Mark W. Mercer, DDS
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Download forms here!New Patients

Welcome! Prior to first visit please take some time to review the new patient information. You will find in the following pages information about our location, office hours, insurance and payment polices and more. There is also information about our staff and our first visit procedures. You can also save some time by printing out and completing the patient forms prior to you appointment.

Should you have at any time any questions or concerns feel free to ask any of our staff. Our mission is to provide you with the highest level of care, using the most up to date technology, in a modern and comfortable facility. We strive to exceed your expectations.

New Dental PatientYour First Visit

Your first appointment if not for emergency treatment will consist of a complete oral examination including a visual examination, periodontal assessment, charting of existing restorations and conditions. We will also take x rays including a panoramic film and bite wings. In addition we will do a soft tissue and oral cancer screening. From this information we will be able to provide you with a through diagnosis and treatment recommendations.

Insurance and Billing

Our staff is highly trained in all aspects of insurance billing and helping you understand your insurance benefits. We do not participate directly with insurance companies; however we will gladly fill out the insurance forms and electronically bill your insurance company. We will make sure that you will receive maximum benefits available.

Payment Policies

Our mission is to deliver the finest, most cost-effective health care treatment available today. Following diagnosis, the doctor will advise you of our plan for treatment. Additionally, we will discuss with you the investment in today's and future treatment.
Payment is due at the time services are rendered. For your convenience we accept cash, personal check, Visa, Discover and MasterCard. We also offer convenient payment options through Care Credit.

Insurance benefits are determined by your employer and not your dentist. Any deductible or estimated co-payment amount will be due at the time of treatment. Insurance is not a guarantee of payment; insurance companies may not pay for all your costs. Your insurance policy is a contract between you and your insurer.
As a courtesy, we will be glad to file your claim for you, provided we have complete and accurate insurance information. You will be expected to pay for services rendered if the office is unable to verify your information prior to treatment. If payment for services already rendered has not been paid within 45 days, either by you or your insurance company, the remaining balance for treatment is considered due and collectible. Should additional means of collection become necessary, all costs of collection, including attorney fees, court costs and collection agency fees (35% standard collection! 50% legal collection) will be added to your existing balance. Your cooperation with this policy will assure equitable treatment of insurance and non- insurance patients.
We reserve the right to charge and collect fees for broken appointments. Appointments are reserved exclusively for you. We consider an appointment confirmed once the appointment is scheduled. A minimum charge of $65 per hour may be posted to your account if an appointment is cancelled without a 48 hour advance notice.

The parent accompanying a child with two separated parents on the day of treatment is responsible for payments due at the time of service.

Any accounts overdue for patient payment is excess of 30 days are subject of an interest fee of 18% per annum. A returned check fee of $35 will be added to your account balance for any checks returned to us as non-sufficient funds (NSF).

Payment plans and financial arrangements can be entered into for comprehensive dental treatment, prior to commencing treatment.

If you are eligible, we accept payment through CareCredit®. Please apply on the CareCredit® website...

Patient Forms

For your convenience we have provided our office forms here. Please download, complete, print and bring them with you on your office visit.

Patient Information

Confidential Medical and Dental Information Form

Office Financial Policies

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Mark W. Mercer, DDS
W492 Portage Street
St. Ignace, MI 49781


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