You may download and sign our written Financial Policy here so that you may bring it with you to your first office visit.

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For patients with dental insurance, we will work to maximize your dental benefits. However, we do not let insurance dictate the Standard of Care established by Dr. Henderson, Dr. Debottis, and our Hygienists. Your oral health is our top priority

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• Participating Insurance: Insurance companies we are contracted with to accept their fees, however dental services are not necessarily covered completely.

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• Non-Participating Insurance: Although we do not participate with these insurances, we will process the claims for you. This means we will submit to your insurance for them to reimburse us for your benefits. 

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• Exceptions: Emblem Health / GHI insurance - we can process, but they will only reimburse points. Therefore, full payment will be collected.

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• Note: For services not covered by your insurance (out-of-pocket), we will ask for payment at the time of services.

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Insurance is Your Benefit: If insurance does not pay as the patient anticipates, we will submit for appeals when deemed applicable. If your insurance continues to deny coverage, we will need to bill you the balance of services rendered. Patients have much stronger leverage with their insurance as it is their policy, not that of the practice of Jason D. Henderson, DDS PC. 

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Paying Your Out-of-Pocket Expense

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• Cash or Check: If you do not have insurance, and your treatment is over $300, we will give you a courtesy of 5% when paying by cash or check on the same day of service.

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• Senior Courtesy: a 10% courtesy (for patients over age 65, who do not have insurance) when paid in full on the same day of service.

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• Credit Cards: We accept Visa, Mastercard, American Express, and Discover.

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• CareCredit: A third-party lender that allows you to pay over time with either no interest or low interest rates. We can enroll you here in less than one minute and find a payment plan comfortable for you.

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• 50% Deposit: Implant cases and complex treatment plans will require a minimum of $1,000 deposit before the first visit.

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Statements & Refunds: Although we strive for accurate treatment plan costs, it is only an estimate and never a guarantee. Once we are reimbursed, there may be additional payments due from you, or we may owe you a refund. Overpayments will be made payable to the responsible party on the account.

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Not Sufficient Funds: When a check is returned from the bank for insufficient funds, the account will be charged $30.

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Cancellation & Missed Appointments: 48 Business Hours notice is required when needing to change an appointment. If you cancel or no-show without 48 Business Hours notice, a fee of $65 (for hygiene appointments) or $150 (for doctor appointments) will be charged to your account.

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Collection Agency: We will make every effort for you to pay your account. In the event your account is referred to an agency or attorney, it is your responsibility, or the responsible party, to pay all incurred costs. You agree to pay all reasonable attorney fees and any costs related to the collection proceeding, including court costs.