Payments – Summit Dental Arts

Binghamton: 607-724-1389 | Endicott: 607-754-3080

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Payments

We want you to be as comfortable paying for your dental care
as you are with your visit to our office

When paying at the time of service

Pay in full at time of service by check or cash, if services are over $500, receive a 5% fee reduction.

Submit dental insurance information and receive reimbursement according to your plan.

Payments after Service

Make a Payment

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Credit Card Information
Card Holder Name*
First Last
Credit Card Number*

We accept American Express, Discover, MasterCard, Visa
Month*
Expiration Month
Year*
Expiration Year
CVD Code*
Payment Amount*
Payment Notes