pay.yourdentistoffice.com Open in urlscan Pro
20.84.204.224  Public Scan

Submitted URL: https://7nn285rv.r.us-west-2.awstrack.me/L0/https:%2F%2Fpay.yourdentistoffice.com%2F/1/0101019255ef4863-ee7de163-8364-4236-a8d0-2577fbc04...
Effective URL: https://pay.yourdentistoffice.com/
Submission: On October 07 via manual from US — Scanned from US

Form analysis 1 forms found in the DOM

POST /Login

<form method="post" action="/Login" novalidate="novalidate">
  <div class="position-relative">
    <span style="font-size:12px;" class="badge badge-info field-validation-valid" data-valmsg-for="PaymentID" data-valmsg-replace="true"></span>
    <div class="form-custom-group input-form-field">
      <input id="txtPayId" type="text" class="form-custom-control" placeholder="Payment ID (include -)" value="" data-val="true" data-val-length="Please enter your Payment ID." data-val-length-max="15" data-val-length-min="6"
        data-val-required="Please enter your Payment ID." maxlength="15" name="PaymentID">
      <i class="fa fa-hashtag"></i>
    </div>
    <span style="font-size:12px;" class="badge badge-info field-validation-valid" data-valmsg-for="ZipCode" data-valmsg-replace="true"></span>
    <div class="form-custom-group input-form-field">
      <input type="text" class="form-custom-control" placeholder="Billing Zip Code" value="" maxlength="10" data-val="true" data-val-length="Please enter your zip code." data-val-length-max="10" data-val-length-min="5"
        data-val-required="Please enter your zip code." id="ZipCode" name="ZipCode">
      <i class="fa fa-map-marker"></i>
    </div>
    <span style="font-size:12px;" class="badge badge-info field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
    <div class="form-custom-group input-form-field">
      <input type="text" class="form-custom-control" placeholder="Billing Last Name" value="" maxlength="80" data-val="true" data-val-required="Please enter your Last name." id="LastName" name="LastName">
      <i class="fa fa-user"></i>
    </div>
    <input type="hidden" value="-1" id="OID" name="OID">
    <input type="hidden" value="-1" id="PatID" name="PatID">
    <div>
      <button id="btnSubmit" style="width:100%;" type="submit" class="btn badge-pill badge-primary form-control submit-btn" value="continue" xonclick="jQuery.validate()" onclick="trimWhitespace()">continue</button>
    </div>
  </div>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8PU7ydlnQhpElgR3Vvx-YLXFFlzblLRXhuOnEPpMXAgLzBf5FPbPzpzWUFoMyqw-kz_pWWFC3OhMoRxkHll8VLD7D_cSFbJo1sy9ieKSD6vyMr--au_Ix9cZ5IUxVXbvJ8sht9OzVU6bh9oqjVl9xyI">
</form>

Text Content

FAQ
Make a Payment

continue

(Sample Statement)



--------------------------------------------------------------------------------

© 2024 PlanetDDS | Privacy Policy

FAQ

×

WHAT IS THE PAYMENT PORTAL SERVICE?

The Payment Portal lets you pay your dental bill online using a secure, HIPAA-
and PCI-compliant site. Just enter your payment ID, zip code, and last name to
access your current balance, due date, and payment options covering most major
credit/debit cards. The Payment Portal is available 24 hours a day, 7 days a
week, from any computer or smartphone with internet access.



WHY SHOULD I PAY MY BILLS ONLINE?

The Payment Portal allows you to make secure payments online from the
convenience of home or on the go, and eliminates the hassle of dealing with
paper statements.





HOW DO I ENROLL INTO PAYMENT PORTAL?

Easy, if your dental office has activated the Payment Portal, no action is
required on your part to enroll. Simply check your paper or emailed statement
for the payment ID and enter your information here to see if you can make your
payment online.





WHAT IS PAYMENT ID?

The payment ID is a unique code assigned to your account, located on your paper
or emailed statement just below the credit card information box or at the bottom
of the statement in the messages box. Use it to locate and pay your bill here
online.





HOW SECURE IS MY PERSONAL INFORMATION AND MY BILL PAYMENT?

All transactions are processed through a secure website, and all information is
encrypted.





IS MY ACCOUNT ELIGIBLE FOR PAYMENT PORTAL SERVICE?

As long as your dental office has activated the portal for its patients, yes.





IS THERE A FEE ASSOCIATED WITH THE PAYMENT PORTAL SERVICE?

No, there is no processing fee charged to patients for using the Payment Portal.





ONCE I MADE MY PAYMENT ONLINE, CAN I CANCEL IT?

No, once you’ve made a payment, you cannot cancel it here. But you can call your
office for assistance if you believe you’ve made a payment in error.





WHAT DO I DO IF YOU HAVE NOT RECEIVED OR CREDITED MY PAYMENT?

If you believe a payment was made but doesn’t properly display on your current
balance, please contact your dental office for assistance.





CAN I SCHEDULE MY PAYMENT IN ADVANCE?

No, you can only pay your bill once you receive your statement, unless you’ve
made arrangements with your office for a regular payment plan (for orthodontic
treatment, for example).





WHAT FORMS OF PAYMENT CAN I USE WITH THIS ONLINE SERVICE?

The Payment Portal accepts all major credit and debit cards: MasterCard, Visa,
American Express, Discover, etc.





WHAT DO I DO WITH THE PART OF THE PRINTED BILL STUB THAT I USED TO MAIL BACK
WITH MY PAYMENT?

If you’ve made your payment online, your office doesn’t need the stub. You may
want to keep it for your personal records, though, and write down your payment
confirmation number on it.





HOW DO PAYMENTS SHOW UP ON MY CREDIT CARD STATEMENT?

Your payment will appear as made on the date you completed the transaction
online.





THE ADDRESS YOU HAVE ON FILE FOR MY ACCOUNT IS INCORRECT. WHAT DO I DO?

If your mailing address has changed or is listed incorrectly, please contact
your dental office with the correct information so they can update your file.