Insurance & Billing

We accept all eligible insurance plans. If you would like to further information about your insurance plan, please call our helpful front desk associates 386-445-1234.

We strive to give every patient a treatment plan with the fees listed. If you are unsure what your patient responsibility will be, please ask. If you have insurance and we file it for you and the insurance company pays us directly, you will be responsible to pay your estimated co-payment/deductible at the time treatment is rendered. You will be billed for any remaining balance once your insurance claims have been processed. If you do not have insurance, full payment is due at the treatment appointment. For major treatment (crowns, bridges, dentures, etc.), you will be expected to pay one half of the treatment charges at the first appointment and the balance of the treatment charges when the crown or bridge is cemented or when the denture is delivered to you.

INSURANCE POLICY

As a courtesy we will file your dental claim for you. Our office does not contract with any insurance company. Any balance not paid by your insurance is your responsibility. If in our dental opinion we recommend a procedure, treatment, referral to a specialist, etc., we cannot guarantee this will be covered by your insurance. Our front desk associates and our insurance coordinator will be happy to assist you with your insurance questions, but that does not guarantee coverage. It is the patient’s responsibility to be aware of what your insurance may or may not cover.

COMMONLY ASKED INSURANCE QUESTIONS:

What do I do if my insurance changes?

Even the simplest change can prevent your insurance claim from being processed correctly. You may still have the same insurance company, but did the Group Number or Plan Number change? Did the Subscriber Number change? To prevent this situation, please be prepared to verify your insurance at every visit.

What should I bring to my first visit?

For your first appointment, we request that you arrive fifteen minutes prior to your appointment time to complete necessary paperwork. If you have completed your registration forms from the New Patient section of our website, and brought them with you, arriving five minutes prior to your appointment will be all that is necessary. Your appointment is scheduled with our hygienist for seventy minutes and includes a comprehensive examination by your dentist.

Why was my insurance claim denied?

Your insurance carrier can deny a claim for the following reasons:

  • Your name or the patient’s name is misspelled
  • The patient’s birth date is wrong
  • Your Subscriber Number or Group Number is wrong
  • The Student Status has not been updated with your insurance company
  • You did not see a provider within your network
  • Insurance has terminated
  • You have reached your benefit maximum for the year
  • Your insurance company only allows cleanings every six months or two times per year
  • Not a covered benefit
  • You have a waiting period for Major Restoration procedures
  • There is a missing tooth clause

Can insurance companies limit coverage?

Yes they can. It is best to contact your medical insurance company immediately to get directions from them as to what needs to be done to receive full benefits.

I’m on Medicaid. What information regarding dental coverage is available to me?

Since we are not Medicaid providers, our Medicaid patients choose to pay cash for their services. We take cash, check, debit and credit cards as well as Care Credit. We do request payment on the day of service.

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