How are Appointments Scheduled?
Do I Stay
with My Child During the Visit?
Dentistry / Dental Anxiety
What about Finances?
Our Office Policy Regarding Dental Insurance
office is open Monday through Thursday, with hours that
can accommodate most any schedule. We know that your
time is important, and we work to ensure your visit is
scheduled as professionally and quickly as possible.
Monday 8:30 am - 3:00 pm
Tuesday 8:30 am - 3:00 pm
Wednesday 8:30 am - 3:00 pm
Thursday 8:30 am - 3:00 pm
(Lunch everyday from 12:30-1:15)
Emergency and After Office Hours:
We know dental emergencies are never
convenient or timely and we are committed to our
patients' health no matter the time. If you are a
current patient, and have a dental emergency after
regular office hours, please call us at (254) 399-9000.
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 a lot of work to be done
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.
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.
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Stay with My Child During the Visit
Parents are encouraged to stay with their child
throughout the treatment and siblings are welcome to
watch the exam and cleaning.
sedation is a technique that can be used when a patient
suffers from dental anxiety or dental phobia. We are
happy to offer a number of solutions for our patients to
make their dental visit as comfortable as possible.
Sedation dentistry techniques enable patients who might
otherwise avoid the dentist, to receive dental treatment
necessary for a healthy smile. Depending on the extent
of the anxiety or phobia, varying degrees of dental
sedation can be utilized as described below:
Nitrous Oxide Sedation
Nitrous Oxide sedation, also known as “laughing gas” is
commonly used to make treatment more comfortable. This
sedation is inhaled through a mask that allows you to
breathe in the medication and induces a state of
relaxation. Local anesthetic will be administered in
conjunction with nitrous oxide to eliminate pain.
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can pay for your office visits and any treatments by
cash, check, credit or debit card at the time of
treatment. We also accept most major dental
insurances. To discuss your payment options or
insurance coverage, please call (254) 399-9000.
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.
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.
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.
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.
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.
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.
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