Rockland Smile Builders
 
 

Patient Information

 
 
 

Insurance Information

Smile Builders works with most dental insurances for the convenience of our patients. While our staff makes every effort to assist you with your insurance coverage, please remember: Smile Builders is not responsible for how your insurance company handles its claims…or what benefits they provide. We can only assist in estimating your portion of the cost of treatment. We cannot guarantee what your insurance will or will not do with each claim.

About Your Insurance

On the day of your child’s treatment, Smile Builders collects your portion for the treatment performed. We process the insurance claim for you and will collect the remaining balance directly from your insurance. If your insurance does not allow direct payment to our office or won’t verify their fee schedule, you are responsible for paying the entire balance. We will then direct the insurance company to reimburse their portion of the payment to you (within 3 to 6 weeks of treatment). You are responsible for discrepancies between estimated insurance payments and actual insurance payments received. You will be credited for any excess insurance payment. Please notify us of any changes in your benefits, as we verify your benefits when you become a new patient. No changes will be assumed unless notification is provided. It is the patients’ responsibility to know their benefit status. Smile Builders cannot be held responsible if patients exceed maximum benefit limit. Our goal is to maximize your insurance benefits but please remember: insurance is meant as an aid to receiving dental care.

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Important Insurance Facts:

  • NO insurance pays 100% of all procedures

  • Benefits are NOT determined by our office

  • Deductibles & Co-payments must be considered

 
 

 
 

Financial Information: Pediatric & General Patients

After one of our doctors reviews your treatment plan with you, our front desk staff will review the cost of the proposed treatment. If you have dental insurance, we will go over your estimated coverage and out of pocket expense. All co-payments for insured patients and payments for uninsured patients are due at the time of your visit unless written and signed arrangements are made with our office staff.

Please Note: checks returned for insufficient funds will result in an additional $50 fee to your account.

Broken Appointments: a $50 fee will be added for any broken appointment. A broken appointment is considered an appointment that is not formally canceled prior to 24 hours of the scheduled time unless a circumstance arises beyond your control.


We accept Visa, MasterCard, American Express and Discover. We also offer Care Credit, an 18-month interest-free payment option. Our receptionists are happy to assist you and answer any questions or concerns you may have.

Financial Information: Orthodontics
Patients

Smile Builders will work with you to maximize any orthodontic coverage you have. While many insurance companies do not cover orthodontics, the staff at Smile Builders will help to establish a payment plan that enables you to receive the treatment you need. We do accept Visa, MasterCard, American Express and Discover.

After Dr. Weisberg reviews your treatment plan with you, our front desk staff will review the cost of the proposed treatment. If you have dental insurance, we will go over your estimated coverage and out of pocket expense. We offer a number of different payment arrangements from which you can choose. Once you’ve decided which plan is best for you, we ask you to sign the appropriate agreement along with your credit card on file or postdated checks. All payment plans must be completed and signed PRIOR to treatment.

Please Note: checks returned for insufficient funds will result in an additional $50 fee to your account.

Broken Appointments: a $50 fee will be added for any broken appointment. A broken appointment is considered an appointment that is not formally canceled prior to 24 hours of the scheduled time unless a circumstance arises beyond your control.