Roots Endodontics, PLC, Brighton, Livingston County, Michigan – Dr. Mayank Vora, DDS

Office Policy

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Financial Information and Office Policies

Payment

Fees at Roots Endodontics, PLC, vary with the type of treatment and by tooth. Prior to treatment, you will be given an estimate of the proposed fees. Payment/co-pays are due at the time of service. We accept most credit cards, cash, and checks. We also participate with Care Credit; our business staff can help you register when you visit our office. You can also apply for CareCredit online or make payments online by clicking the tabs below:

If your check is returned for non-payment you will be responsible for the unpaid balance, all bank fees, and an additional fee of $45.00. A monthly service charge of 1.5% will be assessed to account balance after 30 days. If your account is sent to our collection agency, you will be responsible for all collection fees and/or court costs added to your balance.

Insurance

We participate with various dental benefit plans; please contact our office for the most current information. We also accept and process most other dental plans. Our business staff will assist in answering your insurance coverage questions.

Due to many changes in insurance policies, it is no longer an easy task to interpret each policy. We make every effort to contact your dental benefit company to determine your estimated co-payment that will be due at the time of service. However, this is only an estimate and not a guarantee. It is your responsibility to know your individual coverage. Dental insurance rarely covers 100% of the fees. Therefore, please remember that you are responsible for any balances due.

OSHA

Our office is fully compliant with the current Occupational Safety and Health Administration (OSHA) guidelines. We adhere to the highest standard of disinfection and sterilization procedures for your protection.

HIPAA Statement

Roots Endodontics abides by all regulations of the Health Insurance Portability and Accountability Act (HIPAA). We are committed to protecting the privacy of your personal information and can provide you with a notice of our privacy practices when you visit our office for your appointment.

Minors

If a patient is under the age of 18, it will be required that the biological parent or legal guardian accompany the patient to the appointment so that we can discuss treatment options, procedures, and outcomes. Parent/guardian is required to remain at the office for the duration of the treatment.

After-hours concerns

Our office answering system allows notification to us should an after-hours situation occur. Should this be a life-threatening or dire emergency please call 911 or go to the nearest emergency care facility.

Cancellations

Your appointment time is reserved specifically for you. We request a 24-hour notice if you are unable to keep your appointment as scheduled. Please remember that if treatment is rendered in more than one appointment, a prolonged interval between appointments could complicate completion of your treatment, and symptoms may arise.

COVID 19 NOTICE AND ACKNOWLEDGEMENT OF RISK

Our goal is to provide a safe environment for our patients and staff, and to advance the safety of our local community. This document provides information we ask you to acknowledge and understand regarding the COVID-19 virus.
The COVID-19 virus is a serious and highly contagious disease. The World Health Organization has classified it as a pandemic. You could contract COVID-19 from a variety of sources. Our practice wants to ensure you are aware of the additional risks of contracting COVID-19 associated with dental care. The COVID-19 virus has a long incubation period. You or your healthcare providers may have the virus and not show symptoms and yet still be highly contagious. Determining who is infected by COVID-19 is
challenging and complicated due to limited availability for virus testing. Due to the frequency and timing of visits by other dental patients, the characteristics of the virus, and the characteristics of dental procedures, there is an elevated risk of you contracting the virus simply by being in a dental office. Dental procedures create water spray which is one way the disease is spread. The ultra-fine nature of the water spray can linger in the air for a long time, allowing for transmission of the COVID-19 virus to those nearby. You cannot wear a protective mask over your mouth to prevent infection during treatment as your health care providers need access to your mouth to render care. This leaves you vulnerable to COVID-19 transmission while receiving dental treatment.

We have made changes at the office in order to ensure the optimum level of patient and provider safety.
· We are rigorously following all infection control measures recommended by OSHA, the CDC, and the ADA.
· We do ask that if you have a cough, fever or any flu-like symptoms, to please call and postpone your appointment. We are looking forward to seeing you!