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Payment & Refund Policy


Organizing a dental treatment involves arranging numerous resources and careful planning to ensure a superior patient experience. By signing the Procedure Fee Invoice (“the Agreement”) with Moderna Dental Inc, doing business as Moderna Dental (“Moderna Dental”), you understand that Moderna Dental will start incurring costs to prepare and schedule your procedure(s). As part of this process, you are obliged to make a one-time NON-REFUNDABLE deposit of $500 (“the Deposit”) at the time this Agreement is signed. It is important to note that under no circumstances will this Deposit be refundable, including if you are unable to obtain medical clearance.

The Deposit you pay is applicable for one (1) year from the date this Agreement is signed. Should the procedure(s) not be conducted within this timeframe, or if you wish to proceed with any procedure after this period, additional charges will apply, and the quoted prices may be adjusted.


The Amount Due as quoted covers only specific services: pre-operative and post-operative consultations and the procedure(s) listed. All additional tests and services, such as blood work, X-rays, medical clearances, prescriptions, and other related services, are to be arranged and funded by you independently.

You also agree to settle the Total Amount Due at least fifteen (15) days before your scheduled procedure(s). Failure to pay the full Amount Due by this deadline will lead to the cancellation of your procedure(s). You are responsible for all payments, including rescheduling and cancellation fees. If payments are made on your behalf by another individual, that person must also sign this Agreement, accepting financial responsibility for any payments made under the terms of this Agreement, including adherence to the cancellation policy outlined.

It is understood that the outcomes of any procedure cannot be guaranteed. Your obligation to pay the Total Amount Due remains, regardless of the procedure(s)’ results. Payments are for the provision of services, not the outcomes. Should you have any dissatisfaction with the results or wish to discuss payment terms, you are encouraged to contact Moderna Dental directly. Any disputes over payments must be attempted to be resolved through mediation before pursuing a chargeback.

Should you need a revision of the procedure within one year of the original procedure date, you will cover the costs for operating expenses, supplies, anesthesia, and professional fees. Revisions requested after one year will be charged at full cost, subject to any price changes.


If you decide to cancel your procedure(s) for any reason, the following conditions apply:

(a) With 30 days’ notice or more, you are entitled to a refund of the Amount Due minus the Deposit. If the full Amount Due was not paid, the refund will be the amount paid minus the Deposit.

(b) With 15-29 days’ notice, you are entitled to a 50% refund of the Amount Due minus the Deposit. If a preoperative visit was completed, an additional $500.00 will be deducted as a cancellation fee. Refunds will be adjusted based on payments made and may also be reduced by costs from third-party services related to your procedure(s).

(c) With less than 15 days’ notice, no refunds will be issued.

Rescheduling a procedure incurs an additional $500.00 fee plus the Amount Due. Canceling a rescheduled procedure incurs a $1,000.00 cancellation fee per canceled procedure.


In our commitment to community support and to minimize disputes and chargebacks, we uphold a Zero Tolerance policy. For refunds or changes to your procedure plans, please contact our accounting department at accounting@modernadental.com. Our policy allows for the processing of refunds and claims within 72 business hours.

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