(586) 933-5083

Dental Insurance

Assignment of Benefits:

Our office will happily accept assignment of benefits under the following conditions:

The following information MUST be provided at the first visit for verification of insurance benefits:

If this information is not available at the first visit, the patient will be asked for payment in full for the day’s charges.

After verification of insurance benefits, we will accept assignment of benefits as a partial payment of the total charge. You will be expected to pay your deductible, if applicable, and any estimated patient co-payment. If after 90 days, your insurance company has not paid their portion, the patient will be responsible for paying the balance in full.

  • Subscriber birthdate, social security number
  • Insurance carrier, billing address, phone number and group number