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Financial Agreements

We offer several financial options to make your care more manageable. Please review the choices below, as we will need to confirm your selection before beginning treatment. If you have any questions about our policies, our team is happy to assist you.

  • Option 1: Payment in Full at Time of Service
    We accept the following payment methods:
    • Cash
    • Check
    • Credit Card – Visa, MasterCard, Discover
    A processing fee applies: 3% for major credit cards and 2% for debit and HSA payments. (Effective 1-6-2026)
  • Option 2: Insurance and Partial Payment
    When time permits (3–4 weeks), we can submit a pre-determination request to your insurance company to provide an estimate of your out-of-pocket costs at the time of service. If this is not possible due to time constraints, 30% of the total fees will be due when services are rendered. After your insurance has processed payment, any remaining balance will be your responsibility.
  • Option 3: Third-Party Financing
    Patients may qualify for monthly payment plans through CareCredit. You can apply online at www.carecredit.com or by phone at (800) 365-8295. Any fees not covered by insurance or paid at the time of service can be financed through an active CareCredit account.

As a courtesy, we will file insurance claims using the information you provide. Because our services are rendered directly to you, you are responsible for all fees incurred. By signing a separate document, you authorize NorthernStar Oral & Maxillofacial Surgery, PLLC to receive any insurance benefits that would otherwise be payable to you.

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