All customers are required to maintain a credit card on file for payment of work performed by Acqua-Dent, Inc. An invoice will be sent with each delivered case. At this time, payment is due, and the credit card on file will be charged. A receipt will be emailed to the address provided. If your payment information has changed, please contact Jennifer Acquaviva at (732) 656-3393 or fill out a new form.
ALL ON X BILLING
At the completion of Step 1 (Temporary), procedure is invoiced at 50% ($2,400) to the restorative doctor and is due at the time of delivery of case. If the conversion does not take place due to unstable implants, you are still required to make payment. Please note that there will be more provisional work done prior to the final prosthesis. There will be no charge for a new provisional denture and any assistance required to either convert or to obtain impressions/records to work towards the final prosthesis, will also be included (based on your initial payment of the $2,400).
At the beginning of Step 3 (Final), remaining 50% balance is due ($2,400 or $4,400 if final is to be Zirconia). If patient decides not to go through with Step 2 (Conversion), a credit of $1,750.00 will be applied to your account. Notification must be in writing, emailed to firstname.lastname@example.org. If patient does not return for the final, Step 3, no credit is given. However, once Step 3 has begun, full payment is due regardless of completion of prosthesis.