Financial Information

We offer a wide range of payment options designed to make surgeries possible and affordable for every individual. We recognize the variety of financial difficulties that one may face, and we are ready to help. Our financial coordinator will assist you design a payment plan that works for you.

Payment options

1) Payments in full

We accept the following payments:

  • Credit Card
  • Check
  • Money order
  • Cash
  • Online payment
  • Paypal

2) Insurance co-payment only

With some insurance plans, we can submit a claim for reimbursement to our office. Depending on the type of insurance plan and your planned procedures, you will be responsible for a 40% co-payment. (This closely approximates the deductibles, your co-payment estimate, and the difference between the usual and customary fee’s and our fees.) A financial agreement form and a major credit card (not a bank card) are required. If your insurance company has not paid its portion within 60 days, you will be responsible for the balance, which will be charged automatically to your card on file, unless other forms of payment have been made by the due date. Insurance co-payment plan does not apply to Blue Cross/ Blue shields plans.

3) Two-month installment payment plan

An office payment plan available for fees greater than $750.00. A financial agreement form and a major credit card (not a bank card) are required. Your installment payment will be charged automatically to your card, unless other forms of payment have been made on the due date.

4) Extended payment plans (3-60 months)

An interest free option for approved patients. (3-12 month payment plans; A 5-10% service charge may be applicable depending on the chosen terms.) This monthly payment plan does not require payment at time of service. Prior application and approval is necessary. An insurance packet will be prepared for you to send to your insurance company for direct reimbursements. A copy will be provided for your records.


An insurance packet will be prepared for direct reimbursements. A copy will be provided for your records.

Insurance

We do not participate with any insurance plans, however we can accommodate most plans, with benefits directly reimbursable to you. We will provide you with the necessary forms and information so you may submit claims for direct reimbursement.

Should you desire to pay your insurance co-payment only, we will need to verify your insurance and then submit a claim for you. We are happy to file the forms necessary to see that you receive the full benefits; however, we cannot guarantee any estimated coverage. You will be reimbursed either by your insurance company or our office, once your claims have been processed. Because the insurance policy is an agreement between you and the insurance company, we ask that all patients be directly responsible for all charges. Please know that we will do everything possible to see that you receive the full benefits of your policy. If for some reason your insurance company has not paid its portion within 60 days from the start of treatment and you have not paid your fees in total, you will be responsible for payment at that time as indicated on your financial agreement form. You are also responsible for any portion not covered by your insurance plan. (Insurance companies pay according to their usual and customary rate, which may be different from our fees.)

Our financial coordinator will review with you our fees and your available benefits during your consultation. Your benefit information is obtained directly from your insurance company and we are not responsible for their compliance during processing phase. A pre-estimate form may be sent to your insurance company if you want to know exactly what your benefits are.

For more information or questions, please .

H. Ryan Kazemi, D.M.D. Oral & Maxillofacial Surgery
4825 Bethesda Avenue • Suite 310 • Bethesda, MD 20814
(t) 301.654.7070 • (f) 301.654.7050 • (e) info@facialart.com