Empire Dental Group Financial Policy

Welcome to Empire Dental Group!

At Empire Dental Group in Charlotte, North Carolina, we are committed to providing exceptional dental care with transparency and convenience. To ensure a smooth experience, we have outlined our financial policies below. Please take a moment to review these details to understand your financial responsibilities when receiving treatment at our office.

Payment for Services

  • Payment Due at Time of Service: We require full payment for all services at the time of treatment. Our office accepts various payment methods, including:
  • Insurance: If you have dental insurance, we will assist in submitting claims on your behalf. However, estimated co-payments, deductibles, and non-covered services must be paid at the time of service. You are responsible for the remaining balance if your insurance does not cover the full amount.
  • Payment Arrangements: For major procedures, we offer financing options. Any payment arrangements must be made before treatment begins.

Insurance Policy

  • Insurance Verification: Patients must provide accurate insurance information before treatment. While we verify benefits as a courtesy, you are ultimately responsible for understanding your plan’s coverage.
  • Co-pays and Deductibles: Your estimated portion is due at the time of service.
  • Claims Submission: We will submit insurance claims, but the patient is responsible for any remaining balance after insurance processing.
  • Non-Covered Services: You will be informed of any non-covered services and must pay in full at the time of treatment.

Payment Plans and Financing

  • We offer flexible financing through CareCredit and Cherry for larger treatment plans.
  • We will provide a written agreement detailing the schedule, terms, and applicable interest rates if you choose a payment plan.

Missed Appointments

  • Cancellation Policy: If you need to postpone or cancel an appointment, please let us know at least three business days in advance to avoid paying a cancellation fee.
  • No-Show/Late Cancellation Fee: $75 – $125 will be charged for missed appointments or cancellations for anything less than 3 business days notice. Repeated missed appointments may require prepayment for future visits.

Returned Checks

  • A $35 fee will be applied to any returned checks in addition to bank fees incurred.

Patient Financial Responsibility

  • Outstanding Balances: Patients will receive a statement for any outstanding balance. Payment is due within 14 days of notice.
  • Collections: If a balance remains unpaid for 60 days, it may be sent to a collections agency, and the patient may be responsible for all related fees.

Refund Policy

  • Billing Errors/Overpayments: A credit will be applied to future services. If no treatments remain, a refund will be issued using the original payment method.
  • Treatment Adjustments: If changes occur in the treatment plan or insurance reimbursement, necessary adjustments will be communicated.

Treatment Plan Estimates

  • Cost Estimates: A written estimate will be provided based on your insurance benefits and expected out-of-pocket costs for major procedures. Final charges may vary.
  • Adjustments: If the actual treatment cost exceeds the estimate, we will notify you, and the additional amount will be due immediately.

Financial Responsibility Acknowledgment

You acknowledge and agree to the financial policies outlined above by receiving treatment at Empire Dental Group. Our team in Charlotte, NC, is happy to assist you if you have any questions. For further details or to schedule an appointment, please call (704) 841-2802. Thank you for choosing Empire Dental Group. We look forward to caring for your smile!