A copy of your insurance card is required at each visit. If you do not have your insurance card(s) you may be asked to pay for all services performed.

TMJ & Orofacial Pain Treatment Centers of Wisconsin will submit charges to insurance company for services, provided we have complete insurance information, except for device repairs which are the patient's own expense.

It is the patient's responsibility to notify the TMJ Centers of any changes in health care coverage.

Our providers and the TMJ & Orofacial Pain Treatment Centers are not medical providers. It will be the patient's responsibility for non-covered services. The patient is responsible for the entire bill or balance of the bill as determined by the TMJ Centers and/or my health care insurer if the submitted claims or any part of them are denied for payment.

Missed Appointments

Many patients are unaware of the impact on our clinic with last moment cancellations. The clinicians have set aside a large block of time just for your appointment. Canceling an appointment with less than 24 hour notice is not only discourteous to the clinician but also to other patients who could have used the time.

Please be respectful in keeping your appointments and cancel with short notice only in the event of unavoidable circumstances. Appointments need to be canceled at least 24 hours in advance otherwise it will be charged at the rate of a normal office visit. This is billed directly to you the patient. Insurance companies do not cover missed appointments.

Return/Repair Policy

If the patient chooses not to continue with the appliance after it has been custom made, the patient will be personally responsible for a cash payment of $500. This is not billable to patient's insurance plan. All sales are final.