Racine Dental Group is proud to be a team whose mission is to deliver the finest dental service available today. We are concerned about your dental care and want to ensure that it is performed in the timeliest manner. In order to assist you with the investment in your dental health, we have outlined our payment policy.

We will give you an estimate of your total fees at the onset of your treatment and will update them as needed. All payment arrangements need to be made prior to the start of treatment.

Non-Insurance Patients

Total payment of the fee is due at each visit. The fees may be paid at each visit with cash, check, Visa, MasterCard and Discover. Patients already paying reduced fees are not eligible for reduction.

Insurance Patients-Payments

Co-payments and deductible payments are designed by insurance companies to enhance patient responsibility and commitment to their own dental care. Therefore, we require that patients with insurance pay the patient liability and deductibles at the time of service. The fees may be paid at each visit with cash, check, Visa, MasterCard and Discover. Patients who have insurance benefits are not eligible for discounts to avoid insurance fraud.

If you have insurance benefits, as a courtesy, we will submit a claim on your behalf; however Racine Dental Group is not a party to the agreement you have with your insurance company. A complete patient registration form and/or a copy of the insurance card(s) must be provided by the patient at the first appointment and updated at each additional appointment. Patients must notify our office of any changes with insurance information. It is your responsibility to know your insurance coverage, as you are ultimately responsible for the entire balance. At your request, a pre-treatment estimate form will be submitted to your insurance carrier prior to treatment to obtain an estimate of your insurance benefits.

Financing Treatment

As a leader in patient financing, CareCredit has made it easy for millions of patients nationwide to get the treatment they want and need. This is a monthly payment plan offered as a separate dental line of credit to cover you and your family members’ dental care needs. Approval only takes a few minutes. There are interest free options as well as low interest extended payment plans. You can make monthly payments as low as 3% of the outstanding balance. There are no annual fees or pre-payment penalties. If CareCredit is your option, you can begin any treatment immediately and spread payments out over time. See complete details below, or contact one of our qualified Patient Account Representatives for details.

The cost of dental treatment may be tax deductible and qualify under a cafeteria plan or medical savings account through your place of employment. See your Human Resources Representative for details.

CareCredit offers a full range of No Interest and Extended Payment Plans for treatment fees from $1 to over $25,000.

No Interest Payment Plans *

  • 6 month plan options for General Dentistry Patients
  • No interest if the balance is paid within the specified time period
  • Low minimum monthly payments
Extended Payment Plans *

  • 24, 36, 48, & 60 month plan options
  • For treatment fees from $1,000 to over $25,000
  • See CareCredit Web Site for current interest rate
  • Monthly payments as low as $41 for a $1,500 fee balance

With CareCredit, you pay no up-front costs, no pre-payment penalties and no fees. Plus, CareCredit is a revolving credit line for additional treatment or add-on charges, without the need to re-apply. It only takes a few minutes to apply for CareCredit and you may receive an online decision in seconds! Apply now or see our staff for more details. * Click for details.

We understand that each family faces hardships from time to time, especially in today’s unstable economy. Outlined above are our core payment options, but if there are extenuating circumstances, Racine Dental Group is open to discussing other options on an individual basis and based on individual needs. Please talk to your dentist.

1101 S. Airline Road, Racine, WI 53406

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(262) 637-9371

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