Eagle Dental :: General and Family Dentistry
Crown and bridge virginia dentist

Financial Policy

Helping to make your dental care financially comfortable and affordable is important and we proudly offer a variety of options:

We are happy to estimate fees and insurance reimbursement before starting recommended treatments and will gladly file insurance forms for you.

Optimal, comprehensive dentistry is what we practice and we do not base our treatment on what insurance will or will not pay. We base our treatment on what is best for you and any treatment not paid by insurance is your financial responsibility. Below, please find our detailed Financial Agreement:


Financial Agreement

This agreement is to inform you of your financial obligation to our practice. We are committed to providing you with the most comprehensive dental care using only the highest quality materials and technology available in the market today. We are also committed to providing you with up-to-date information and educational tools so that you may fully participate in maintaining optimum oral health. This financial agreement is intended to facilitate our ability to provide excellent service to you while minimizing our administrative costs.


All charges you incur are your responsibility regardless of your insurance coverage. We must emphasize that as your dental care provider, our relationship is with you, our patient, not with your insurance company. Your insurance policy is an agreement between you, your employer, and the insurance company. Our practice is not a party to that agreement. If payment from your insurance company is not received within 60 days from date of service, you will be expected to pay the balance in full.


As a courtesy to you we will help you process all your insurance claims. You may direct your insurance company to pay your benefits directly to our practice by signing the authorization on the Assignment of Benefits Agreement. In order for our practice to file your insurance claim, you must bring a completed dental insurance form or proof of insurance at each appointment.


Your estimated copayment for treatment, which is the amount not covered by your insurance, is due at the time treatment is provided. Your estimated copayment may be adjusted after the time of treatment depending upon the final reconciliation of insurance payments. Our practice accepts cash, personal checks, MasterCard, Visa, and Discover. Third party, extended payment financing is available upon request and approval.


Returned checks and balances older than 60 days will be subject to collection fees and finance charges at the rate of 1.5% per month (18% annually).


At Eagle Dental customer service is a top priority. We value our patients and promise to treat you like family. We understand that ‘life happens’ and want to thank you for contacting us 48 hours in advance to reschedule your appointment.


Please do not hesitate to ask if you have any questions regarding this financial agreement. We are committed to providing you with the ultimate experience in dental care.