Madison Avenue Periodontics
Periodontics & Dental Implants
New York City, NY
212.755.1144

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Please use this form for general information purposes only. DO NOT send personal health information through the form below. Specific patient care questions must be addressed with your doctor during an appointment.

 

Financial Information

We offer several options for services we provide:

  • Full payment is expected at time of service.
  • Cash, checks, and major credit cards are accepted
  • Extended payment plans may be arranged with prior approval.

Dental Insurance:

Your insurance coverage may or may not include benefits for periodontal treatment. Benefits are dictated by the terms of your or your employer’s contract with the insurance carrier. Plans vary enormously, even within the same company, in levels of reimbursement, excluded services, deductibles, maximum annual or lifetime benefits, and terms of payment. Few insurance plans cover all fees. Many provide partial coverage. Some specifically exclude some or all periodontal services and/or implants. Regardless of coverage, the patient, not the insurance company, is ultimately responsible for fees incurred in this office.

Our staff will assist you in submitting the necessary forms for insurance reimbursement. We usually file a pre-estimate, since the insurance company generally requires X-rays, periodontal charting, and a detailed treatment plan. Completed treatment forms are typically submitted after your Estimate of Benefits has been returned to us and treatment has been performed. We will assist you with submissions. Questions regarding the terms of your coverage or delays in payment should be directed to your insurance carrier by you or your employee benefits administrator.

NOTE: For all implant and implant related cases a 50% deposit is required when your appointment is made . Balance is due at time of implant placement unless other financial arrangements have been made.

Outside Financing is available– For those who would prefer an extended payment plan.

For your convenience, payments may be made with cash, personal check, and bank draft, Discover, Visa, or MasterCard. If you have any problems or questions, please ask our staff. They are well informed and up-to-date. They can be reached by phone at 212.755.1144 or by fax at 212.371.9629. Our office location is 501 Madison Avenue, 22nd Floor, New York, NY 10022. Please call if you have any questions or concerns regarding your initial visit.

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501 Madison Avenue, 22nd Floor, New York, NY 10022
Tel: 212.755.1144      Fax: 212.371.9629