Thank you for choosing Jay M. Epstein, DMD, PC. Our primary mission is to deliver the best and most comprehensive dental care available. An important part of the mission is making the cost of optimal care as easy and manageable for our patients as possible by offering several payment options.
Payment Options: Our office accepts
- Cash or check, Visa®, MasterCard®, American Express® or Discover Card®
- For treatment exceeding $200 we offer special financing options with convenient monthly payments available with the Care Credit healthcare credit card.
If you choose to discontinue care before treatment is complete, your refund will be determined upon review of your case.
For patients with dental insurance, we are happy to work with your carrier to maximize your benefit and directly bill them for reimbursement for your treatment. Understand that Jay M Epstein DMD PC strives to be compliant with all matters of federal, state, and contractual guidelines. It is against federal and contractual insurance obligations for a provider to routinely write-off patient liability including copayments, coinsurance, and deductibles or offer patient discounts that may violate the federal antikickback statute or provider-collect provisions. Under such provisions, co-payments are due at the time services are rendered. Coinsurance and deductibles are due upon confirmation of the liability from the carrier.
Federal and contractual obligations also require that we not overcharge our patients more than their contractual obligations as instructed by their insurance policy. If at any time you feel, or become aware of, any fees you have paid or are asked to pay which are not reflective of your insurance explanation of benefits or Medicare Remittance Advice, please contact us
A fee may be charged for patients who miss or cancel more than 2 times in a calendar year without 48- hour notice.
Jay M. Epstein, DMD, PC charges $30 for returned checks.
If you have any questions, please do not hesitate to ask. We are here to help you get the dentistry you want or need.
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.