Make a Payment

Let's Locate Your Statement

Please fill out the following information exactly as it appears on your statement, then click the "Next" button to search for & validate your statement information. You will have the option to enter the amount to pay on the next page.

Account Number

First Name

Last Name

Date of Statement

Month

Day

Year

Verify & Pay

Please verify the information below, input your payment amount, and click "Pay Now". You will be transferred to the credit card processor to input your card & billing information. You will be returned to this site after completing your payment.

Name:
Document Date:
Account Number:
Document Type:
Amount Due:
Amount to Pay:

Contact Us

Lafayette Phone Number

1-410-540-4432

Takoma Park Phone Number

1-301-565-2250 x4

Resources

Visit Website

Find a Doctor