New Patients

What to Do Before Your First Visit

Being well-prepared for your appointment will ensure that the doctor and staff have all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in dentistry.

To fulfill this mission, we are committed to:

• Listening to those we are privileged to serve
• Earn the trust and respect of our patients, profession, and community
• Exceed your expectations
• Ensure a creative, challenging, and compassionate professional environment
• Strive for continuous improvement at all levels

If you are requesting your records be sent to Jay Freedman, DDS & Associates, PC, please print and send this request to your prior dentist:

• Transfer Records to Dr. Freedman Request

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Dental Insurance

Dental insurance is a benefit provided to about half of the USA workforce. The true essence of this benefit is to provide basic care (prevention and simple restorations). Think of dental insurance as a coupon to make comprehensive and preventative care more affordable. We participate in NO insurance plans because it is Dr. Freedman’s belief that the patient and the doctor should decide on the course of treatment…. not a removed third party.

Our office has a cooperative relationship with both traditional dental insurance and dental PPO insurance where the individual has the choice to seek care out of their network. Coleen, our Financial Coordinator, works relentlessly to maximize our patient’s reimbursements and has over 25 years of experience.

Financial Policy

Like most other services or products, payment is due when services are rendered. Insurance co-payments and deductibles are due at the time of services for patients with dental PPO insurance.

WE ACCEPT CASH, CHECKS, AMERICAN EXPRESS, VISA, MASTERCARD, AND DISCOVER.

Insurance Benefits

Those with dental insurance please remember that your insurance is a contract between you, your employer, and the insurance company. You are responsible for payment regardless of any arbitrary determination by your insurance company of what is usual and customary. If insurance payment is not received within 45 days, then the entire amount becomes due and payable by you immediately. A pre-determination is NOT a guarantee of payment.

Minor Patients

The adult who accompanies a minor (and the minor’s parents or guardians) is responsible for full payment at the time of service.

Missed Appointments

An appointment is a confirmation that time has been reserved for your treatment. A cancellation charge of $100.00 (per half-hour of scheduled time) is assessed for each “no-show” or appointment canceled without a 24-hour notice.

Collection Costs

Checks returned from your bank unpaid are subject to a $35.00 processing charge. If your account is referred for collection (after 120 days of non-payment), you will be responsible for collection costs in the amount of 35% of the outstanding balance, all certified mail costs, court costs, and reasonable attorney fees.

Payment Plans

Our office offers a wide variety of third-party payment plans, which include several options for 0% interest and for terms up to 5 years. Almost any treatment is affordable, and Coleen, our Financial Coordinator, is available to help custom-tailor a payment plan specifically for you.

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