It is the philosophy of our Arlington Dental Center to provide our high quality care to as many people who need it as possible. That is why we accept most dental insurances.
We encourage each patient to give us a call with any questions or concerns about their insurance so that we can verify it will be accepted by our Arlington Dental Center.
For your convenience, we also accept Discover, Visa and Mastercard.
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.
Under the law, health care providers need to give patients who don’t have certain types of health
care coverage or who are not using certain types of health care coverage an estimate of their bill
for health care items and services before those items or services are provided.
For questions or more information about your right to a Good Faith Estimate, visit
PRIVACY ACT STATEMENT: CMS is authorized to collect the information on this form and
any supporting documentation under section 2799B-7 of the Public Health Service Act, as added
by section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations
Act, 2021 (Pub. L. 116-260). We need the information on the form to process your request to
initiate a payment dispute, verify the eligibility of your dispute for the PPDR process, and to
determine whether any conflict of interest exists with the independent dispute resolution entity
selected to decide your dispute. The information may also be used to: (1) support a decision on
your dispute; (2) support the ongoing operation and oversight of the PPDR program; (3) evaluate
selected IDR entity’s compliance with program rules. Providing the requested information is
voluntary. But failing to provide it may delay or prevent processing of your dispute, or it could
cause your dispute to be decided in favor of the provider or facility.