Kerri S. Gustafson DDS PLLC
brush me      Dentistry for Children
A specialized eye for your growing smile ~ (586) 585-2402

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Payment:
At the initial visit, you will be provided with an itemized description of planned services and their associated fees.  Payment is expected at the time of service; this includes patient copays.   In an effort to reduce paper waste, there is no billing.  Accepted forms of payment include: cash, check (with valid MI driver's license), Master Card, Visa.   This office also accepts Care Credit, a health care specific credit card.  Follow the link or call for details. 
A $30.00 returned check fee will be applied. As a courtesy to our patients, we will provide assistance with the filing of insurance claims.   It is most efficient to file claims electronically.   If any questions exist regarding payment, please call prior to your scheduled appointment time. 
Cancellations:
24 hours notice is required for appointment cancellation.
A failed appointment fee of $75.00 is to be paid prior to rescheduling of an appointment without 24 hour cancellation. 
Behavior management fee:
Payment of $75.00 is required for appointments that utilize pharmacological behavior management.
This fee covers the following:
  • medication

  • patient monitoring

  • provider time

Infection control:
This office takes care to use infection control measures so as to minimize  risk of disease transmission.  In addition to current literature, Guidelines for Infection Control in the Dental Health-Care Setting -2003 is referenced.
A clean water bottle system is in place at each dental chair.   This means that the water supplied to the hand piece and the air/water spray comes directly from a bottle filled with distilled water not from a plumbed water line.


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