Patient Financial Policy

Thank you for choosing Essex Street Dental for your family’s dental needs.   We are committed to providing you with affordable and excellent dental care.  Your trust is very important to us so our goal is to make sure you fully understand your treatment needs and financial responsibility before treatment begins.  We will make every effort to work with you to ensure that your dental needs can be met.

Good communication is an essential part of sound relationship. Therefore, it is the policy of this office, following examination and consultation, to give you an estimate of the dentistry that has been discussed. This will enable you to make definite financial arrangements before any dentistry is started.

Payment

Payment is expected at the time of service unless prior financial arrangements have been made. We offer several options:

  1. Payment due in full at the time of service with Cash or Personal Check.

  2. Credit Card Payment due in full at the time of service with Visa, MasterCard, Discover and Major Credit Cards.

  3. Patients with Dental Insurance: We accept most major dental insurances. Our friendly staff will be happy to help you maximize dental benefits.  We can help you verify your dental insurance coverage and benefits. Then we’ll be able give you a closer estimate on your portion of the fee for each visit. The patient is responsible for the payment of all non-covered services, deductible, and co-payments at the time of service.

If you have questions about your payment options or insurance coverage,​​ please call us at 207-564-8171.

Cancellation Policy

Please understand that appointment times are limited and reserved for you. If you must cancel your appointment, we respectfully request a 24 hour notice. Appointments cancelled without 24 hour notice and missed appointments will be charged a fee. Be aware that Monday appointments need to be cancelled by Thursday at 12pm the latest.

Full financial policy available at the office.

Financial Policies

  • Payment options: Cash, Personal check, Credit card payment with Visa, MasterCard, Discover. Payment due in full at time of service. Due to credit card fees, cash courtesy adjustments do not apply.

  • Dental insurance: The patient is responsible for the payment of all non-covered services, deductible, and co-payment at the time of service. Please note: patient portion is due at time of service.

  • Past Due Accounts: Any accounts which are 90 days past due shall be considered to be in default. These accounts may be turned over to a private agency for collection. Patients whose accounts hav been turned over to a collection agency may be dismissed from the practice and be advised to seek dental care at another office.

  • Returned checks: If a check is returned to our office for non-payment, a fee of $25 will be applied to the patient’s account. In addition, any discounts credited to the patient’s account as a result of payment by the returned check shall be negated.

  • Broken appointments: We make every effort to help our patients remember their scheduled appointment. This is reserved time that cannot be used to treat other patients if it is broken without notice. We need at least 24 hours (1 business day) of notice to fill a broken appointment. No shows or same day cancellations will be billed at the following rates: $75 hygiene - $50 per 30 minute time increment with the doctor. Appointments must be confirmed or may be given to another person.