11786 SW Barnes Rd., Suite 230
Portland, OR 97225

503-644-4425

YOUR FIRST VISIT TO OUR OFFICE (continued)

At the time of service, you will be responsible for the estimated portion that your insurance will not cover (25% deposit of total cost of services rendered). Please remember that you are fully responsible for all fees charged by this office regardless of your insurance coverage. We will wait 60 days for the insurance company to pay their portion. In the event your insurance company fails to pay, rejects the claim, or does not pay the total balance, you are responsible for the remaining balance.

If your insurance pays more than the estimated amount, a refund check will be mailed to you without delay. If your insurance pays less than the estimated amount, you will receive a statement from our office. Your prompt remittance is greatly appreciated.

The workings of dental insurance can be confusing. To help clarify some important facts, click on the following link to view a list of frequently asked questions regarding dental coverage, as provided by the American Association of Endodontists.

Our office will gladly answer any additional questions you may have.



 
We accept the following forms of payment:
• Cash
• Personal Check
• Visa, MasterCard, American Express, or Discover

Unfortunately, we are unable to provide in-house financing. However, we do have a number of interest-free financing options available to those who qualify through CareCredit™.

http://www.aae.org/patients/your-office-visit/dental-insurance/dental-insurance.aspx

Payment options

www.CareCredit.com