Financial Policy
Financial Help
Thank you for choosing our office for your dental care needs. Dr. Kratzenberg is committed to successful completion of your treatment. Please understand that payment of your bill is considered part of that treatment. Please download, print and fill out our Financial and Privacy Policies form. We require that you read and sign it prior to any treatment.
Click here to download our "Financial Policy Form".
All patients are also asked to complete a Health History and Registration form before seeing Dr. Kratzenberg.
Click here to download our "Health History Form".
Financial considerations should not be an obstacle to obtaining this important health service. Being sensitive to the fact that people have different needs in fulfilling their financial obligations, we are providing the following payment options. If you have any questions or need further assistance with the information below, feel free to contact us.
Financial Arrangements
Payment Options:
Cash, check, or credit cards are accepted at time of service. Some treatments
require several visits. With advance arrangements, you may pay a portion of the
total fee at each visit with payment-in-full on the last visit.
Dental Insurance Coverage:
Dental insurance plans cover between 50 and 100% of cost depending on treatment
and plan in effect. As a courtesy we will file claims for you and only ask for
your estimated co-payment . Please understand that this is only an estimate and
is based on the information available to us.
Our office will accept assignment of benefits under the following conditions:
The following information MUST be provided at the first visit for verification
of insurance benefits:
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Subscriber birth date and social security number
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Insurance carrier, billing address, phone number and group number
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.

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