How to Contact Us
Address:
7525-A State Rd.
Cincinnati,
OH 45255
Telephone: (513) 231-7755
FAX: (513) 231-7989
Email: info@stoffdent.com
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NOTICE: The following email addresses
are not secured by encryption. If you are concerned about
sending information through an unsecure email, please
call our office.
To report problems with this web site:
Webmaster:webmaster@stoffdent.com
Payment and Insurance Information
Insurance:
We help all of our patients
receive the full benefits to which they are entitled from the insurance policy
that their employer has purchased for them.
Dental insurance is intended to cover some, but not all of the cost of your dental care. Most plans include
coinsurance provisions, a deductible, and certain other expenses which must
be paid by the patient at the time of services. Reimbursement
amounts are not, and never have been, a guideline for quality care.
We can file Dental Care
Plus and some other insurance claims for you. Please bring your insurance
plan information with you on your first visit. We will work with you to ensure
that you receive the maximum benefits to which you are entitled.
Payment:
Payment is expected at time of service. If you have insurance, you will be expected to make an estimated
payment for that portion not covered by your insurance plan. For that portion
of costs not covered by insurance, we offer several payment options:
- Cash or Personal Check
- Credit Card - We accept
MasterCard, Visa, Discover, and American Express.
- Care
Credit Medical/Dental Card - Care Credit offers 3, 6 and 12 month interest-free
payment plans, and extended financing up to 48 months. You can apply in
our office or apply
online.
If you have any questions about your insurance plan or payment options, please call Our staff at(513) 231-7755.
New Patient Forms
| The New Patient form is in PDF format, which can be read using Adobe Acrobat Reader.
If you do not have Adobe Acrobat Reader, get a free copy by clicking on the link to the right. |
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When you have Acrobat Reader, click on the link below to download the New Patient form. (If you are on a dial-up modem connection, please be patient - it may take several minutes). Then print the form, fill it out, and bring it with you on your first visit. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.
 Patient Registration and Health History Form
Acknowledgement
of Receipt of Notice of Privacy Practices (web page)
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