Patient Information

In many cases, dental insurance will pay for all or a portion of your dental care. If you provide us with complete insurance information, we’ll be happy to bill your insurance carrier. However, because insurance policies vary, we can only estimate your coverage in good faith; we cannot guarantee coverage, due to the complexities of insurance contracts.

Please remember that your specific policy is a contract between you and your insurance carrier. You are responsible for your total obligation for dental services provided by our practice, should your insurance benefits result in less coverage than anticipated. Copayments, deductibles, and remaining balances are your financial responsibility, as are any denials.

If an insurance carrier has not paid within 60 days of billing by our practice, any unpaid fees are due from and payable by you. As a courtesy, we can also file a pre-estimate for treatment at your request. This will give you the opportunity to see what your insurance might cover on your treatments.

If you have changed insurance plans, please let us know immediately so we can process your claim correctly. You can call us at (703) 352-5222, or email us at Info@FairfaxGentleDental.com

In addition to accepting most dental PPO plans, our practice accepts cash, checks, Discover, Visa and MasterCard as well as other forms of payment.

We aim to provide the finest dental care at the most reasonable cost, but please note that we can only do so if our patients pay promptly for services — at the time the services are rendered.

We request you to inform us at least 24 hours in advance if you’re unable to keep your scheduled appointment, so another patient can be treated during that time. Please note that a cancellation fee of $100 will be applied for missed appointments or cancellations made with less than 24 hours’ notice. A fee waiver will be considered in cases of family and health emergencies that are beyond your control. In turn, we will strive to make sure the doctor sees you promptly when you come in, and call you in advance if we need to reschedule your appointment.

Understanding your overall health helps us provide the best dental care possible. We encourage you to share all of your health history, even if it doesn’t seem related to your teeth or mouth—many health conditions can impact oral health. Be sure to let us know about any changes since your last visit.