Patient Information

Dental Insurance
Financial Arrangements
Conditional Warranty
Patient Forms

Address
The Van Reed Professional Building
560 Van Reed Road, Suite 202
Wyomissing, PA 19610

Hours
Monday AM 8:30-12:00, PM 1:00-5:00
Tuesday AM 8:30-12:00, PM 1:30-7:00
Wednesday AM 8:00-2:00 PM
Thursday AM 8:30-12:00, PM 1:30-7:00

Phone – 610-374-8009
Fax -610-374-5552
Email – Penncom202@comcast.net

 

Dental Insurance

Each of our administrative staff members can assist you with the efficient utilization of your dental insurance.  Dental insurance is a benefit for the patient as well as a contract between the patient and carrier.

Carriers generally have yearly maximums, deductibles and co-pay amounts.  There may be some procedures not covered at all.  Our staff has a very comprehensive knowledge of insurance plans.  However, we cannot possibly know every detail about the multitude of dental plans available. We encourage you to discuss your policy’s coverage and limitations directly with the carrier or your employer. Our recommendations for treatment are never based on insurance company benefits, rather on each patient’s individual desires and needs. Insurance companies pay based on a fee schedule.  These “usual, customary and reasonable” re-imbursements are based on information gathered from 1-3 years previous.  Therefore, our fees may not coincide with insurance company fee schedules.

We will submit your claims electronically as a courtesy to you. Should the carrier not pay a portion of the bill, the balance is the responsibility of the patient/subscriber.

Patients with an insurance carrier that will not assign benefits to us will be required to pay for services as they are rendered. We will send the required claims to your carrier. However, because the payment will go directly to the patient/subscriber, we will not be notified of any reimbursement problem.

Our treatment coordinator Dixie is always available to assist you in determining which payment arrangements will work the best for you.

Financial Arrangements

The doctors and staff at Penn’s Commons feel it is equally important for our patients to be as comfortable with their financial arrangements as they are with their dental treatment plan.

In order to facilitate this, we accept the following credit cards:

credit-cards

We also offer extended interest free payment arrangements of 12 to 24 months with CARE CREDIT. Applications can be found and completed at www.carecredit.com.

Conditional Warranty

Penn’s Commons feels strongly about the quality of our preventive care and restorative dentistry. Throughout the history of our practice we have been able to document the longevity of our fine dentistry. We have found that the long term success of our dental treatment corresponds to regular check-up and professional preventive maintenance. Our warranty is dependent upon our patients receiving these exams and maintenance appointments as recommended by our professional staff. Depending upon the specific dental treatment rendered, we warranty our work from 2-5 years.

Patient Forms

Forms to be printed by the patient and brought along to their visit.

ADULT HEALTH QUESTIONNAIRE FORM

CHILD HEALTH QUESTIONNAIRE-INFANT TO AGE 14

TMJ SCREENING QUESTIONNAIRE

HIPPA FORM

CONSENT FORM

FINANCIAL POLICY

POST APPOINTMENT SURVEY