SMILES OF BUFFALO GROVE
Billing & Refund Policy
No online payments
Updated October 30, 2026. This website does not take payments, charge appointment deposits, sell products or memberships, or process refunds. Sending an appointment request does not create a payment or confirmed booking.
Payment and cancellation terms
The practice’s Financial Consent Form states that payments and insurance co-payments are due at the time of service. Patients are responsible for balances not covered by insurance. It states a $75 charge for no-shows and cancellations made less than 48 hours before the scheduled appointment. If you arrive late, the office determines whether you can be seen, need to reschedule, or will be charged as a no-show.
Read the practice’s Financial Consent Form (PDF). Please contact the office about your circumstances. Refund or membership cancellation terms are not specified in this form; ask the office for the applicable agreement.
Treatment payments and refund requests
For a payment made to the practice, contact the office to request a billing review, correction or refund. Any applicable refund, cancellation or membership terms must be provided in your written agreement with the practice and must follow applicable law. This page does not create a blanket no-refund rule, a cancellation charge or a new treatment contract.
For CareCredit, Cherry or another third-party payment, the provider’s agreement may also apply. Contact the office and the provider about the specific transaction. Approval, interest and repayment terms vary; financing is not guaranteed.
Contact billing
Call the office to discuss your payment securely. Do not send card numbers, account credentials, medical records or insurance numbers by ordinary email.
Smiles of Buffalo Grove
1215 McHenry Road, Suite 130-A
Buffalo Grove, IL 60089