4708 W. Plano Parkway, Suite 100 • Plano, TX • 75093 972-612-8388

Finances

Thank you for choosing Esthetic Dental Image as your dental care provider. We are committed to your successful treatment and positive experience. Part of a good experience is understanding what to expect. We are completely upfront and honest in regards to the financial aspect of your dental care. The following is our financial policy, which you must read prior to treatment. Also, please download your new patient forms here, complete them, and bring them to your first visit. We can’t wait to see you smile!

  • Please prepare to pay your full bill, copayment, or deductible at your appointment.
  • Cash, personal checks, and major credit cards are welcomed.
  • If your account shows a balance (due or credit) after insurance pays, we will make the adjustment and notify you by mail.
  • Financing is available through respected, third-party banks.

Dental Insurance
We may accept assignment of insurance benefits after verification of benefits. However, we require all co-payments and deductibles to be paid at the time of service. The balance is your responsibility if insurance does not pay. We cannot bill your insurance company unless you give us your insurance information and an original claim form. Dental insurance is a contract between the patient and the insurance carrier, not the dentist. The amount paid by the insurance carrier on a claim may not cover the amount of the dentist's services. The ultimate obligation for payment rests with the patient. While this office will assist and work with the patient regarding insurance and financing, we cannot accept the responsibility for collecting a claim or for negotiating a disputed claim. The patient is totally responsible for his or her account.

Usual and Customary Rates
Our practice is committed to providing the best treatment, and we charge what is usual and customary (UCR) for our area. You are responsible for payment, regardless of your insurance company's arbitrary determination of usual and customary rates.

Minors
The adults accompanying a minor, parents or guardians, are responsible for full payment for dental services. For unaccompanied minors, non-emergency treatment will be denied unless charges have been pre-authorized to an approved credit plan. Payment by Visa, MasterCard, cash, or check must be verified at the time of service.

Emergency Patients
Full payment is due prior to time of service in cash or by credit card. No checks will be accepted for new patients seen for a dental emergency.

Missed Appointments
Unless an appointment is canceled at least 24 hours in advance, our policy is to charge a patient’s account for a standard office visit. Please help us to serve you better by keeping scheduled appointments. When you give adequate notice of cancellation, we can allow someone else to take your reserved appointment time.

Thank you for understanding our Financial Policy. Please call or e-mail us if you have any questions or concerns.

Reserve Your Appointment Today
Since 1992, Dr. JoJo Cheung has brought Plano families optimal oral health and sensational smiles. Esthetic Image Dentistry serves patients from Frisco, Richardson, Dallas, Allen, and surrounding areas with personalized service and clinical excellence. Call today to reserve your consultation with Dr. Cheung!





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