Office Policies


The first step towards a beautiful, healthy smile is to schedule an appointment.  You have many options.  Click the "Book Online" link below to schedule your own appointment, contact our office by phone (516.466.1177) or complete an online appointment request.   Quality patient service is a priority for us and we recognize the value of your time.  Except in emergency situations, you can expect us to be on time for you and we appreciate the same courtesy. 

Powered by ZocDoc Doctor Directory

Cancellation Fees 

We understand that schedules may change.  Because your appointment time is reserved especially for you, we kindly ask that you give us a 48 hours cancellation notice so someone else may use that time.  Appointments cancelled without advance notice will incur a cancellation fee of $100.  Weekend appointments require two business days of operation (by Wednesdays) notice to avoid cancellation fees of $200.

Family appointment blocks

We try to accommodate appointment requests as best as we can.   When making appointments for multiple family members, it is our policy to only book 2 family member appointments on any one day.  However, we realize busy family lifestyles require exceptions to be made.  If more than 2 family members are allocated an appointment time, we require a credit card to hold the appointments.  In the event of family appointment cancellations with less than 48 hours notice, your credit card will be charged an appointment block cancellation fee ($100 per appointment).   Family appointment cancellations for Saturdays require a minimum of 72 hours notice. The appointment block cancellation fee will be doubled for Saturday appointment blocks ($200 per appointment).  If you have any questions about this or any of our policies, please contact our office.

Financial Policies, Insurance and Payment Options

We are committed to providing our patients with the best possible care and are pleased to discuss our professional fees with you at any time.  Your clear understanding of our Financial Policy is important to our professional relationship so please ask if you have any questions about our fees or your financial responsibility. 

Fees for services at our office are expected at the time of your visit. 

Insured Patients

We participate in many insurance plans including:

  • Aetna
  • Always Care/Unum
  • Ameritas
  • Assurant
  • Blue Cross Blue Shield
  • Cigna
  • Delta Dental - Premiere
  • Empire Blue Cross Blue Shield
  • Guardian
  • Humana
  • Maverest Dental Plans 
  • MetLife PDP+
  • Principal Financial Group
  • United Concordia Elite
  • WTC/HealthSmart

This is not an inclusive list - please contact our office to confirm if we participate with your specific insurance plan. 

Please note, insurance is a contract between yourself, your employer and your insurance company.  As a courtesy to you, we file your claims and are happy to work with your carrier to maximize your benefit and directly bill them for payment for your treatment. Co-insurance is due on the day of service -- we work diligently to estimate your co-insurance; however, it is sometimes not possible to estimate with 100% accuracy.  In the event you have co-insurance remaining after your dental insurance reimburses our office, you are still responsible for the balance on your account.  

If we do not receive payment from your insurance carrier within 60 days, you are responsible for payment of treatment fees and the collection of benefits directly from the insurance carrier.  Not all services are covered by insurance plans so please consult with your insurance carrier for specific coverage information.  Each insurance company reimburses differently and you are responsible for any co-insurance (at the time of service), deductibles and unpaid balances.

Note that not all dental services are covered under most insurance policies.  Each insurance company arbitrarily selects certain services they do not cover.  We will not develop a treatment plan based on what is or is not covered by a patient's insurance policy.  We will always suggest treatment that is necessary and will not allow insurance companies to dictate the level of care or importance a procedure has on your life or oral health needs.   

Account Balances

We appreciate timely payment of your account.  If payment is not received within 30 days, it is the office policy to assign finance charges of 1.5% per month (18% APR) to the balance.  Accounts over 60 days past due incur a $30 late fee.  We reserve the right to reschedule or deny a future appointment on delinquent accounts.  In the event that unpaid balances are turned over to an attorney for collection, the jurisdiction for the said collection shall be Nassau County, NY.  Patients are responsible to pay the twenty-five percent (25%) attorney’s fees and interest on the unpaid principle balance at the rate of eighteen percent (18%) per annum and all costs.

Payment Options:

For your convenience, we accept cash, checks, VISA, MasterCard, American Express and third party healthcare financing through Care Credit.  Please note there is a $30 charge for returned checks.    

VisaMasterCardAmerican Express

Financing Options

If you would like to participate in a flexible payment plan option, we participate in third party healthcare financing through Care Credit.


To apply for credit, please follow the link.

Once you have opened their page, choose Dr. Chicvak as your provider.  From there you will be asked a series of financial questions to determine your available credit limit.  Once you have been approved, Care Credit will contact us so that we may follow up with your treatment plan. 



View More