Inwood Dental PC

implant + Braces Center

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Registration Form

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General office policies

Welcome to our practice. Our goal is to help you have as comfortable and efficient experience as possible. The following guidelines help to establish a better flow of work and communication for all parties.

1.       Office hours      Monday: 8:00am-5:00pm,    Tuesday: 10:00am-7:00pm,    Wednesday: 12:00pm-5:00pm     Thursday: 8:00am-5:00pm,    2nd and 4th Saturday of each month 9:00am-3:00pm

2.       Payment responsibility,      The patient is ultimately responsible for payment of treatment regardless if they have insurance,   Insurance is not a guarantee of payment. Co-pay will be due when treatment is started.   As a courtesy, if you have insurance, we can file your claim for you.  Forms of payment accepted: credit card, check, cash, and Care Credit.      Please make checks payable to: Inwood Dental Pc

3.       Cancellation     Please allow a 48 hour courtesy to cancel appointments,  a less than 24 hour cancellation will result in a $25 cancellation fee.

4.       Urgency telephone,     The message left on the voicemail has a telephone number to call if a dental urgency arises and it is after office hours. Call the number provided and leave a message. The doctor will call you back as soon as possible.     For patients that require care outside of the office hours an additional fee will apply.    For true emergencies call 911.

5.       Forms of communication    Email: inwooddental@yahoo.com,   Phone: 972-233-2341    Fax: 972-318-2785,   Address: Inwood Dental, P.C.,12250 Rd, Ste 4, Dallas, TX 75244.

6.       Reminders    We call and leave a message reminding you of your appointment or send an email asking for you to reply to confirm your appointment.   Please let us know if you would like to delete one of these forms of communication.

7.       Late to an appointment     If you are more than 10 minutes late to an appointment we might a have to reschedule you. Please call ahead to makes sure we can accommodate you if you will be late. We will try our best but have to be courteous to our next patient.

8.       1st appointment:    Our new patient appointments require about an hour to an hour and a half. Your next cleaning appointments will not take as long, if you stay on your recommended schedule. We want to provide you with the best care and need proper time for your dental visit.      New patient appointments will include full set of X-rays, periodontal probing exam, charting of existing treatment, oral cancer screening, treatment plan discussion, regular cleaning. Flouride is available for additional cost.  If a more extensive cleaning or deep scale is needed then we will need to schedule an additional 1-2 visit for the periodontal treatment.


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Financial agreement

Our goal is to provide the highest quality of dental care possible and to have clear communication of our financial policy. 

ALL ACCOUNTS ARE DUE AND PAYABLE AT THE TIME OF SERVICE.  If a procedure requires multiple appointments, payment is required at the first appointment. 

Payment Options:

1.       Cash

2.       Check (There is a $30 processing charge for non-sufficient funds or returned checks.)

3.       Mastercard

4.       Visa

5.       Novus/Discover

6.       Credit card authorization for recurring charges:

a.       Treatment exceeds $200

b.      Plan may not exceed 4 months

Parents not accompanying their child to an appointment must make PRIOR arrangements for payment (cash, check or credit card information)

Parents accompanying their children are financially responsible for payment.

Because instruments, chairs, and personnel are reserved exclusively for your appointment, there is a $25 -$50 CHARGE FOR BROKEN APPOINTMENTS WITH LESS THAN 48 HOURS IN ADVANCE NOTICE. 


Our Office Policy Regarding Insurance Assignment

Our Office is pleased to accept your insurance assignment as soon as the responsible party verifies your exact coverage.  We will file your claim forms and assist you in every way we can.However, it must be fully understood that the contract is between you and your insurance company and you are fully responsible for any amount not paid by your insurance.

Office policy regarding insurance assignment:

 ___         1.     Since by taking your insurance on assignment we have to wait for payment, this  courtesy may be withdrawn if circumstances warrant it. The patient co-payment                            will  be due at the time when services are rendered.

 ___         2.     If you discontinue care without the Doctor’s authorization, the balance of your account is due and payable in full immediately, even if your insurance has been                                filed.  (If the insurance does pay; it will be refunded if you have a zero balance.)

 ___         3.     Your insurance should pay within 30 days.  If your insurance has not paid within 60  days, you must pay the balance due and be reimbursed by your insurance                              company when and if it pays.

 ___        4.     We mail statements every month so if there is a balance that is of concern feel free to  call us first to verify if insurance is still pending.

 ___         5.     In restorative treatment your yearly deductible and percentage co-payment is due at  time service is rendered.  This figure is an approximate amount configured                          with   what insurance information we have on file.  After insurance pays on all claims, if  a balance is still due a statement will be mailed.

 ___         6.     You are required to sign an “Assignment To Pay” form and any other  assignment documents required by your insurance company if applicable.

 ___         7.     Our office DOES NOT GUARANTEE that your insurance will pay.  We will make every attempt, at the time of service, to receive verification of your policy benefits                               However, if for some reason, your insurance claim is denied, you are responsible for the full amount of your bill.

 ___         8.     Our office WILL NOT enter into a dispute with your insurance company over your  claim.  THIS IS YOUR RESPONSIBILTY AND OBLIGATION.

 ___         9.     Our office does not file secondary insurance claims.  We will be happy to provide  you with the appropriate claim form to file with insurance reimbursement                                to be directed to the patient.  However, the balance due after primary insurance  payment has been made is due at the time of billing or time of service.

 ___         10.    The Patient Manager must sign all special arrangements regarding finances  and Patient with approval from the Doctor.