions
What should I bring to my first appointment?
Unless you’ve filled out the patient forms ahead of time, please arrive 15 minutes prior to your first appointment so we can make the most out of your time with our dentists. You’ll want to bring the following with you to your appointment:
- Patient Information Form
- Dental Insurance Card (if applicable)
- Identification (such as driver’s license, military ID, or state ID)
- Patient Health History Form
- HIPAA Form
- Children’s Health History Form
- Smile Assessment Form
If you fill out the paperwork ahead of time, you’ll still want to arrive five to ten minutes early so we can make copies of your documentation.
How does CareCredit work?
To find out if you qualify for CareCredit, simply apply online or over the phone by calling (800) 677-0718. Once you’re approved, you can use CareCredit immediately. Similar to a credit card, you’ll pay for CareCredit by making monthly payments instead of having to pay for services upfront.
Just be sure to make your payments on time to avoid any penalty charges. You can even add authorized users to your account so you can help pay for the care of your loved ones.
Where is CareCredit accepted?
CareCredit is accepted at over 200,000 providers nationwide. To find a provider near you, utilize the find a location tool on their website to search by category, or use their map. You can use CareCredit to pay for services such as:
Is LendingClub a reputable company?
LendingClub is a trusted marketplace where borrowers are matched with investors who are willing to fund their loan. Whether you’re looking to borrow for a special need such as dental services, consolidate loans, or refinance your home, LendingClub offers a variety of loan packages that may assist your needs. To learn more about LendingClub, click here or apply online.