Cooner Dental | Financial Policy

We are committed to providing quality and affordable dental health care. We offer several payment options to ensure that there is a payment method that works for you. For your convenience we accept cash, check, Visa, Mastercard, American Express and Discover. We also offer six and twelve month interest free options through Care Credit.

We will be glad to submit charges for your dental services to your insurance carrier. You will need to provide us with an insurance card from your insurance carrier, with current information.

We accept assignment of dental benefits for the portion of your dental treatment that is covered by insurance. You are responsible for any deductible amount or any other balance not paid or covered by your insurance company at the time of service. We will gladly file a pre-estimate of benefits once you have decided on your treatment.

Our business team will be glad to answer any questions you have regarding your insurance.

DOWNLOAD PATIENT REGISTRATION

DOWNLOAD MEDICAL DENTAL HISTORY

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Email:

Phone:

Security Code:

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Are you a New Patient?

Need to Contact Us?

Save time at our office and fill out a new patient registration form prior to heading to your appointment.

Phone: (205) 221-6218
Fax: (205) 221-0998
Monday - Friday, 9am-5pm CDT

Cooner Dental Practice
1608 Hwy 78 West
Jasper, AL 35501

Policy

Financial

Payment Options:

Insurance:

DISCOVER

We strive to make dental care accessible to all our patients.

We File to Major Insurance Carriers:

Policy

Financial

We strive to make dental care accessible to all our patients.

DOWNLOAD PATIENT REGISTRATION

DOWNLOAD MEDICAL DENTAL HISTORY

Name:

Email:

Phone:

Security Code:

Message:

SUBMIT

Are you a New Patient?

Need to Contact Us?

Save time at our office and fill out a new patient registration form prior to heading to your appointment.

Cooner Dental Practice
1608 Hwy 78 West
Jasper, AL 35501

Phone: (205) 221-6218
Fax: (205) 221-0998
Monday - Friday, 9am-5pm CDT

Payment Options:

DISCOVER

Insurance:

We File to Major Insurance Carriers:

Policy

Financial

We strive to make dental care accessible to all our patients.

DOWNLOAD PATIENT REGISTRATION

DOWNLOAD MEDICAL DENTAL HISTORY

Name:

Email:

Phone:

Are you a New Patient?

Need to Contact Us?

Save time at our office and fill out a new patient registration form prior to heading to your appointment.

Security Code:

Message:

SUBMIT

Cooner Dental Practice
1608 Hwy 78 West
Jasper, AL 35501

Phone: (205) 221-6218
Fax: (205) 221-0998
Monday - Friday, 9am-5pm CDT

Payment Options:

DISCOVER

Insurance:

We File to Major Insurance Carriers:

Policy

Financial

We strive to make dental care accessible to all our patients.

DOWNLOAD PATIENT REGISTRATION

DOWNLOAD MEDICAL DENTAL HISTORY

Are you a New Patient?

Save time at our office and fill out a new patient registration form prior to heading to your appointment.

Name:

Email:

Phone:

Need to Contact Us?

Security Code:

Message:

SUBMIT

Cooner Dental Practice
1608 Hwy 78 West
Jasper, AL 35501

Phone: (205) 221-6218
Fax: (205) 221-0998
Monday - Friday
9am-5pm CDT

Payment Options:

DISCOVER

Insurance:

We File to Major
Insurance Carriers: