Patient Information

Patient Portal

Appointments

We know you have many choices when choosing a Periodontist in San Francisco, CA so we have made requesting an appointment a simple process via our Web site. If, for any reason you cannot keep a scheduled appointment, or will be delayed, please call us as soon as possible.

Patient Forms

If you are a new patient to our office, you may pre-register by filling out our secure online patient forms.  Please make sure to sign all forms and press the Submit button at the bottom, to automatically send us your information.  Thank you and please contact our office if you have any questions at all.

Payment Options

For your convenience, we accept cash, personal checks, debit cards, and most major credit cards. Payment is expected at the time services are performed.  Feel free to contact our office if your treatment plan requires more comprehensive dental work and you want to discuss financial arrangements.

    


Financial Policy

We are committed to providing our patients with the best dental care possible. Included in that commitment is an open dialogue of our fees and financial policies. This agreement provides a written statement of our policies and procedures. Please review the following information. If you have any questions, please discuss this information with the doctor or his representative. 

1. Payments. Payment in full is due at the time of service. If you have dental insurance, your estimated co-payment is due at the time of services. For your convenience, we offer payment options in addition to cash including credit card payments. We accept the following credit cards: Visa, Mastercard, Discover, American Express and bank debit cards.                                           

2. Health Insurance. Your insurance policy is a contract between you and your insurance company. As health care providers, we are not a party to that agreement. We want to emphasize that our relationship is with you, not your dental benefit provider. There are no guarantees of health insurance benefits. If your insurance does not cover all or part of the treatment provided, you will be responsible for payment of fees which are not reimbursed by insurance. However, we are committed to helping our patients maximize their benefits and we will work with you to achieve the maximum benefits for your coverage. If you have dental insurance, we will complete and submit a claim form to your benefit provider as a courtesy to you. If you are covered by a plan that gives you a discounted fee schedule, the discounted fee will be charged to your account and recognized by the insurance carrier upon receipt of claim. If your insurance has a preferred provider list and we are not on that list, you may be responsible for additional costs.          

3. Treatment Plan Estimate. Once we have assessed your dental condition, we will present you with a written treatment plan. The treatment plan includes a detailed estimate of each procedure’s total fee, separated by the expected benefit portion and the patient’s obligation. Please note that the dental benefits are subject to various limits as determined by your benefit provider. All co-payments are due at the time of service. The estimate of fees is guaranteed for sixty (60) days. After such time, the fees are subject to change.                                                                     

4. Late Fees. Should your account exceed ninety (90) days, one and one-half percent (1.5%) interest per month (18% per year) will be charged. In the event your account exceeds ninety (90) days after all insurance claims have been paid, your account will be sent to a collection agency and/or small claims court and an additional $100.00 will be charged for administrative fees. In the event of incurred costs for your default of payment, you agree to be responsible for all attorneys’ fees and other court costs associated with enforcing this agreement.                                                                                         

5. Cancelled Appointments. As a courtesy to our patients, we will remind our patients of their appointments by telephone. Once an appointment has been made, this scheduled time has been reserved for you. We understand that circumstances arise that may prevent you from making your scheduled appointment. However, please note that should you fail to show for your appointment or fail to cancel your scheduled appointment within forty-eight (48) hours of the scheduled appointment time, you may be subject to a charge of $75 per hour scheduled for cancellation and $100 per hour scheduled for a no show.

Contact Us

Thank you for visiting San Francisco and Marin Reconstruction Periodontics online. Dr. Hamed Javadi, DDS, MS has been providing advanced periodontal care in the San Francisco Bay area since 2002. At our patient-centered practice, we pride ourselves on a history of excellence in service - you are our top priority! We are dedicated to providing you with superior dental care. Contact us using the form below to schedule an appointment.

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