Financial Policies
- FINANCIAL POLICY
- Please note: that we do NOT have any affiliation with insurance companies, so you are responsible for keeping track of your dental insurance coverage, including annual maximums and limitations. There are over 30,000 insurance coverage combinations in Ontario, so it is impossible for us to track them all.
- ACCEPTED FORMS OF PAYMENT
- Cash, Credit card, Debit and Private Insurance are accepted as payment.
- CDCP Coverage is accepted at our office, but requires payment
- ODSP/OW/HEALTHY SMILES Must be combined with CDCP to be accepted as payment
- If you don’t know what is covered, please don’t assume the dental office does
- FINANCIAL POLICY BASICS
- Payment is due at the time of treatment for all appointments.
- Please ask for estimates and predeterminations for treatment before it is rendered. otherwise, you are fully responsible for all fees.
- Patients are responsible to know their insurance information. the dental office has no way of knowing your insurance coverage. there are over 30,000 insurance coverage combinations in ontario, so please take responsibility to know what you are covered for.
- If a written insurance predetermination has been completed we will accept payment from your insurance company, but you are responsible for all balances
- CHILDREN, MINORS & DEPENDENTS
- For minors, the parent accompanying the child is responsible for payment of all invoices.
- We do not “ask the other parent” for payment.
- Unaccompanied minors are assumed to be granted with parental consent for all treatment and expenses that are deemed necessary by the dentist for the specific appointment. please accompany your child to the appointments if you want detailed financial and treatment summaries.
- MAJOR & SPECIALIZED TREATMENTS
- For major treatment, such as crowns, veneers, implants and braces, payment is due before treatment is completed.
- For sleep dentistry, payment is required before treatment is rendered. Any balances for unexpected treatment can be made within 48 hours after your appointment.
- CANADIAN DENTAL CARE PLAN AND ODSP/OW/HEALTHY SMILES
- This is not a free program, and will always have a portion to be paid by the patient
- All patients with ODSP/OW/HEALTHY SMILES/SENIOR DENTAL must apply for CDCP in order for us to accept payment from the program.
- We do not accept payment for treatment from ODS/OW/HEALTHY SMILES without CDPC coverage.
- If you have a household income lower than $90,000/ year you can apply for CDPC coverage below:
- Or copy and paste the following in your browser
-
https://www.canada.ca/en/services/
benefits/dental/dental-care-plan.html
- CANCELLATION AND DELINQUENT ACCOUNT CHARGES
- There is a 3% per month interest rate applied to all unpaid invoices.
- There is a $25 fee for all communication on overdue accounts. this includes emails, phone calls and letters.
- There is a $50 cancellation fee for all dental hygiene cancellations withouth 48 hours notice
- There is a $100 cancellation fee for all dentist cancellations without 48 hours notice
- Credit card payments are accepted up to $1000. Beyond this amount, and 3% surcharge is applied to all credit card payments to cover credit card fees.
- PRIVATE INSURANCE
- Please note that our dental office has NO AFFILIATION with your insurance provider. Your place of work buys insurance coverage for you, and this coverage can vary greatly. We have no way of knowing the details of your specific insurance coverage, unless you provide us with all your detailed info.
- If knowing what you can expect in terms of benefits is important in your treatment decisions, please let us know prior to scheduling. We are happy to provide you with treatment codes for you to verify benefits with your insurance provider.
- We are happy to provide dental estimates to your insurance company. If you are unclear as to the financial commitment involved with treatment now or in the future, please clarify in advance.
- If you don’t know what is covered, please don’t assume the dental office does
- PAYMENT
- Payment is due at the time of treatment by Cash, Credit or Debit Card.
- If a predetermination has been done, and we have written approval for your treatment, we will accept payment from your insurance company, but you are responsible to pay for all differences that insurance doesn’t pay for.
- Outstanding accounts will accrue interest at 3% per month.
- Credit card payments over $1000 will have a 3% surcharge applied to all payments.
- CHILDREN, MINORS & DEPENDENTS
- The Parent/Guardian who accompanies the child to their appointment is responsible for payments. Where an unaccompanied minor requires treatment, the Dentist will assume consent for necessary treatment from the parent/guardian. If you need estimates and want to give explicit consent, you must be present at the time of treatment.
- There is a charge of $25 per phone call, letter or email if we have to chase payment for unpaid invoices.
- We understand that there are many different family dynamics and respect your individual financial arrangements. However, we do not have the administrative capacity to pursue payment from our parents, guardians or responsible parties. Please have the financial arrangement for your child planned out before bringing them to the dental appointment.
- APPOINTMENT CHANGES/RESCHEDULING FEES
-
APPOINTMENT CHANGES
/RESCHEDULING FEES
- $50 Rescheduling Fee for HYGIENE appointments
- $100 Rescheduling Fee for DENTIST appointments
- COMMON DENTAL CODES
INITIAL APPOINTMENTS
Initial Dentist Appointment:
- Comprehensive Exam: 01103
- Diagnostic X-rays: 02102
Initial Hygiene Appointment (please read important note below):
- Periodontal Scaling: 11114*
- Polish: 11107*
- Fluoride (if recommended): 12113
- Important Note on Hygiene Services: periodontal scaling is based on the time required to complete removal of plaque and tartar buildup; time since your last professional cleaning, home care routine, medical conditions can impact the buildup and require more (or less) time; the estimated time/fee above may or may not be satisfactory for your individual needs
- TREATMENT OPTIONS
- FOR THOSE WITH INSURANCE
INSURANCE COVERAGE
Please note that your insurance coverage is negotiated between your employer and an insurance company. Insurance benefits are helpful in supporting dental health, however necessary and/or recommended treatment may or may not be a benefit of your particular plan. We strive to provide fair fees in accordance with the guidelines of our governing bodies, and do not adjust our fees to match insurance company reimbursements. Concerns about the extent of your dental insurance coverage should be directed to your Employer. If knowing what you can expect as a benefit towards your care is important in your treatment decisions, please let us know in advance of scheduling. At your request we are happy to submit estimates to insurance companies on your behalf.