Insurance & FinancialInformation

The Ultimate Patient Experience–every single time.

We make every effort to provide financial options and will work hand-in-hand with you to maximize your insurance reimbursement for covered procedures.

 

Insurance Information

It is important to be aware of your policy’s benefits. We charge the usual and customary fees. You are responsible for payment regardless of the insurance company’s determination of these fees and the coverage of the procedure. If your insurance company does not respond with payment in 45 days from the date of service, you will receive a bill for payment.

 

Cancellation Policy

If you wish to reschedule or cancel an appointment, please inform our office at least 48 hours beforehand.

If you fail to arrive to a consultation appointment or cancel after the 48-hour timeframe, there will be a $35 charge.  If you fail to arrive to a surgery appointment or cancel after the 48-hour timeframe, there will be a $50 charge.

 

Pre-surgical Deposits

A deposit of 20% of the estimated out of pocket cost (up to $250) is due at the consultation appointment in order to schedule a surgery.

 

Frequently Asked Questions:

Being a contracted provider means that we have a contract with the insurance company to provide services at a set price. This allows you to receive a lower fee for the provided service and ensures that the insurance company will cover the procedures. By accepting these insurance plans, it greatly reduces your out-of-pocket expense and also allows for an accurate estimate of cost. Additionally, the insurance companies will often cover a higher percentage of the fee versus a non-contracted provider (out of network).

A non-contracted (out-of-network) provider means that your insurance company does not have a set fee schedule with us. This does not mean that they will not cover your procedure, but it means that they will only pay a certain amount toward our customary fees. The patient is responsible for the difference.

We will work with all non-contracted providers to maximize your insurance benefits in order to reduce your out-of-pocket expense. However, if the insurance company does not to pay for a procedure or will only pay a minimal amount, you are responsible for the difference.

Coverage depends upon the specific procedure and your dental and/or medical plan. We suggest getting a pre-treatment estimate for any oral surgery procedure over $300.

At your appointment, we will contact the insurance company to provide your treatment plan and all necessary codes. They will provide us with a list of your benefits and what procedures are covered. We will obtain an estimate of the expense that your insurance covers and the amount that you may be responsible for.

Insurances that are contracted providers (in network) will allow for a much more accurate determination of benefits and cost. On occasion, they will pay less than anticipated. In this case, you will be responsible for the difference. If they pay more than anticipated, we will refund you the credit.

No. First, we determine what amount your insurance company will pay. Then we count that amount toward your balance and submit a claim on your behalf. Please provide all the accurate information to aid in submitting your claim in order to maximize your insurance benefits correctly. You are only responsible for the amount that is not covered at the time of surgery. If, however, they do not pay the amount that they said they would, you will be sent a bill. If they pay more than they said they would, we will refund you the credit.

If you do not have insurance benefits, then you will be responsible for the entire fee at the time that services are rendered. However, we do offer several finance options.

Please provide accurate information to aid in submitting your claim and maximizing insurance benefits. We will contact your insurance company to verify your benefits. You will be provided with the expected amount that insurance will pay and an estimate of the amount you will need to pay.

Your payment will be applied to the total cost of your surgery and we will submit a claim on your behalf to your insurance carrier. Once the insurance benefit payment is received, we will determine the balance not paid by insurance. If the benefit payment amount is less than estimated, you will receive a statement for the balance. When the benefit payment amount is more, you will receive a refund.

Those patients without insurance benefits will be responsible for the entire fee at the time that services are rendered.

We accept all major credit cards, checks, cash and cashier checks.

We understand that the cost of certain procedures can be overwhelming, especially during an emergency. This is why we offer the following financing options:

CareCredit I LendingClub I LendingUSA

We Accept the Following Insurance:

Aetna Dental, Ameritas, Assurant, BCBS State Dental Plus, BCBS State
BCBS Medical, BCBS Federal, BCBS Dental, Cigna, Delta Dental, Dentemax, GEHA, Guardian, Humana, DentaQuest, MetLife, Principal, Thomas Cooper, Veterans Affairs, United Concordia Tricare, Worker’s Compensation