Request an Appointment with Eugene Mumford DDS
(360) 779-3211
19163 Jensen Way NE, Poulsbo, WA 98370
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Financial Policies
Financial Responsibility
In an effort to reduce the cost to you, the patient, while maintaining the highest level of professional care, we have established the financial policy as follows:
•  Payment of any account balance is due in full within 20 days of statement date.
•  We gladly accept Visa, Discover, American Express, or MasterCard payments
•  Payment plans are available through CareCredit

Fees & Policies
Missed Appointment Fee
We strive to schedule an appropriate time for each patient family that visits Eugene Mumford, DDS, taking into account the individual needs of each child. While we understand that emergencies happen, and it's difficult to plan for the unexpected, it's important that we respect the time of our staff, as well as those patients who may be waiting for an appointment with us.

Therefore, our missed appointment fees are as follows:
$25.00 per scheduled family member — Hygiene Appointment
$150.00 per scheduled family member — Treatment Appointment

Past Due Payment Fees
Accounts that are past due will accrue late fees in the amount of $5.00 per 30 days past due (after insurance payments have been applied). If your account is 90 days or more past due, it may be referred to a third-party for review.




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Eugene Mumford, DDS | www.eugenemumforddds.com | (360) 779-3211
19163 Jensen Way NE, Poulsbo, WA 98370



 

 

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