Financing, Office & Cancellation Polices...
Click Below To Print Forms
If forms do not open by clicking, please right click to click "open."
As a service to our patients, we are pleased to offer CareCredit, the nation's leading patient payment plan. CareCredit offers several payment plans to meet every financing need. With the popular No Interest Payment Plans there are no interest charges if the balance is paid in full within the specified time period. Or, if you prefer more time to pay, you can choose the low interest, Extended Payment Plans for treatment plans from $1000 to $25,000. Plus, there are no upfront costs, no annual fees, and no pre-payment penalties. It's easy to apply and you'll receive an online decision in seconds. Apply Now or see our staff for more details.
- All fees not covered by your insurance plan must be paid at the time of treatment . (Sedation medication, deductible, and the estimated patient portion for treatment being completed, etc.)
- Please understand that dental insurance policies restrict payment for some services (Fluoride limits, x-ray limits, cleaning frequency, etc.), that they use restricted fee schedules, Usual and Customary rates, and exclude some procedures based on the premium paid for insurance. (not our fees or the recommended treatment).
- Please keep our office informed of any changes regarding your insurance coverage, place of employment, home address, personal data medications or personal health.
- All balances on your account must be paid before any new appointments can be scheduled.
Some of the services we are happy to provide you with
Instant Teeth Whitening
Invisible & Traditional Braces
Crowns & Bridges
Snore & Mouth Guards
Give us a call at
To make sure that every patient gets individual attention, we set aside dedicated time for each appointment. If you find it necessary to cancel an appointment, we request that you provide the dental office with 24 hours notice. If appropriate notice is not given, you may be charged $1 per minute of your missed appointment time.
1949 Parkside Dr, Concord, CA 94519 | email: firstname.lastname@example.org | call: (925) 689-4020 - Dentist Concord CA
1949 Parkside Dr, Concord, CA 94519 | email: email@example.com | call: (925) 689-4020