Thank you for choosing TorriMed Oral Surgery and Dental Implants. Our primary mission is to deliver the best and most comprehensive oral surgery care available. An important part of the mission is making the cost of optimal care as easy and manageable for our patients as possible by offering a variety of payment options.
Payment Options:
- Cash, Check, Visa, MasterCard, Discover Card
- Care Credit
TorriMed Oral Surgery and Dental Implants requires payment prior to the beginning of your treatment. If you choose to discontinue care before treatment is complete, you will receive a refund less the cost of care received.
Other arrangements can be made with our office manager or the doctor depending upon special circumstances. An estimate of the charge for any procedure or surgery you may require will be given to you upon request. If you have any dental insurance, we will be glad to fill out the proper forms, and work with your carrier to maximize your benefits and bill them directly for reimbursement for your treatment, but please complete the identifying information on the provided form.
Please remember that insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment. Some companies pay fixed allowances for certain procedures and others pay a percentage of a charge. It is your responsibility to pay any deductible amount, co-insurance or any other balance not paid by your insurance company within 90 days from the date of service. Finance charges accrue from the initial date of service but will not be applied unless the account becomes 90 days delinquent. You will be responsible for all collection costs, attorney's fees, and court costs.
TorriMed Oral Surgery and Dental Implants charges $25.00 for returned checks.
A non-refundable deposit fee of $150 will be required for surgery appointments.
TorriMed Oral Surgery and Dental Implants charges a $150.00 fee for cancellations with less than a 2 BUSINESS DAY notice.
This signature on file is my authorization for the release of information necessary to process my insurance claim. I hereby authorize payment to this doctor named of the benefits otherwise payable to me.