Dean J. Kokinias, D.D.S
FINANCIAL AND OFFICE POLICIES
Thank you for choosing Dr. Kokinias for your dental needs. This document will provide you with information to better understand your obligations as a patient or person responsible for this patient’s account. Please review and sign. We look forward to seeing you on a regular basis.
CANCELLATION AND NO-SHOW POLICY
Office hours are by appointment. Appointment time is reserved for you alone and we respect your time. We work very hard to accommodate the needs of all our patients. Therefore, when you make an appointment, please be sure that you will be able to keep it. If you must cancel or reschedule an appointment, please notify the office during regular business hours Mon-Fri at least 24 hours prior to your appointment time. Messages left after business hours for next day appointments will be considered broken. There will be a minimum charge of $50 plus $25 additional for each half hour after first 60 minutes for a broken appointment or cancellation with less than 24 hour notice of your appointment time. Your insurance does not cover this charge. Of course, we understand that emergencies can occur, and we will take those into consideration. Continued disregard of this policy may result in dismissal from our practice. We can answer any questions you may have about our appointment late cancellation and no-show policy.
FINANCIAL POLICY
Payment for treatment is required at the time of service. If you have insurance benefits, as a courtesy to you, we will submit your insurance claims for you based on the information you provide. Your deductible and any copayment amount are due at the time of service. Insurance is not always a guarantee of payment, and you are ultimately responsible for payment of your account. Some insurance carriers may require you to pay us at the time of service and receive reimbursement directly from them. Financing is available through CareCredit. Please ask our receptionist for more information. In the event your payments are not received by the due dates, a fee of 18% APR will be added to your account, minimum fee is $10. Returned checks will incur a $25 service fee. After 90 days, outstanding balances are turned over to our collection agency where you will be responsible for all cost of collections, including collection agency fees, attorney fees and court costs. You will also be dismissed from our practice.
PATIENT COMMUNICATION
We may call your home, cell or other designated location and leave a message on voice mail or with any person who answers, send emails or text messages regarding any items that assist the practice in carrying out treatment, payment and other operations, such as appointment reminders, insurance items and any call pertaining to your dental care, including treatment planning.