Standard Good Faith Estimate for Patients

Dental offices should provide uninsured/self-pay patients with an estimate of their bill for dental items and services before those items or services are provided. This estimate is not a contract and does not require that you obtain these services at this office. This Good Faith Estimate shows the costs of items and services that are reasonably expected for your dental/health care needs for an item or service; it may not include additional items that may be recommended for post treatment care or rehab services. Please note that the estimate is based on information known at the time the estimate was created.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any dental services upon request or when scheduling services.
    • Please note: The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur.
    • If we refer you to a specialist, you must ask them for an estimate for the services they provide; we have no access to their treatment recommendations, fee schedules, etc.
  • You can also ask your dental care office for a Good Faith Estimate before you schedule a service. If you do, make sure the dental office gives you a Good Faith Estimate in writing within 3 business days after you ask. Information regarding scheduled items and services must be furnished within 1 business day of scheduling an item or service to be provided in at least 3 business days; and is not required if requested fewer than three days in advance or for emergency services.
  • If you receive a bill that is at least $400 more for a single procedure than your Good Faith Estimate amounts, not including any fees from complications/emergencies, you can dispute the bill.
    • You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate.
    • You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
    • You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
  • There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you
    will have to pay the higher amount.
  • Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate, visit, email, or call 1-800-985-3059.

Conroe & Montgomery Comprehensive Dental Centers was honored to receive the Pinnacle Award

Each year the Better Business Bureau recognizes businesses and non-profits for their achievements and commitment to quality in the workplace. On October 11, 2023, Conroe & Montgomery Comprehensive Dental Centers was selected as one of 236 companies recognized at the Better Business Bureau Awards for Excellence.

After receiving the Winner of Distinction award from the BBB in both 2021 and 2022, Conroe & Montgomery Comprehensive Dental Centers was honored to receive the Pinnacle Award this year, which is only awarded to one company per business category.

This coveted award highlights our commitment to customer service and gives consumers greater confidence in choosing Conroe & Montgomery Comprehensive Dental Centers. The application process for this award consists of seven essay questions about our business, our long-term relationship with our patients and our reputation in the community, among others.

We are honored to be recognized by the Better Business Bureau, an important part of any online and community reputation strategy.

Skip to content