Practice fees
and payments policy

The prompt collection of fees is crucial to maintaining cash flow and keeping the practice operational. All members of the dental team are responsible for ensuring that patients are fully informed about the fees that they are likely to pay and when those payments will be due.

This policy describes the practice procedure for advising patients of the fees payable for their dental care and for collecting payments.

Information on fees

We are committed to ensuring that patients are given sufficient information about the costs associated with their care to allow them to make informed decisions. Where changes to treatment are agreed with a patient, we ensure that any cost implications are explained.An indicative price list of treatments available on the practice website.

All new private patients following their initial consultation will be provided we a written quotationwhich describes how they can pay for their care.

Estimates and bills

Before any treatment is undertaken, the treatment options and associated costs are explained in full to the patient in a way that the patient understands. The patient is allowed time to consider the information provided and to ask questions.

A written treatment plan and estimate of the costs are provided for all orthodontic treatment. Details of any fees incurred and payments made are recorded in the patient’s clinical records andchecked at each visit. Payments that remain outstanding are also recorded. Where appropriate, patients are given an itemised bill.


The practice offers patients a range of payment options, including payment by cash or credit/debit card.Cheque payments can be taken by prior arrangement. Credit/debit card payments are processed by Barclays Merchant Services.

Notices explaining this are displayed at reception and patients are informed of the charge before any payment by credit/debit card is taken.

Our normal policy isto request patients to pay for sundry items in full.A course of orthodontic treatment requires a depositbefore starting treatment and the following options:

– pay the balance by standing order over either 6, 9 or 12 months,or

– pay in full prior to starting treatment which attracts a 5% discount on the total cost of treatment.

We request 48 hours notice when cancelling any appointments otherwise missed appointments are charged at £15 per 15 minutes of your booked appointment.

Patients are reminded about our payment policy when they make an appointment. This must be agreed in full by accounts co-ordinator. [To comply with consumer credit law, payments will be scheduled for no more than twelve instalments and must be fully paid within 12 months]. If a patient has a complaint about a credit arrangement, the practice complaints procedure should be followed. If the complaint cannot be resolved in this way, the patient should be advised of their right to take the matter to the Financial Ombudsman Service.

Whenever a payment is taken, the patient must be given a full itemised and dated receipt. If a patient offers to pay part of the full cost, the part-payment should be accepted but the patient must be advised that the amount paid is not accepted as full-and-final settlement. The patient should be given a statement showing the original invoice amount and date, the date and amount of the part-payment, and the amount still outstanding.

NHS patients will be charged in accordance with the NHS dental charges regulations. Exempt patients must sign NHS forms and provide evidence that they are exempt.

Outstanding payments

A regular check of the treatments provided against the payments received is undertaken by the practice and reminders sent to patients who have missed payments.

If no payment is received within four weeks, a reminder will be sent inviting the patient to contact the practice regarding payment options.

If, following the second reminder, no payment is received, a final reminder letter will be sent and the patient advised that further failure to make a payment may result in the practice instructing a debt collection agency or taking legal proceedings. Details of the agency will be provided to ensure that the patient knows who may contact them at a later date.

If, following the final reminder, no payment is received, Elizabeth Hopkins (Practice director) will consider how to progress the matter. Action may include the engagement of a reputable debt collection agency or formal legal action. In extreme circumstances and at the sole discretion of Elizabeth Hopkins (Practice director the debt may be written off.

The patient will be informed that, for the purposes of collecting the debt, their details may be passed to a third party.

Date:April 2019

Review date:April 2020