Popat Orthodontic

Smile Investment Summary


Pink Bow Tie Premium Options

$500
$100
$125
$800

Total Smile Investment

Estimated Insurance

Automatic Payment Plan

(0% interest, no credit check, auto draft from bank account; $100 Initiation fee)

Months

Out Of Pocket (basic) Investment

$3500
$109.58
99.17
78.33

Pay In Full

  • Cash
  • 10% book keeping courtesy of: 278
  • Is given for a one-time payment at the start of treatment. Cash out of pocket investment: $2,502
  • Check
  • 3% book keeping courtesy of: $83
  • Is given for a one-time payment at the start of treatment. Check out of pocket investment: $2,697
  • Credit card
  • One gift card for custom set of bleaching trays & whitening gel ($350 value)

Smile Investment Include

  • All adjustments and appliances
  • Any necessary digital x-rays
  • Emergency visits including facetime access to dr. popat
  • One set of clear retainers made in our in-house laboratory
  • Early morning, after school & saturday appointments
  • Retainer check follow up visits

These payment options do not correspond to the estimated treatment time but are merely provided for your convenience. if for any reason the estimated amount is not paid by your insurance company, it becomes your obligation. all figures quoted on this form are valid for 60 days from the date above.

Harvard University
American Association of Orthodontics
American Association of Orthodontics
American Association of Orthodontics
American Association of Orthodontics

Contact

Popat Orthodontics,
635 East Maryland Avenue Phoenix, AZ 85012
info@PopatOrthodontics.com (602) 783-1365 (602) 265-0303