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Thank you for choosing Mainstreet Dental Center as your dental care provider.



As a courtesy to our patients, we will prepare and submit your insurance forms for reimbursement. We
     cannot get reimbursed from your insurance carrier unless you provide all the necessary information. The
     correct insurance name, address, phone number, policyholder's name and address, social security number,
     date of birth and group number are needed. Please read the following:


Your account balance is your responsibility whether your insurance company pays or not.


Your insurance policy is a contract between your employer and your insurance company. We are not
     a party to that contract.


As we work with over 1,500 insurance policies, we recommend that you read your policy and have a
    basic understanding of what your insurance will and will not cover.


If your insurance company has not reimbursed our office within 60 days, you will be responsible for
    the entire portion of your account.


19751 E. Mainstreet


Parker, Colorado 80138

fax 303-997-9359

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