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Financial

Payment Options

h-bracesCordoba Orthodontics strives to provide affordable, high-quality treatment that fits your budget! Your treatment plan will include a breakdown of all applicable fees, and we will inform you of all costs before treatment is administered.

We accept a variety of payment options to meet your needs, including cash, checks, and Visa, MasterCard, American Express and Discover credit cards. We also offer in-house financing options and accept third-party financing through CareCredit.

Financial Policies

  • When reviewing the financial agreement (contract), please take note that your monthly payment will be automatically deducted from your checking account or processed to your credit card. $35 non-sufficient funds fee will be accessed for any returned checks.
  • Payments are processed on a consistent date of your choosing each month. Vanco payments are normally processed on the 1st or the 15th of each month. If funds are not available, a late charge of $15 will be assessed. If payment is 30 days delinquent, a 30-day letter will be sent. During this month, the patient will be seen, but no active treatment will be performed. We will check for broken or loose appliances and evaluate hygiene until the account is brought current.
  • If the account falls 60 days delinquent, late charges are applied on both late payments. No active treatment will occur until the account is brought up to date.
  • If the account falls 90 days delinquent, further late charges are applied and a DISMISSAL letter will be sent by certified mail. This will terminate our responsibility to the patient. Further orthodontic treatment will have to be rendered by another orthodontist. However, if the patient finds alternate financing and pays the entire unpaid balance, active treatment can be reinstated.
  • A monthly payment is simply a convenient way to spread out the cost of orthodontic treatment and is not related to treatment progress or appointments; therefore, payment is still deducted/credited even if there is no appointment during the month. The balance of the total treatment fee is due before the appliances are removed.
  • If you transfer during the course of treatment, your account will be prorated, and the account will be settled prior to sending your records to your new orthodontist.

Insurance Policies

  • Upon verification and assignment of orthodontic insurance benefit, an insurance ledger will be established with the amount of estimated insurance benefits. Our office will then be responsible for the monthly/quarterly filing of insurance statements.
  • Insurance will pay, provided the patient is still eligible for coverage, while active treatment is still being rendered and the lifetime orthodontic benefit has not been exceeded.
  • If, for any reason during active treatment, the insurance benefits decrease, change or are terminated, the unpaid balance will be transferred back into the patient’s ledger and will be the responsibility of the patient. Any unpaid insurance balance at the end of treatment is the patient’s responsibility and must be paid before appliances are scheduled to be removed.
  • It is the patient’s/parent’s responsibility to inform us of any change in coverage or company. We may need to ask your help in filling out forms or making calls to the insurance company.
  • We reserve the right to refuse to process/accept insurance benefits at any time.

Extra Charge Policies

  • Broken appointments without a 24-hour advance cancellation notice will be assessed a fee of $25 per 15 minutes.
  • Broken appliances which are the result of poor patient cooperation will be assessed a repair fee of $25 per broken appliance. This fee is due at the time of repair.
  • ADDITIONAL MONTHLY CHARGES MAY BE INCURRED FOR EXTENDED TREATMENT TIME DUE TO POOR COOPERATION (i.e. lack of rubber band and/or headgear wear, poor tooth brushing and improper diet, and lost time due to breakage or missed appointments). Our services may be discontinued for lack of cooperation.
  • Your financial agreement includes one set of retainers. If you require another set because they are lost, damaged or you had restorative dental work, there will be a charge for the new retainer(s).
  • A $35 charge will be made to the patient’s account for any returned checks or non-sufficient funds of automatic check debit and credit cards.

Cordoba Orthodontics

  • Lake Mary Location - 734 Stirling Center Pl., Lake Mary, FL 32746 Phone: 407-444-9960
  • DeBary Location - 90 Fox Ridge Ct., DeBary, FL 32713 Phone: 386-668-6644

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