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Payment Options

We understand that the economy is creating challenges. However, there is wisdom in taking care of dental problems before there are complications, as a result of delaying dental care.  Dental problems and costs can escalate over time.

Your payment will be due at the time services are rendered. We only accept Cash, check, Discover, VISA, MasterCard, and American Express. We do not process or accept insurance.

Please talk with us if you need to create a payment plan with Care Credit (possible 12 months interest free) or another plan for the unpaid balance.  Please ask us for details.

This information is also to clarify and document Dr. Evans’ policy regarding involvement with insurance companies such as processing claims. Dr. Evans wants to keep the overhead costs down so that he may keep your costs more manageable and due to the complexity of the many diverse types of policies, this office does not process any insurance forms or accept reimbursement for dental services from third party insurance providers. If your insurance company sends a check to this office, it will be returned back to your insurance company.

You will be given the necessary information required, by most providers, on your invoice: describing services, CPT codes and payment, etc.  If you know that your insurance company requires copies of your X-rays, please obtain a copy with your invoice before leaving our office.

Please make note of the following suggestions that may help you process your claim:

1. Some of your services will be classified as dental and should be filed with your dental insurance provider.  Other services might be classified as medical and would need to be filed under your medical insurance provider.  If a CPT code is available, it is listed next to each service and the code designates whether it is dental or medical and the insurance provider should have the details regarding the procedure based upon the CPT code.  Some of your services/products will not be covered by any type of insurance and that was explained in preliminary communications and during your consultation.

2. If you have more than one insurance provider, you might mail the completed claim form to your primary company first and after receiving reimbursement, file with your second provider.

3. Complete your claim form with your personal information and anything pertaining to this office and attach your invoice, you may want to provide a note in the appropriate space: “Please see attached statement/invoice that has already been paid”.

4. Please be sure to sign and state that you are to receive the reimbursement directly to you: “Do not pay Dentist.”

5. You may want to create a file and keep a copy of all your forms/statements that you submit if you are asked, for whatever reason, to send everything again.  It will save you and this office time to just resubmit your copied documents.

6. You may also want to obtain a “Return Receipt / Signature Required” to maintain proof that you sent in your forms.

7. You will need to wait until you receive a copy of your biopsy report, from this office, prior to submitting your request for reimbursement, for any surgery performed and/or biopsy which will need to be submitted under your medical insurance, not usually necessary for dental.