A minimum charge may be made for failed or canceled appointments without prior notification of 24 hours. Once an appointment is made, please remember this time has been reserved for you.
To avoid misunderstanding regarding dental insurance, we wish our patients to know that all professional services are charged directly to the patient and that patients are personally responsible for
payment of fees. We will prepare necessary forms or reports to help you obtain your benefits from insurance companies. We do not render our services on the basis that insurance companies will pay all of our fees. Each fee is individual for the individual patient. It is your responsibility to pay any deductibles, co-insurance or any other balance not paid by your insurance. Lastly, when possible I authorize any insurance payment directly to Dr. Richard Gottlieb.
In order to control billing cost, we request that the charges for every office visit be paid at the conclusion of each visit.