
office (317)
241-0215
toll-free (800) 692-3424
Fees are payable via CASH or CREDIT CARD ONLY. NO PERSONAL CHECKS, MONEY ORDERS, OR CASHIER CHECKS. All fees are due the day of the appointment before you see the doctor. We do not accept insurance, but can provide you with an itemized receipt that you may submit to your insurance company.
| PROCEDURE (6 WEEKS TO 11 WEEKS 6 DAYS) | $370.00 |
| Includes the following: | |
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| ***$100 is due on the FIRST appointment date and will be DEDUCTED from the procedure amount. The remaining balance is DUE on the SECOND appointment date. | |
| POST-OPERATIVE PRESCRIPTIONS | $30.00 |
| NITROUS OXIDE GAS | $25.00 |
| PRE-OPERATIVE ORAL MEDICATION | $30.00 |
| IMMUNE GLOBULIN (NECESSARY IF YOU ARE Rh NEGATIVE) | $40.00 |
| FACILITY FEE (ONLY IF THE PROCEDURE IS NOT DONE FOR ANY REASON) | $100.00 |
