Financial Policies

All services provided to you, your dependents, or others for whom you are responsible, you will be responsible for payment for said services. Unless insurance is available or payment is otherwise prearranged, payment is due in full at the time of treatment. If treatment is terminated or suspended prior to your treatment being completed, any fees for services already provided shall become due and payable immediately. If the account is not paid as agreed upon and is turned over to collections, you agree that an additional fee will be added to your account balance to cover the costs of collection.

Returned checks shall incur a $25 return check charge and the patient will no longer be able to pay with a personal check.


We are not a participating provider for any insurance networks.  We will file your claim and a courtesy.  If you have questions about payment, we would be happy to assist you in contacting your insurance provider to determine an estimate.

Wellness Plan

This Dental Wellness Plan is not insurance, it is a discount program. The program is only offered to individuals and families not currently insured by a dental insurance plan. The Wellness Plan is only valid at Wilmington Holistic Dentistry. The Wellness Plan benefits are not transferrable to another practice or dental specialty practice. Payment is due at time of service.

Members may only be admitted to the plan upon having their comprehensive exam and full mouth series x-rays accomplished at Wilmington Holistic Dentistry.

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Care Credit

Use Care Credit to pay for out-of-pocket expenses not covered by medical insurance, and special financing options are available that you may not be able to get with other cards.

Pay for health, and wellness care at over 200,000 enrolled providers across the nation. Once you’ve applied, you can use it again and again at any location that accepts CareCredit.

New Patient Forms

Click on of the following links for a downloadable form of the relevant information: