Financial Information

Thank you for choosing Commonwealth Oral and Maxillofacial Surgery. We are committed to providing you with the best possible care. To prevent misunderstanding, we have established the following financial policy.

1. Payment at Time of Service

Payment is due at the time service is rendered. We deliver the finest care at the most reasonable cost to our patients, for your convenience, we accept Cash, Check, Visa, MasterCard, Discover, and American Express. 

2. Insurance Coverage

As a courtesy to you, our office will file your dental insurance claims and provide an estimate of your out-of-pocket costs.

  • Verification: We require your insurance information at least 48 hours prior to your appointment.
  • Estimates: Any quote provided is an estimate only, based on current information from your dental insurance carrier. It is not a guarantee of payment. 
  • Patient Responsibility: You are responsible for any balance your insurance company does not pay. If your insurance has not paid within 90 days, the balance becomes patient responsibility. 

3. Surgical Deposits

Deposit of $250.00 due at time of scheduling any surgery under general anesthesia. If your procedure is cancelled within 7 calendar days of your surgery date, the deposit becomes non-refundable.

5. Fees

Delinquent Accounts: Account balances older than 90 days are subject to collection fees and charges. Please call our office if your statement does not reflect payments made by your insurance company during that time period. Your prompt remittance is appreciated. 

6. Refunds

In the event that an overpayment is identified on your account, a reimbursement will be issued via check. These disbursements are processed at the beginning of the calendar month following the final adjudication and settlement of all pending insurance claims.Should you have any questions regarding the status of your claims or the timing of your refund, please do not hesitate to contact our billing department.
Returned or Rewritten Checks: A fee of $100.00 will be applied to all returned checks, or refund checks that have to be rewritten.

If you have questions regarding your account, please contact us at Louisville Office Phone Number 502-423-7822.