HOW ARE APPOINTMENTS SCHEDULED?

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The office attempts to schedule appointments at your convenience and when time is available. Preschool children should be seen in the morning because they are fresher and we can work more slowly with them for their comfort. School children with lots of work to be done or children who have long orthodontic appointments should be seen in the morning for the same reason. Dental appointments are an excused absence. Missing school can be kept to a minimum when regular dental care is continued.  Patients who are more than 10-15 minutes late may be asked to reschedule.

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DO I STAY WITH MY CHILD DURING THE VISIT?

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We WELCOME PARENTS in the treatment room and often find this gives a feeling of security for both child and parent during their dental care. Our goal is to gain your child’s confidence and overcome any apprehension they may have and to create the environment where your child’s needs are optimally met. In some cases, our treatment can be more effective when a parent is not present in the room. Most youngsters have fun in our office and their visit is an enjoyable outing.

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IMMUNIZATIONS

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We see many patients who are immunocompromised and unable to be vaccinated.  In addition, we treat newborns, who are too young to be vaccinated.  It is because of this that patients in our office must be vaccinated for routine childhood illnesses, unless there is a medical condition verified by the patient's pediatrician.  We do not allow religious exemptions.  We do not require "optional" vaccinations such as HPV, Influenza, Covid, etc., but require those that protect against life-threatening communicable diseases such as Measles, Mumps, Rubella (MMR), Polio, Pneumococcal, etc.

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CANCELLATIONS AND MISSED APPOINTMENTS

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Time is very valuable.  Your child is scheduled for a solo, specific time slot.  We do not "double-book" patients, whereby 2 patients are scheduled for the same time period in case one cancels, which is commonly practiced.  We require that all cancellations be made at least 24 hours in advance to allow us to schedule another patient in your appointment slot.  Cancellations made inside of 24 hours may be considered the same as a missed, or broken appointment.  Missed appointments with one of our hygienists may incur a $75 fee and missed appointments with a dentist may incur a $150 fee, which may be subject to change.  After 2 missed appointments, your family may be dismissed.

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BEHAVIORAL EXPECTATIONS

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We understand that dental appointments can be stressful for our pediatric patients and their parents.  We try our best to be kind, polite, informative, and understanding during these visits and we expect the same in return.  Foul language, rude, degrading, or inappropriate behavior will not be tolerated and will result in the immediate dismissal of the entire family from the practice.  This applies to all parents and guardians as well as older, teenage patients who are capable of respectful behavior.  This rule applies to telephone calls and front desk communication as well.  Any staff member has the right to enforce this policy.  Additionally, any parent or patient suspected of being under the influence of drugs, alcohol, or marijuana will not be seen that day and child protective services may be contacted.

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WHAT ABOUT FINANCES?

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Payment for professional services is due at the time dental treatment is provided. Every effort will be made to provide a treatment plan which fits your timetable and budget, and gives your child the best possible care. We accept cash, personal checks, debit cards and most major credit cards.

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OUR OFFICE POLICY REGARDING DENTAL INSURANCE

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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 must be familiar with your insurance benefits; on the day of service 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 all insurance electronically, so your insurance company will receive each claim 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 re-billing fee of 1.5% will be added to your account each month until paid. We will be glad to send a refund to you if your insurance pays us.

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PLEASE UNDERSTAND that we file dental insurance as a courtesy to our patients. We do not have a contract with your insurance company, only you do. We are not responsible for how your insurance company handles its claims or for what benefits they pay on a claim. We can only assist you in estimating your portion of the cost of treatment. We at no time guarantee what your insurance will or will not do with each claim. We also can not be responsible for any errors in filing your insurance. Once again, we file claims as a courtesy to you.

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Fact 1 - NO INSURANCE PAYS 100% OF ALL PROCEDURES
Dental insurance is meant to be an aid in receiving dental care. Many patients think that their insurance pays 90%-100% of all dental fees. This is not true! Most plans only pay between 50%-80% of the average total fee. Some pay more, some pay less. The percentage paid is usually 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.

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Fact 2 - BENEFITS ARE NOT DETERMINED BY OUR OFFICE
You may have noticed that sometimes your dental insurer reimburses you or the dentist at a lower rate than the dentist's actual fee. Frequently, insurance companies state that the reimbursement was reduced because your dentist's fee has exceeded the usual, customary, or reasonable fee ("UCR") used by the company.

A statement such as this gives the impression that any fee greater than the amount paid by the insurance company is unreasonable, or well above what most dentists in the area charge for a certain service. This can be very misleading and simply is not accurate.

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Insurance companies set their own schedules, and each company uses a different set of fees they consider allowable. These allowable fees may vary widely, because each company collects fee information from claims it processes. The insurance company then takes this data and arbitrarily chooses a level they call the "allowable" UCR Fee. Frequently, this data can be three to five years old and these "allowable" fees are set by the insurance company so they can make a net 20%-30% profit.

Unfortunately, insurance companies imply that your dentist is "overcharging", rather than say that they are "underpaying", or that their benefits are low. In general, the less expensive insurance policy will use a lower usual, customary, or reasonable (UCR) figure.

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Fact 3 - DEDUCTIBLES & CO-PAYMENTS MUST BE CONSIDERED
When estimating dental benefits, deductibles and percentages must be considered. To illustrate, assume the fee for service is $150.00. Assuming that the insurance company allows $150.00 as its usual and customary (UCR) fee, we can figure out what benefits will be paid. First a deductible (paid by you), on average $50, is subtracted, leaving $100.00. The plan then pays 80% for this particular procedure. The insurance company will then pay 80% of $100.00, or $80.00. Out of a $150.00 fee they will pay an estimated $80.00 leaving a remaining portion of $70.00 (to be paid by the patient). Of course, if the UCR is less than $150.00 or your plan pays only at 50% then the insurance benefits will also be significantly less.

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MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy name, insurance company address, or a change of employment.