Randall C Jones DMD LLC | 1004 Monmouth St, Independence, OR 97351 | Tel: 503-838-0434
Billing and Insurance
We accept most insurance plans and will work to help you arrange financial resources to provide for your dental health treatment plan. We accept checks, cash, or credit cards. We also offer a flexible payment plan based on a sliding fees scale. Our philosophy is that everyone deserves the quality of life that regular, excellent dental care helps to provide. Our office is committed to helping our patients maximize their dental benefits. We do a complimentary benefit check, and as a courtesy to our patients, we will file your dental claim forms. Verification of dental benefits is not a guarantee of coverage. Co- pays are due at the time services are rendered and are an estimate of coverage. Some procedures are not covered by insurance and some procedures may go through an insurance review board. Any procedure not covered by insurance or any amount left owing, after the insurance company has made its final payment, is the responsibility of the patient, unless otherwise stated on the insurance explanation of benefits.Payments
Payments are due, in full at the time of service. If dentures, partials, bridges or crowns are to be fabricated by a dental
laboratory, we require a 50% deposit at the time of the first impression. Failure to return to our office, within 30 days, for the
delivery of any dental appliance, compromise the fit and function of said appliance and the patient will be charged for any and all
lab fees incurred. These fees are not billable to insurance. We accept all forms of payment. Cash, Visa, Mastercard, Discover,
American Express and Checks. There is a $35.00 returned check fee, added to your account, for returned checks. Monthly
payment options are available through Care Credit Financial.
Crowns and removable appliances
Crowns, bridges, fixed and removable appliances are made by an outside dental laboratory. These procedures take time to prepare, produce and install. In many cases this requires multiple appointments. You are responsible for returning to our office to receive the appliance. If you do not return, you will be liable for the full amount of the appliance and possible lab fee, regardless of your insurance company. This notice also includes state insurance, such as OHP. Insurance does not pay until and appliance is delivered. This section serves as a client agreement to pay for services (OHP) in this situation. There is a 50% deposit required at the time of the first impression.Crowns and removable appliances
Crowns, bridges, fixed and removable appliances are made by an outside dental laboratory. These procedures take time to prepare, produce and install. In many cases this requires multiple appointments. You are responsible for returning to our office to receive the appliance. If you do not return, you will be liable for the full amount of the appliance and possible lab fee, regardless of your insurance company. This notice also includes state insurance, such as OHP. Insurance does not pay until and appliance is delivered. This section serves as a client agreement to pay for services (OHP) in this situation. There is a 50% deposit required at the time of the first impression.Outstanding Balances
Outstanding balances are discouraged and must be cleared before the next appointment for any account member or within 30 days of treatment. Amount due and not paid in full within 30 days may be charged a fee. Delinquent accounts over 90 days may be referred to a collection agency. In the event that your account is referred to a collection agency, your account balance must be paid, prior to any dental treatment being rendered, except on an emergency basis.
Randall C Jones DMD LLC | 1004 Monmouth St,
Independence, OR 97351 | Tel: 503-838-0434
Billing and
Insurance
We accept most insurance plans and will work to help you arrange financial resources to provide for your dental health treatment plan. We accept checks, cash, or credit cards. We also offer a flexible payment plan based on a sliding fees scale. Our philosophy is that everyone deserves the quality of life that regular, excellent dental care helps to provide. Our office is committed to helping our patients maximize their dental benefits. We do a complimentary benefit check, and as a courtesy to our patients, we will file your dental claim forms. Verification of dental benefits is not a guarantee of coverage. Co- pays are due at the time services are rendered and are an estimate of coverage. Some procedures are not covered by insurance and some procedures may go through an insurance review board. Any procedure not covered by insurance or any amount left owing, after the insurance company has made its final payment, is the responsibility of the patient, unless otherwise stated on the insurance explanation of benefits.Payments
Payments are due, in full at the time of
service. If dentures, partials, bridges or
crowns are to be fabricated by a dental
laboratory, we require a 50% deposit at the
time of the first impression. Failure to return
to our office, within 30 days, for the delivery
of any dental appliance, compromise the fit
and function of said appliance and the patient
will be charged for any and all lab fees
incurred. These fees are not billable to
insurance. We accept all forms of payment.
Cash, Visa, Mastercard, Discover, American
Express and Checks. There is a $35.00
returned check fee, added to your account,
for returned checks. Monthly payment
options are available through Care Credit
Financial.
Crowns and removable appliances
Crowns, bridges, fixed and removable appliances are made by an outside dental laboratory. These procedures take time to prepare, produce and install. In many cases this requires multiple appointments. You are responsible for returning to our office to receive the appliance. If you do not return, you will be liable for the full amount of the appliance and possible lab fee, regardless of your insurance company. This notice also includes state insurance, such as OHP. Insurance does not pay until and appliance is delivered. This section serves as a client agreement to pay for services (OHP) in this situation. There is a 50% deposit required at the time of the first impression.Crowns and removable appliances
Crowns, bridges, fixed and removable appliances are made by an outside dental laboratory. These procedures take time to prepare, produce and install. In many cases this requires multiple appointments. You are responsible for returning to our office to receive the appliance. If you do not return, you will be liable for the full amount of the appliance and possible lab fee, regardless of your insurance company. This notice also includes state insurance, such as OHP. Insurance does not pay until and appliance is delivered. This section serves as a client agreement to pay for services (OHP) in this situation. There is a 50% deposit required at the time of the first impression.Outstanding Balances
Outstanding balances are discouraged and must be cleared before the next appointment for any account member or within 30 days of treatment. Amount due and not paid in full within 30 days may be charged a fee. Delinquent accounts over 90 days may be referred to a collection agency. In the event that your account is referred to a collection agency, your account balance must be paid, prior to any dental treatment being rendered, except on an emergency basis.
