Charlotte Pediatric Dentistry is pleased to offer our patients the ease and convenience of secure online bill pay. Just have the Account Number and the Patient Responsibility Amount that you would like to pay. (See SAMPLE STATEMENT for your Account Number and Patient Responsibility Amount – circled in red.)
All major credit cards are accepted. To start, complete the form and click on the “Submit” button below.
Question about Your Bill?
We understand insurance benefits can be confusing and you may have questions. If you have any questions regarding your bill, please call 704-377-3687.
Make an Online Payment Now
By completing the form to the right and clicking the “Submit” button below, you will have completed your credit card payment. We will update your account and contact you if we have any questions.
Thank you in advance.
If you have any difficulties submitting a payment through this form please call 704-377-3687 or send us an email: firstname.lastname@example.org