Patient Services

Dental Education


Office Financial Policies

Payment policy:
Payment or Co-payment is due at the time of service.  A firm understanding of financial policy is essential before beginning treatment to avoid any misunderstanding and to assist you to plan accordingly.

Payment Options:
We do accept cash, check, Visa, Mastercard, American Express, and most insurance plans.

We also offer an outside credit option called Care Credit (*up to 18 months interest free if you qualify).
Some things in life can be put off.  Fortunately, quality dental care doesn’t have to be one of them.  Now with the Care Credit you get payment flexibility, so you can start treatment immediately.  Just click on the Care Credit Logo to apply online or apply in our office.


Co-payments are due at the time of service.  When treatment begins, at least one half of the co-payment is required the day treatment is started. The balance is then due upon completion of treatment unless previous arrangements have been made. We will accept 90 day payment plans in some instances.

Service Charges:
Balances over 90 days will incur a 1.5% finance charge monthly.  Returned checks will incur a $25.00 fee.

Appointment/Cancellation Policy:
We realize that time is a limited commodity for all our patients. This is why we strive to have “on time” appointments.  We schedule our appointment book as full as we can to accommodate as many patients as we can and we require 48 hours notice to change an appointment.  We are very understanding regarding unforeseen business and personal emergencies, however, repeated last-minute cancellations and failure to arrive for scheduled appointments will incur a $60.00 fee. Appointments over 15 minutes late may be considered broken.

Insurance Policy:
Please bring a copy of your card to our office so that we may enter your information and bill your company accurately. Our office is happy to bill your insurance company for your treatment, however you must realize that the agreement is between you and your insurance company. We are not a party to that agreement.  As a courtesy, we will file your insurance and accept assignment of benefits. We ask that your estimated co-payment and deductible be paid at the time of service.  If you do not have insurance or if you have Delta Dental, your payment will be due at the time of service. Not all services are covered benefits and therefore, insurance may not cover certain treatments. You must understand that you are responsible, regardless of insurance, for any charges incurred from services rendered. All insurance amounts are estimates only and not a guarantee of payment by your insurance company. If your insurance does not pay within 90 days of being billed, you will then be responsible for the full balance. Our practice will not enter into a dispute with your insurance company over any claim although we will cooperate fully and provide them with any requests for information they may have. Please call your company if you have any questions about coverage.

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Pay Your Bill Online
If you wish to pay your dental bill online you may do so by clicking the following link. 

Pay Your Bill Online

When you do so it will take you to our secure site. You will need to enter your username and password. If you don’t remember your username or password you may email

Once you enter our secure site please enter the appropriate information and your payment will be credited to your account.
We will send an e-mail confirming your payment. 

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Patient Information - View Your Account

At Schinto Dental, our patients can login to their personal accounts to update or view your patient information, insurance information, billing address, dependents, to check the status of their payments, to see when their next appointment is, to schedule future appointments, and to pay on their account.

If you are an existing patient, welcome!
Click here to log in to your account.

When you click here it will take you to our secure site. You will need to enter your username and password. If you do not have or remember your username or password you may email

Once you enter our secure site please enter the appropriate information and your patient records will be updated in our database.

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Appointment Request

Appointment Request

First name:

Last name:




Zip/Postal Code:



Preferred Dates:

Preferred Times:

Please describe your symptoms:

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Downloadable Forms
For your convenience we have listed the forms we need for you as a new patient in our office. You may either download, print, and fill out these forms and bring them to your first appointment, or wait until your actual appointment to fill them out.

(Please note that Adobe Acrobat files may take a few seconds to load). If you need to download the Free Adobe Acrobat Reader click here:

Patient Information Internet Communcations Consent Dental Records Transfer

Cancer Screening


Office Policies


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