On your initial visit to our office, we want you to feel comfortable and cared for. After checking in, and any questions that you may have are answered, you will be taken on a quick tour of our office. Following your appointment, any treatment that is needed will be discussed and fees will be explained in detail, along with your insurance.

Please assist us by providing the following information at the time of your consultation:

- New Patient Forms filled out and signed   

- A list of medications that you are presently taking

- If you have any recent x-rays (within 6 months) from a previous dentist, you can bring them in or request that they be forwarded to our office prior to your appointment.

* Please alert the office if you are allergic to any medications (i.e. penicillin, sulfa, latex, etc.) or if you need to be pre-medicated prior to your dental cleaning due to any joint replacements, heart murmur, etc.

Our practice is dedicated to quality care and exceptional service. We respect the importance of your time and work very hard to schedule appointments that accommodate the busy scheduling needs of all our patients. In return, we ask that patients make every effort not to change scheduled dental appointments. Broken and missed appointments create scheduling problems for other patients as well as the practice.

If you find that you must change your appointment, we require a minimum of 24 hour notice so that we may accommodate another patient. A charge of $40 will be applied for broken or missed appointments without advanced notification.

Thank you for your cooperation in this matter.

Peppes Dental appreciates the emotional and financial investment required to proceed with comprehensive and cosmetic dentistry. During your initial appointment, we will review your treatment plan with you and provide a description of the proposed treatment. We will also discuss your investment prior to any treatment, along with several options for your convenience. Peppes Dental participates in most major insurance plans. For your convenience, we accept cash, check, MasterCard, Visa, Discover and CareCredit Medical Card.
A late charge of 1.8% per month will be added to all balances not paid within 30 days of the monthly billing date.

To avoid misunderstandings regarding dental insurance, we would like our patients to know that all professional services rendered in this office are charged directly to the patient, who is ultimately responsible for payment, of any and all fees. If your dental insurance company fails to pay their portion or fails to pay the claim within 90 days, you are responsible for payment of balance due in full for any service rendered.

1. When the service is rendered, the estimated patient co-payment is collected
2. The claim form is sent to the insurance company, along with any x-rays, intra-oral camera photographs or other necessary supplemental documentation.
3. We expect the insurance co-payment to be paid to our office within 30-60 days.
4. If the insurance co-payment portion paid to us falls short of our original estimate, a bill for the balance due is created and mailed to the patient.
5. If the insurance co-payment portion is not paid within 90 days, a bill for the total balance due is mailed to the patient.