New Patient Forms
We want to thank you for visiting Thomas R. Quickstad, DDS website! Our goal is for your first visit to be a positive experience.
Help us create a smooth experience. Fill out the New Patient forms before your first visit.
We will take the required time to properly diagnose your immediate dental concerns, review your past medical and dental history, and create a treatment plan that provides for your optimal dental health.
Dentist accepting new patients in Issaquah, WA
For your convenience, we accept Visa, MasterCard, and Discover. Our Sammamish dental patient office delivers the finest care at a reasonable cost. Payment is due at the time service is rendered, unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at Thomas Quickstad, DDS, PLLC Phone Number(425) 391-1331. Many times, a simple telephone call will clear any misunderstandings.
Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.
Most insurance companies will respond within four to six weeks. If you have a balance on your account you will receive a monthly statement. Please call our office if your statement does not reflect your insurance payment within that time frame. Any remaining balance after your insurance has paid is your responsibility. Your prompt remittance is appreciated.
Dental Claims Filing
We are happy to assist you in filing dental insurance claims. Patients with dental insurance should bring a dental insurance card to their first appointment. We submit the claim to the insurance company, but require that the patients pay the uninsured portion (patient portion) at the time of service.
Insurance companies are obligated to you and not the doctor. For this reason, patients must take responsibility for their own claims. If an insurance carrier has not paid on a claim 60 days after it has been submitted, the balance for that claim will be the patient’s responsibility.
Sammamish dental patients without dental insurance are required to pay in full at the time of service.
Please Note: Payment is due at the time of service.
As a courtesy to you, we will bill your insurance company and track claims. Please keep us informed of any changes to your insurance plan. You are responsible for the fees charged by our office, no matter what your insurance coverage may be. Most insurance companies should respond to the claim within four to six weeks. Any remaining cost is your responsibility.
Dentistry Care You Will Love
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