PAYMENT FORMS

Please arrive 10-15 minutes prior to your first appointment to fill out new patient paperwork. If you prefer, these forms can be emailed to you prior to your appointment. Please email southamptonendo@gmail.com to make this request.

PAYMENT INFORMATION

We recognize that endodontic treatment is often unplanned and that it frequently represents a financial hurdle for many patients. Our office staff is committed to helping patients understand their payment options.

DENTAL INSURANCE

While we are not considered "in network" by any dental insurance company, we will provide you with the forms to send into your insurance to maximize your benefits. Patients are responsible for all treatment fees at the time of the service rendered. Your dental insurance company will reimburse you directly for covered services at their out-of-network allowance rates.

WHAT DOES YOUR PAYMENT COVER?

Most patients will present for an evaluation in our office following referral for endodontic treatment. This includes a comprehensive endodontic diagnostic examination of the tooth or area of concern and typically a 3-D CBCT scan. Payment of the consultation fee is expected at the conclusion of this visit.

Our treatment fees cover the cost of high quality and cutting edge materials and treatment time. The cost of treatment also includes future checkup appointments, allowing our doctors to monitor ongoing healing and ensure successful treatment outcomes.

CREDIT CARD/CHECK/CASH 

We accept cash, check, MasterCard, Visa, Discover, and American Express.