515.967.6611 [email protected]

Financial Policy

At Hinke Family Dentistry, we are committed to providing all of our patients with the best possible care and service. It’s important to us that you have a clear understanding of our financial policies. If you have any questions, please ask our front desk staff for clarification. Thank you for choosing Hinke Family Dentistry!

Personal Payments
Patients are responsible for their charges at the time the service is provided. We accept major credit/debit cards (Visa, Mastercard, Discover, Amex) and checks/cash.


Patients with Insurance Coverage
Please understand that your insurance coverage is based on a contract between you and your insurance company. The ultimate responsibility for payment always rests with the patient. As a courtesy, we will bill your insurance company for its share of the charges you incur if current and correct information is provided. Your share of the bill (your co-pay) is due at the time of service. Please be aware that any bill we send to your insurance company is an estimate only. You are ultimately responsible for any portion of your bill not covered by your insurance. In the event that your insurance company determines that any service you received is “not covered”, you are responsible for the complete fee. If your insurance company denies, makes less than full payment, you are responsible for the entire balance.


Financial Options
We are happy to offer our patients a payment plan through Care Credit. They offer several payment plans to choose from to meet your individual needs. Please feel free to request more information about this option.


Minor Patients and Legal Settlements
Hinke Family Dentistry is not party to any legal settlement resulting from a divorce or child support payment. Adult patients are responsible for payment at the time service is provided. Responsibility of minors rests with the adult accompanying the patient at the time treatment is provided. Payment for services rendered to a minor is the responsibility of the adult accompanying the patient. A parent or legal guardian should be present to sign a treatment consent form for all patients under the age of 18.


Additional Information
Any account remaining unpaid for over 90 days for which a payment plan has not been arranged or for one which scheduled payments are delinquent may be turned over to a collection agency. If an account has been turned over to a collection agency, the patient is responsible for any additional fees incurred in the collection process. In the event a refund is due, payment will be given within 2 weeks after the amount is verified by Hinke Family Dentistry. Payment will be rendered in the form in which it was originally submitted (if received in cash, then payment will be rendered in the form of a check).


Cancellation Policy
Our schedule is designed with you in mind and appointment times are specifically reserved for you with your provider. We reserve the right to reschedule your appointment or decrease designated appointment time if you arrive late. A $40.00 “Failed Appointment” fee will be charged if our office is not informed with advance notice of 48 hours of more. If you miss more than 2 appointments without prior notice, we have the right to refer you to another dental practice.