Please download and submit all forms (keep HIPAA notice for your records), several days prior to your appointment, so we can verify insurance coverage and retrieve previous records: Thank you!
Submit new patient forms to one of the following:
EMAIL: INFO@NORTHRIDGEDENTALAZ.COM
FAX: 520-825-7143
MAIL: 16215 N Oracle Rd.
Tucson, AZ 86739
Our Mission:
We at Northridge Dental are committed to providing every patient with excellent and individual dental care in a warm and caring environment. Our patients will be treated like family by our highly skilled and extraordinary team to deliver the highest standard of overall health.
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Dental Insurance
We are in-network with Delta Dental Premier, but work with many types of insurance carriers in submitting to your insurance.
Currently we do not participate with any HMO dental insurance plans.
Insurance guidelines:
Currently we do not participate with any HMO dental insurance plans.
Insurance guidelines:
- Insurance benefits will be estimated for all patients prior to treatment and the patient portion will follow the same guidelines listed above.
- All financial guidelines apply to the patient portion
- If the insurance dental claim has been 60 days without full payment the patient is responsible for remaining due balance immediately.
Northridge Dental Financial Policy
Payment is expected at time of service, unless financial arrangements have been made prior to appointment.
No savings for cash or check payments
No discount offered for credit payments (we accept visa, master card and discover)
Financial plans available:
A monthly payment option with a Re-occurring Credit Card Payment Agreement must be signed and kept on file. In House Credit interest free payments are available on balances. Arrangements can be made with the front office. If the payment tendered by the borrower is returned or declined a charge of $45 shall be added to the unpaid balance of the loan, and all future payments shall be accepted only in guaranteed funds (cash, money order, certified check).
In the rare event that your account becomes past due and is referred to an outside collection agency or attorney, you will be responsible for all collection costs, reasonable attorney fees, and court fees incurred by this office.
No savings for cash or check payments
No discount offered for credit payments (we accept visa, master card and discover)
Financial plans available:
A monthly payment option with a Re-occurring Credit Card Payment Agreement must be signed and kept on file. In House Credit interest free payments are available on balances. Arrangements can be made with the front office. If the payment tendered by the borrower is returned or declined a charge of $45 shall be added to the unpaid balance of the loan, and all future payments shall be accepted only in guaranteed funds (cash, money order, certified check).
In the rare event that your account becomes past due and is referred to an outside collection agency or attorney, you will be responsible for all collection costs, reasonable attorney fees, and court fees incurred by this office.