Embarcadero Dentistry - Teeth Whitening, Orthodontics, Oral Surgery, Periodontics, Endodontics, Implants, TMJ, Traditional Orthodontics, Invisalign Orthodontics
2 Embarcadero Center, Promenade Level, San Francisco, CA 94111 - (415) 398-4400

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Financial policy
Click here for a video intro to our financial policy.

We are commited to providing you with the best possible care and are pleased to discuss our profesional fees with you at any time. Your clear understanding of our Financial policy and Insurance is important to our professional relationship.

  • All patients must complete the "Patient Information & Medical Form" before seeing the Doctor.
  • Full payment is due at the time of the service unless other arrangements have been made.
  • Twenty four hour notice is required when rescheduling or canceling appointment.
  • For your convenience, we accept CASH, PERSONAL CHECKS, ATM DEBIT PAYMENTS, VISA, MC, DISCOVER and AMERICAN EXPRESS. An extended payment plan is also available through "American General" or
    "Dentist Fee Plan"

MONTHLY STATEMENTS

A monthly statement with our current charges and payments, including insurance billings and payments will be sent to you. Pending estimated insurance benefits will appear on your statement until we receive payment from your insurance company. Billing fees of 1.5% per month are added to all unpaid balances after 90 days from the date of service.
Should legal action be required to obtain payment, the undersigned patient/responsible party agrees to pay court costs and attorney fees.

INSURANCE ASSIGNMENT

As a convinience to you, we will be happy to submit your insurance claims. The insurance company, not our office, determines the dental benefits that you will receive. The estimated insurance coverage is not a guarantee of payment and is between you and the insurance company. All charges are your responsibility. Please keep your insurance information current by notifying us in writing of any changes in employment, insurance coverage, etc.

Please email comments, suggestions and questions to: Information.

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