Financial Information

Payment Options


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  • For your convenience, we accept Personal Checks, Cash, Visa, MasterCard, American Express and Discover.
  • Also for your convenience, we offer an Online Payment Portal.
  • Third-party Financing is available through CareCredit and Greensky Solutions. To find out more information, please click on one of the links above. 

We deliver the finest care at the most reasonable cost to our patients, therefore payment is due at the time service is rendered unless other arrangements have been made in advance.

If you have questions regarding your account, please contact us at North Oaks Oral Surgery Office Phone Number 651-482-0065 for North Oaks or at Roseville Office Phone Number 651-636-2420 for Roseville. Many times, a simple telephone call can clear up any misunderstandings.

Patient Billing

Please remember that you are fully responsible for all fees charged by this office regardless of your insurance coverage.

We will send you a monthly statement. Most insurance companies will respond within four to six weeks. Please call our office if your statement does not reflect payments made by your insurance company during that time period: North Oaks Oral Surgery Office Phone Number 651-482-0065.

Any remaining balance after your insurance has paid its portion is your responsibility. Your prompt remittance is appreciated. We can make arrangements for a monthly payment plan, but that must be implemented prior to any actual procedures.

Financial Policy for Momenta Oral & Maxillofacial Surgery

We are committed to providing you with the best possible surgical care and would be happy to discuss our professional fees and financial policy with you. Please ask one of our qualified employees if you have any questions or concerns about our fees, financial policy or your responsibilities: North Oaks Oral Surgery Office Phone Number 651-482-0065 for North Oaks or Roseville Office Phone Number 651-636-2420 for Roseville.

  • All patients must sign our Financial Policy form prior to seeing the doctor.
  • If you have insurance, it is your responsibility to determine if our office is a provider “in network” for your specific insurance coverage. We are happy to help with the submission of your insurance claim to optimize the benefits available from your insurance.
  • We must have your insurance information in our office at minimum 1 week prior to your appointment to confirm your insurance status and benefits available. If we do not have the information necessary for confirmation of benefits, payment in full will be due on the date of service.
  • If we are participating providers, a down payment is required while your insurance claim is being processed. After reimbursement from your insurance, you will receive a final bill showing your remaining balance or any amount to be refunded.
  • If you do not have insurance, payment is due in full the day of service.
  • Patients are expected to pay for services when rendered. If you have active insurance with benefits remaining, your initial payment will be due on the day of service. Payments collected on the date of service are only an estimate of your responsibility. Final patient responsibility will be determined when all applicable insurance has paid.
  • An insurance contract is between the patient and the insurance company. An insurance company does not owe your doctor for services rendered. Insurance benefits are to help the patient. The patient is responsible for all charges, not the insurance company.
  • “Usual and customary” is a term used by insurance companies when setting their fee limits for services. Charges incurred for services may exceed what your employer (and therefore, your insurance plan) has elected to cover. Your insurance plan may provide benefits for charges based on their “usual and customary” fee limit, and not on actual charges.
  • Hospital-based surgery and implant surgery require prior authorization. Financial arrangements for these surgeries are made on an individual basis. Our Financial Coordinator will discuss this with you before scheduling your surgery.
  • Any balance owed is due within 60 days of service, regardless of insurance coverage. We suggest you check with your insurance carrier if no benefits have been paid within 30 days.
  • Unpaid account balances after 60 days will incur a finance charge of 1.5%. Accounts unpaid after 90 days will be referred to a collection attorney unless alternative payment arrangements have been made. Collection costs will be your responsibility.
  • We accept personal checks, VISA, MasterCard, Discover, American Express, and Care Credit.
  • The person signing our Financial Policy is responsible for all charges incurred for services.

If you have read and understand the financial policy of Momenta OMS and agree to all its terms, please click here to sign our financial policy.