INSURANCE & FINANCIAL INFORMATION

Scarborough and Windham Offices

We accept all dental insurance plans and are in-network with Delta Dental.

We are happy to file dental insurance claims as a courtesy to our patients. Your insurance policy is a contract between you, your employer, and your insurance company. Because insurance plans and benefits vary, patients are responsible for understanding their individual coverage, benefits, deductibles, and limitations.

We will collect the estimated out-of-pocket amount at the time services are provided. If we are unable to confirm that your child’s insurance is active, payment in full will be due for services provided that day.

Please fill out the change of insurance form if you would like us to file a claim during your upcoming visit.

Our acceptance of insurance assignments does not remove the patient’s responsibility for payment. If your insurance does not pay for a procedure in full, you will be responsible for the remaining balance. If payment is not received from the insurance company within 60 days, or if a balance remains after an insurance payment has been applied, payment in full will be due within 10 days of the billing date.

Payment Information

The adult accompanying your child to their dental appointment is legally responsible for payment of all charges. We cannot send statements for the estimated out-of-pocket portion of services being provided at that appointment.

All patient portions are due in full at the time of service. For your convenience, we accept cash, check, CareCredit, and all major credit cards, including Visa, MasterCard, Discover, and American Express. A $25 fee will be assessed for any returned check.

Just For Kids Pediatric Dentistry, PLLC requires all outstanding account balances to be paid in full within 30 days unless other arrangements have been made. If payment has not been received and you have not contacted us within 30 days, further collection action may be taken, which may include a 35% collection agency fee.

MaineCare

Patients covered by MaineCare must be eligible for benefits on the date of service. Otherwise, the account will be considered a self-pay account and payment will be due at the time of service.

If MaineCare does not make payment for services provided, the patient will be responsible for paying the account balance in full. Payment for services not covered by MaineCare is due at the time of service.

Please note: The Wells location operates exclusively on a fee-for-service basis. The insurance and MaineCare billing policies described above do not apply to services provided at our Wells office. See the Wells financial policy below.

Wells, Maine Office — Fee-for-Service

Our Wells location operates on a fee-for-service basis and does not bill or participate directly with dental insurance.

Payment in full is due at the time services are provided. Following your appointment, we will provide an itemized receipt that you may submit directly to your insurance company for possible reimbursement, including any applicable out-of-network benefits.

Our Wells office does not submit insurance claims, verify benefits, or participate in the insurance reimbursement process. Patients are responsible for contacting their insurance company directly with questions regarding coverage, deductibles, reimbursement, or out-of-network benefits.

Payment is due in full at the time of service regardless of whether your insurance company subsequently provides reimbursement. For your convenience, we accept cash, check, CareCredit, and all major credit cards, including Visa, MasterCard, Discover, and American Express. A $25 fee will be assessed for any returned check.