First Visit Information    |    Appointments    |    Insurance Claims   |    Co-Payment

Additional Financial Information    |    Which Credit Cards Do You Accept?

What Kind of Payment Plans Do You Have?    |    Do You Offer Financial Options?

First Visit Information

As a Pediatric Dentists, we cater to the unique needs of our patients. If your child has developmental of behavioral issues that may affect his/her ability to accept dental treatment in a clinical setting, please inform us when making appointments. If we are aware of a child’s particular needs, we will make every effort to accommodate them.

Regulations prevent us from prescribing medications to anyone who is not a current patient of the practice. Therefore, if your child has a medical condition and is required to take medications before undergoing any dental procedure, including prophylactic cleanings, any medications must be prescribed by your child’s current physician prior to the first visit. After the initial visit, required medications can be prescribed at our office.

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Appointments

We attempt to schedule appointments at your convenience and when time is available. Preschool children should be seen in the morning because they tend to be more cooperative, and we can work more slowly with the child for their comfort. Missing school can be kept to a minimum when regular dental care is continued.
Since appointed times are reserved exclusively for each patient, we ask that you please notify our office 24 hours in advance of your scheduled time is you are unable to keep your appointment. Another patient who needs our care could be scheduled if we have sufficient time to notify them. We realize that emergencies occur, but we ask for your assistance in this regard.
If you do not call to cancel and fail to show as scheduled, you may be charged a broken appointment fee of $50 per hour. If your child misses two (2) consecutive appointments, we may request that you put down a deposit of $100.00 for the next appointment.

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Insurance Claims

We file dental insurances as a courtesy to our patients. We do not have a contract with your insurance company, only you do. Therefore, we are not responsible for how your insurance company handles its claims or for what benefits they pay on a claim. We will assist you in estimating your portion of the cost of treatment, but we cannot guarantee what your insurance will or will not do with each claim. Although we make every attempt to file claims accurately and to resolve errors if they occur, we cannot be responsible for any errors in filing your claim. If you have any questions or concerns about your particular insurance plan, do not hesitate to contact our office. As a courtesy to our patients we will be happy to file a claim on your behalf but ultimately the responsibility for payment of the claim belongs to the patients. Please keep us informed if any insurance changes such as policy name, insurance company address, or a change of employment status. We are currently a PPO provider with MetLife, Regence, WDS, Guardian, and United Concordia. Our office also participates in ABCD program. Please note that this can change at any time and give us a call to obtain the most recent information about your insurance.

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Co-Payment

You may have noticed that sometimes your dental insurer reimburses you or our office at a lower rate than the actual fee incurred. Frequently, insurance companies state that the reimbursement was reduced because the fee has exceeded the usual, customary, or reasonable fee ( “UCR”) used by the insurance company. The data used to establish fees may be dated and are set by the insurance company so they can make a profit, too.

Insurance companies set their own schedules, and each company uses a different set of fees. These allowable fees may vary widely because each company collects fee information from claims it processes. The insurance company then uses this data to establish their fee schedule. Depending on the type of insurance you have and the exact nature of the plan, you may be responsible for the difference in what the insurance company pays and the fee assessed for services provided.

Payment is expected at the time services are provided by the person accompanying the patient unless other arrangements have been made with our office in advance.

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Additional Financial Information

Dental insurance is meant to be an aid in receiving dental care. On average, most dental insurance plans pay between 50%-80% of the average total fee. Some plans pay more, some pay less. The percentage paid may be determined by how much you or your employer has paid for coverage or the type of contract your employer has set up with the insurance company.

If we have received all of your insurance information on the day of the appointment, we will be happy to file your claim for you. You should be familiar with your insurance benefits, as we will collect from you the estimated amount insurance is not expected to pay. By law your insurance company is required to pay each claim within 30 days of receipt. We file claims in a manner such that your insurance will receive claims within days of the treatment. You are responsible for any balance on your account after 30 days, whether insurance has paid or not. If you have not paid your balance within 60 days, a finance charge may be added to your account each moth until paid. If you have not made payment arrangements with our office within 90 days of service being provided, your account may be frozen and referred to collection. Once referred for collection, further services will not be provided until the outstanding balance is paid. In the event payment cannot be made in full within the above referenced time frames, please call the office to discuss alternative payment plans. We will make every attempt to accommodate your situation.

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Which credit cards do you accept?

Our office accepts Visa and MasterCard, as well as debit card which bear the Visa or MasterCard logo.

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What kind of payment plans do you have?

We expect all patient portions and deductibles to be paid when service is provided. We implement and enforce this policy to keep costs down for each of our patients. Prior to treatment, our staff will provide an estimate of the treatment costs or co-payments. Usually the co-payment is a close estimate but is some cases and additional amount will be due. In the event extensive treatment plans are required, financial arrangements can be discussed.

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Do you offer financial options?

As a service to our patients, we are pleased to offer financing through both Capital One Healthcare Finance and Unicorn Financial. You can finance up to 100% of your dental care without upfront costs, so you can begin your treatment today and conveniently pay with low, monthly payments.

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