Office Policies:
Scheduling Appointments
Our office attempts to schedule appointments at your convenience within the available
time.
New patients will be scheduled mostly
in the mornings since we have more time to spend with them at that time. We want
to give your child and you as much time and attention as possible for this crucial
appointment. New patient appointment usually involves filling out medical health
and other forms, getting to know our office, tell-show-do approach for the kids
to get familiar with our procedures, and an information session for the parent with
the doctor and the staff members.
Younger children, such as preschoolers
should be seen in the morning because they are less tired and we typically are less
busy when older children are at school. This way we can spend all the time they
need accommodating for their needs.
School children with a lot of dental
work to be done should be seen in the morning for the same reason. We will provide
you with a school note and dental appointments are an excused absence.
Sedation appointments will also
be seen in the mornings because children must be without food that morning and we
do not want to keep them hungry. Children are usually more rested and comfortable
at that time. We also want to give them the rest of the day to recover from the
sedation medications that they will take in the morning.
"No Show" Policy
Since appointed times are reserved exclusively for each patient we ask that you
please notify our office 24 hours in advance of your scheduled
appointment time if 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 unexpected things can happen, but we ask for your assistance
in this regard.
Our fees for missing an appointment without a 24 hour notification are as follows:
- First missed appointment - $25 per child
- Second missed appointment - $50 per child
- Third missed appointment - $50 per child and dismissal of the patient from the practice
We regret having to make such rules, but we need to ensure that our patients are
taken care of in a timely, caring and efficient manner.
Parental participation in the dental visit
We welcome parents to our initial exam appointment, to our consultation area following
each appointment and to visit our office for an office tour. We believe that parents
are part of children's dental experience and our goal is to make dental visits easy,
pleasant and memorable. We are all highly experienced in helping children overcome
anxiety. Studies and experience have shown that most children over the age of 3
react more positively when permitted to experience the dental visit on their own
and in an environment designed for children. Therefore we try different approaches
that will make your child most comfortable in our office.
It is very important however, that you do not leave the office during your child’s
dental treatment. Situations may arise where we must speak to the parents about
changes in treatment or emergency situations.
Finances
Payment for professional services is due at the time dental treatment is provided.
Every effort will be made to provide a treatment plan which gives your child the
best possible care and fits your timetable and budget. We accept cash, debit cards
and most major credit cards. We do not take personal checks.
Our Office Policy Regarding Dental Insurance
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 as a courtesy. HOWEVER, WE ARE NOT A
PARTICIPATING PROVIDER ON ANY DENTAL PLANS. THIS MEANS YOU ARE RESPONSIBLE FOR THE
DIFFERENCE BETWEEN OUR FEE AND THE INSURANCE ALLOWABLE FEE.
You must 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. 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 of 2% will be added
to your account each month until paid unless other arrangement with our office have
been made. In case that you pay and your insurance reimburses us later, we will
be glad to send a refund to you.
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.
INSURANCE FACTS:
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 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.
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.
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.
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.
MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy
name, insurance company address, or a change of employment.