Financial Policy


 

We are committed to providing you with the best possible care. To help us maintain billing costs to a minimum, we offer the following financial policy. Please understand that payment of your bill is considered a part of your treatment. We require that you read and sign the following financial policy prior to any treatment. If you have any questions, please do not hesitate to ask us.

We accept cash, checks, MASTERCARD/VISA/DISCOVER/AMERICAN EXPRESS.

An appointment canceled less than 24 hours or a broken appointment will be charged at a rate of a normal office visit. Please help us serve you better by keeping scheduled appointments.

Returned checks will be subject to additional collection fees and charges. 

Minor patients: The adult accompanying a minor and the parents (or guardians of the minor) are responsible for payment.

Patient and insurance billing are processed by First Pacific Corporation (FPC), a billing company dedicated to serving our patients.

PAYMENT IS DUE AT THE TIME OF SERVICE:

  • Patients with dental insurance: We will continue to submit your insurance company.  However, we ask that you pay your insurance co-payment at the time of service.
  • Preventative services – Co-payment is contingent upon individual policies of your plan. Typical co-payment requirement: 0%-20% of our fees.
  • Basic services -- Co-payment is contingent upon individual policies of your plan. Typical co-payment requirement: 20%-30% of our fees.
  • Major services – Co-payment is contingent upon individual policies of your plan. Typical co-payment requirement: 50%-60% of our fees.
  • Note: Any insurance plan that pays directly to the patient, requires payment in full at the time of service unless prior financial arrangements have been made. 

SPECIAL INFORMATION FOR PATIENTS WITH INSURANCE:

We will gladly discuss any questions relating to your insurance. However, please realize that:

  • Your insurance is a contract between you, your employer and the insurance company. We are not a party to that contract.
  • Our fees are generally considered to fall within the acceptable range by most companies, and, therefore, are covered up to the maximum allowance determined by each carrier. This applies only to companies who pay a percentage (such as 80%) of UCR. UCR is defined as usual, customary and reasonable fees for this reason. Thus our fees are considered UCR by most companies, unless, your insurance company reimburses based on an arbitrary schedule of fees, which bears no relationship to the current standard and cost of care in this area.
  • Not all services are a covered benefit in all contracts. Some insurance companies arbitrarily select certain services they will not cover.
  • As dental care providers, our relationship is with YOU, not your insurance company. While the filing of insurance claims is a courtesy that we extend to our patients, all rendered charges are your responsibility from the date of services.
Location
Pinole Family Dental
1310 Tara Hills Drive, Suite F
Pinole, CA 94564
Phone: 510-724-6900
Fax: 510-724-2707
Office Hours

Get in touch

510-724-6900