Policies & Financial

We appreciate you allowing us to provide dental care for your child. As one of the Valley's leading providers of pediatric dental care, we wish to attract parents that take an active role in their child's dental health and remain financially responsible. Because we value our relationship with you and believe that the best relationships are based upon understanding, we offer these clarifications on methods of payment and insurance reimbursement.

Prior to your first visit, we will request all pertinent insurance information. At your first visit we will ask for a copy of your dental insurance information to allow us to file your claim for this and all future visits. Please remember to bring all dental insurance information, as well as your insurance card to every dental visit. We also ask that you contact us immediately after making any changes to your dental coverage, so we can keep our records current to help provide expeditious reimbursement of your benefits.

It is important to provide the office with the necessary information to verify your benefits.  All insurance information should be received at least 24 hours prior to the dental appointment. If not received, you will be responsible for payment of all fees upfront and the insurance company will send reimbursement to you.   The day of the appointment is reserved for clinical matters.  All business matters should be handled prior to the day of the appointment.  MOST IMPORTANTLY, please keep us informed of any insurance changes:  change of employment , insurance carrier, insurance company address, policy name or identification numbers.

Dental Insurance. We are dedicated to providing all our patients with the finest treatment available and base our treatment recommendations on what will be best for your child and not what your insurance company does or doesn't pay. Please note the following in regards to your dental insurance coverage:

  1. We must emphasize that as a health care provider, our relationship is with you and not your dental insurance company. Your dental insurance is a contract between your employer and your insurance company. Most plans routinely pay between 50-75% of the average total fee for a covered treatment. This percentage is determined by how much your employer has paid for coverage.
  2. As a courtesy, we will be happy to file for your insurance benefits, though we are not obligated to do so. Because your dental insurance plan is a contract between you, your employer, and the insurance company, many carriers will not reimburse our office. In this instance, you will be responsible for the full cost of visits at the time services are provided and your insurance company will send you the reimbursement check, directly.
  3. Any amount determined not to be covered by your insurance company is payable at the time services are rendered; these fees may include deductibles, co-payments or certain procedures not covered by your insurance policy. Unfortunately, some of the services that we may recommend for your child will not be covered by your specific dental policy. Our primary goal is to treat your child using the best possible materials in a safe environment and not necessarily in the cheapest manner, which is typically the goal of many insurance companies.
  4. We allow a maximum of 45-days for your insurance company to clear account balances. Any unpaid portions will be due in full, by you, after this period.
  5. Our office does not determine your dental benefits. Your employer chooses a particular policy and if you are unhappy with its specific coverage, this should be brought to your superior's attention. Only your employer can adjust benefits or change policies.

Methods of payment. For your convenience we accept cash, money orders, cashier's checks, personal checks, American Express, Visa and MasterCard. All returned personal checks will be assessed a $35 management fee.

Financial Obligation. After attempts to collect outstanding funds and a 90-day grace period from time of service, parents/guardians not fulfilling their financial obligation will be sent to collections, as stipulated by our accountants.

Prior to completing any treatment, we will provide you with a cost estimate indicating our total fee, what we anticipate your insurance coverage to be, and your estimated out-of-pocket portion (estimated patient portion or EPP). Please remember, this is only an estimate based upon generalized information provided by your dental insurance company. An additional billing or possibly a refund may be subsequently required should information provided be inaccurate or if your insurance company pays an alternative benefit not specified to us.

We will always do our best to maximize the insurance benefits that you are eligible to receive and we appreciate your prompt settlement of any charges that may be incurred during your child's treatment process. We look forward to years of close association with you, as we work together to maintain your child's oral health!

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