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• Hillsboro: (503) 642-1535 • Portland (Cedar Hills): (503) 644-4749

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Office Financial Policy

In the interest of a good health care practice, it is desirable to establish a credit policy to avoid misunderstandings. Our primary responsibility is to help our patients experience good health and we wish to spend our time and energy toward that end.

PATIENTS WITH INSURANCE

A treatment plan and estimate of your portion will be presented before your first restorative visit. We will make a best guess estimate but it will only be an estimate. Your portion is due at the visit. For convenience, your portion can be divided by the anticipated number of visits.

Many insurance plans state the coverage is at 50%, 80% or 100%. This is often based on an insurance company fee schedule rather than our fees. Some insurance companies disallow certain services. Your treatment plan estimate may differ from expectation.

Many families believe that it is the insurance company that owes the doctor for his service. Please keep in mind that the insurance contract is between the insured and the insurance company. As a courtesy to our patients, we submit insurance claims and accept insurance payments. However, the ultimate responsibility for payment remains with the family. In cases of divorced or separated parents, custodial parent will be held responsible for the account.

PATIENTS WITHOUT INSURANCE

Patients without insurance are required to pay the charges in full at the time of service. A 10% discount will be applied. A treatment plan estimate can be divided by the anticipated number of visits.

ACCOUNT BALANCES

The balance on all accounts is due in full within 60 days regardless of insurance coverage or anticipated payment from other sources. A $5.00 monthly rebill fee will be added to all overdue accounts. Patients with insurance claims that haven't been paid in 30 days should contact their insurance company to determine the reason for payment delay. Delinquent accounts will be referred for collection.

CHARGE CARDS

Visa/Master Card and Care Credit cards may be used for payment on your account.

CHECKS

There will be a $25.00 charge on all returned checks.

MISSED APPOINTMENTS

There may be a charge for missed appointments. Our time must be used as efficiently as possible to keep our expenses at a minimum and our fees within reasonable limits.

ASSIGNMENT AND RELEASE

The undersigned acknowledges financial responsibility for all charges regardless of insurance coverage. If it becomes necessary to effect collection of any amount owed on this or subsequent visits, the undersigned agrees to pay for all costs and expenses, including reasonable attorney fees. I hereby authorize the doctor to release information necessary to secure payment of benefits. I authorize payments of insurance benefits directly to Hai T. Pham, DMD.

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Our Doctors:
Hai Pham, DMD
Jenette Intrachat, DDS
Grace Shao-Chiu Chen, DMD, MS
Jessica Irwin, DMD

TOP DENTIST, Portland Monthly

Dr. Pham was featured in Portland Monthly, chosen
as one of the Top Dentists, Pediatric Dentistry, 2011, 2012, 2013, 2014, 2015.

Proud Member
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Hospital Privileges
Dr. Pham has hospital privileges at:


Hillsboro

Hi5 Dentistry for Kids
- New Address!

3075 SE Century Blvd Ste 109
Hillsboro, OR 97123
Phone: (503) 642-1535
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Portland

Hi5 Dental - Pediatric Dentistry
2375 SW Cedar Hills Blvd,
Portland
, OR 97225
Phone: (503) 644-4749
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Office Hours

Monday - Thursday: 8am to 5pm
Friday: 8am to 12pm


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Home  | Meet The Doctors  | Dentistry for Kids  | Office Info  | Testimonials  | New Patients  | Referring Doctors  | Locations  | Hai Pham, DMD  | Jenette Intrachat, DDS  | Grace Shao-Chiu Chen, DMD, MS  | Jessica Irwin, DMD  | Insurance  | Dental FAQ  | First Visit  | Preventive Care  | Treating Decay  | Early Orthodontics  | Sports & Mouthguards  | Special Needs  | Sedation Dentistry  | Dental Emergencies  | Hi5 Dental in Hillsboro  | Hi5 Dental in Cedar Hills




Hai Pham DMD - Hi5 Dentistry for Kids | www.hi5dental.com | (503) 642-1535
2375 SW Century Blvd, Hillsboro, Or 97225