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Our
goal is open communications. Clearly stated and understood policies are
essential for you and your child to feel comfortable. We will inform you
about your child’s dental health and needs and explain the procedures
and purpose. The costs will be explained. Please read the following to
help you understand.
APPOINTMENTS
Are
by appointment. Emergencies are taken but please call first. For after
hour emergencies call the office phone number for instructions.
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A
responsible adult must accompany your child for each visit. A parent
or legal guardian must complete a health history form and give consent
to treatment.
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At
the initial visit we will perform an examination and provide a
treatment plan with associated costs.
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Children
under the age of six have better behavior in the morning. Therefore we
schedule those patients in the AM. Sedation requires fasting so
morning appointments are preferable. Since most of our patients are
school age it may be necessary to schedule some appointments during
school hours.
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As
a courtesy, we will confirm your appointment by phone the day before.
In the event you cannot make an appointment, please give us adequate
notice. Not showing or late cancellations are a problem in which case
you may be required to place a deposit for a future appointment.
FINANCES
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Payment
for services is due at he time of treatment. We accept Visa,
MasterCard, Discover, American Express, checks or cash.
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If
you have dental insurance, we will accept it if you assign benefits
payable to our office. You must provide us with a current dental
insurance card. Your child’s eligibility for benefits must be
verified. If the fees for dental services exceed a certain amount, a
predetermination may be required by your carrier
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We
will estimate the insurance coverage and you must pay the difference.
It is only an estimate and not a guarantee of payment. Even a
predetermination of benefits from your insurance is not a guarantee of
payment. You are responsible for your bill not the insurance company.
You are responsible for charges not covered by you insurance. You will
be reimbursed for any overpayment.
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Insurance
is complicated. Insurance plans vary by employer and carrier. Co-pay,
deductibles and fee adjustments are common practices for insurance
companies. You may not perceive it as fair or what you thought your
insurance was. Remember, we have no control over that. That is between
you and your employer. It is not our policy or responsibility to
pursue payment from your carrier. Some insurance companies are not
cooperative. We deal with insurance on a regular basis. We will do all
we can for you.
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If
you do not have traditional insurance, your coverage can vary widely.
If you are referred by a family dentist, you may be required by your
carrier to have a referral form from that dentist.
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We
will not carry balances over 90 days. If insurance has not covered
your portion, you are responsible for this balance immediately or it
will be turned over to collections.
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If
you assign benefits to us and the insurance company sends a check to
you by error, you are responsible for paying us by either sending us
that check or some other form of payment immediately you.
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Communication
with us can resolve insurance problems. If you receive communication
from your insurance company, contact us. Ignoring issues makes it more
difficult to resolve later. Remember we are there to help.
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Mission
Statement
To develop in
each child a positive attitude toward
dental care and instill personal responsibility
for their own dental care.
To eliminate or reduce cavities for each child
so they can enjoy a life free from dental disease.
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