Office Policies
740 Marne Highway, Suite 103 Moorestown, NJ 08057 phone: 856.638.1234 fax: 856.638.1235
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Copyright Kids First Pediatric Dentistry. All rights reserved.
1) Payment is due at the time of service.
2) As a courtesy to our families we will check your dental benefits and
submit claims for patients. Please note that this is a courtesy and that we
are only estimating your financial obligation. It is ultimately the
responsibility of the policy holder to know and understand their own policy.
Financial responsibility for any service not covered is the parent’s/guardian’s.
3) For patients with insurance, only the estimated portion that insurance will
not cover is due. Again, please note that this is only an estimate and the
actual amount owed may be more or less.
4) We kindly request at least one business day (24 hours) notice for
cancellations. Please note that for Monday appointments this requires a
change/cancellation by or before Friday.
5) Cancellation with less than one business day notice may incur a $50
cancellation fee.
6) We reserve a specific block of time for each patient to allow the proper
amount of time to care for each child. Therefore if you arrive late for an
appointment your child may not be able to be seen and you may be assessed
our cancellation fee.
7) Professional fluoride treatments are a central component of our
preventative approach. These treatments will be completed at each of your
child’s cleaning appointments. Please note that some dental insurance plans
only cover these treatments one time per year. If you would like our office
to skip these recommended treatments we require written notice before
your child’s appointment.
(Updated 1/09)