Our philosophy is to provide the highest quality of patient education and dental care to all patients that choose us for their dental care. By providing you with the following information, we hope to prevent misunderstandings to ensure you encounter a positive experience.

Please feel free to let us know if you have any questions or concerns.

Expected Payment

To keep our fees to you as low as possible, we ask that payment be made at the time of scheduling. Please allow approximately 60-90 minutes for your initial visit. If you have pain or an emergency, every attempt will be made to see you that day.  During your consultation, it may be necessary for an additional 3D scan for accurate diagnosis; should the scan be necessary an additional fee of $450** will be assessed in addition to your consultation fee. For your convenience, an estimate for services/treatment plan will be prepared during your consultation, in advance of your appointment/s to ensure your opportunity to plan for your dental care. We believe whether you privately pay or have dental insurance to assist you, everyone deserves the care they need and want. It is necessary to provide accurate insurance information so estimates can be as accurate as possible.                   

You can begin by filling out your Medical History Financial Data Forms.

The forms will ask you for your complete medical history and the following information to become a patient of record:

1. Name-Your full legal name and your nickname.

2. Phone Number-Work and Home/Mobile

3. Email

4. Date of Birth

5. SSN-We require this so that they can collect payment for healthcare services, verify your identity when it comes to looking up your health records, and communicate accurately with other dental and medical offices.

6. Insurance information (carrier, group/policy#)-we will bill them/they pay you in most cases.

7. Employer, and any other HIPAA contacts

8. Medication and Medical History

The information you provide will help us prepare for your visit.

We try to stay on schedule to minimize waiting at your appointment time.  If you need special accommodations for your schedule, please ask us on your first visit. 

Dental Insurance

We are an unrestricted provider with regard to dental insurance. We are not in-network with any insurance, which means they don’t dictate the best care for you. If you need an in-network provider we suggest you call your insurance to help direct you. Our office collects in full for your visits when scheduling, and afterward, we can bill insurance for you once you become a patient of record.  Your insurance will send you the check. 

Your dental insurance company will only pay for a portion of your dental care, and cosmetic procedures are usually not covered. Patients should consider setting aside money for dental care, just like one would for retirement or a house.

We are happy to file your dental claims to assist you in receiving the full benefits of your coverage. We request that you be familiar with your insurance benefits, and provide us with the correct information within 30 days of your appointment, to assist you with the submission of claims.

We ask for your insurance benefit to be sent to you and collect our full fees to schedule your treatment with our office. We offer a complimentary benefits check once you become a patient if you would like for us to find out what levels of coverage you will have with us. 

There are some insurances we can not bill: OHP (Oregon Health Plan), Medicare/Medicaid, Kaiser Permanente, Willamette, BCBS/Premera, any/all Medical insurance, and certain Federal Plans. For the aforementioned plans, it would be best for you to contact them on how you can file your own claim.

Please realize that your insurance is a contract between you, your employer, and the insurance company; therefore, we cannot guarantee coverage or eligibility and your assistance may be requested to expedite the processing of your claim. Not all services are covered benefits in all contracts; therefore, you are ultimately responsible for the total amount of your dental fees. The treatment recommended for you is indicated regardless of your dental insurance benefits, deductible, limitations, or maximums.

If you have questions about cost, please bring those with you to your first visit, and we’d be happy to answer those questions at that time.  


We consider all appointments confirmed when they are reserved. We do not double book with anticipation of patients not showing for their needed dental care. Our schedule remains open yet, fully staffed when patients cancel or fail the same day of their appointment. We require 96-hour advance courtesy notice for all non-surgical appointments, which allows us the opportunity to reappoint at a more convenient time for you and have sufficient time to offer your appointment to another patient. Failure to cancel within the 96-hour window will result in a $75 cancellation fee for all non-surgical appointments. All surgical appointments require a 7-day advance courtesy notice. Failure to do so will result in a $100 or 10% of the surgical fee, whichever is greater, for all surgical appointments without 7 days of notice. Cancellations must be made via phone call and during business hours. Messages left on voicemail, via email, or text will be deemed inadequate and assessed the appropriate fee.

Cell Phones

We ask that cell phones be turned off at all times while in the treatment area. If being available for an emergency during your reserved appointment is necessary, please leave our office phone number so you can be reached. Should an unfortunate emergency arise we would be happy to notify you in the treatment area immediately.                                                                 

Information Changes

To ensure your records are current please notify us of any changes related to medical history, telephone number/s, address, employer, or insurance information as they occur.        

Copy of Records, Radiographs, or 3D Scans

All copies of records, radiographs, and/or 3D scans are subject to a $35 administration fee upon receiving a signed records release request.                                                                    

Thank you for your understanding of the Office Guidelines!

**Fee for the 3D scan is subject to change without notice and you will be notified of the current fee before proceeding with any 3D scan


Please call if you have any questions. 503-385-8821