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Thank you for choosing the
Pediatric Dental Center of Frederick

Appointments: If you need to cancel an appointment, please provide at least 24 hours' notice. A $50.00 fee will be charged for missed appointments or same-day cancellations. We understand that unexpected issues may arise, but giving us advance notice helps us better serve all our patients.

Assignment of Benefits: Our practice will accept assignment of benefits if all necessary information is provided prior to your appointment, and if your insurance company accepts assignment to the dentist.

Self-Pay Patients: Payment in full is required at the time services are rendered.

Patients with Insurance: Your insurance is a contract between you and your insurance provider. It is your responsibility to understand your coverage. As a courtesy, we will file your claims. The estimated portion to be paid by you, as calculated by our practice, is due at the time of service. Please note that any estimates provided are just that—estimates. Insurance companies do not guarantee payment until they receive and process the claim according to your plan’s allowances, deductibles, and co-pays. If there is a remaining balance after the claim is filed and payment is received, we will generate a bill for immediate payment. If a claim remains unpaid for 45 days, we require you to pay the balance using one of our approved payment methods.

Maryland Healthy Smiles (Medicaid): It is your responsibility to confirm your eligibility. If you are not eligible for benefits at the time of service, you will be responsible for all charges. Our office allows two no-shows or late cancellations; after that, we will provide emergency care only for 30 days to give you time to find a new dentist.

Payment Methods: We accept cash, electronic funds transfers from checking or savings accounts, and credit cards (Visa, MasterCard, Discover, and American Express). Your bank statement will show the name OCA and/or OrthoSynetics, Inc. for these transactions. A returned item fee of $25.00 applies to all non-sufficient funds transfers.

Balances: We have partnered with OrthoSynetics, Inc. to manage all insurance claims and patient balances. For questions regarding your account or statement, please call OrthoSynetics Dental Financial Services at (800) 779-0126. Accounts with a balance that is 30 days old will receive a follow-up call from an OrthoSynetics account manager.

 

  • OrthoSynetics account managers can process check and credit card payments over the phone to assist you in settling any outstanding balance. They can be reached at (800) 779-0126.
     

  • If no response is received to courtesy calls, an OrthoSynetics account manager will send a “15-day to pay” letter.
     

  • If there is still no response to the “15-day to pay” letter, the account will be sent to a third-party collections agency. You will be responsible for any costs incurred during the collection process, including but not limited to collection agency fees, attorney fees, and court costs.

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