PATIENT INFO | Financial Information


The Center for Oral and Facial Surgery has several payment options available in order to best meet your needs. These options are discussed during your initial visit. Your doctor and his staff are committed to providing excellent quality of care, and the financial coordinator will guide you in the best payment options for your individual needs.



Payment Options

For your convenience, we accept cash, check, credit cards (Visa, MasterCard, Discover, American Express). Subject to credit approval, we also offer CareCredit and Citybank will gladly arrange a surgery pre-payment plan.

Finance Charges

A 1.5% finance charge will be added to accounts over 90 days past due.

Dental/Medical Insurance

Our knowledgeable insurance staff will gladly answer your insurance questions and file medical and dental claims. Because your insurance is a contract between employer and your dental or medical insurance company, benefits received are based on the terms and limitations of the contract negotiated between them. We will file a claim form with eligible insurance carriers in order to achieve reimbursement for you, but please remember that you are responsible for all co-pays, deductibles and non-covered procedures. We encourage you to read and understand your insurance policy and know the coverage or limitations your personal medical or dental insurance policies may have.

We know questions arise on insurance matters. Our insurance office number is (423) 954-9180. We encourage you to discuss any questions that you may have with our insurance staff.

Some Managed Care benefit plans require pre-authorization and specialist referral forms from your primary physician. We will abide by the provisions of the contract in filing your insurance and taking the necessary write-offs; however, it is your responsibility to see that a referral is obtained on every visit and co-pays, patient out-of-pocket and deductibles are paid on the day of service. If we do not have a referral you will need to reschedule or sign a waiver stating that you understand a referral was not obtained and you will be asked to pay the full charges on the date of service. If further treatment is necessary, it will be your responsibility to obtain the full referral before we can proceed with filing the insurance.

We will bill Medicare for you for covered procedures. All co-payments and deductibles are due and payable at the time of service is provided. Medicare does not cover teeth extractions or surgery on the supporting structures of teeth except for extraction of teeth prior to radiation therapy for cancer patients.

Workers Compensation

If your injury is work-related, we require the necessary insurance billing information and employer authorization form prior to your office visit or treatment.

Personal Injury Cases

This office does not accept liens or bill for auto-accident or other liability or lawsuit-related cases. The patient is responsible for the service provided at the time of service.