Your appointment time is dedicated for you and your child. We respect your time and will make every effort to stay on schedule. However, we can only give you as much time as you give us to properly do our job. If for some reason you will be late or unable to make your scheduled appointment, please let us know soon as possible.  

Treatment visits (fillings, crowns, extractions, etc.) will typically be scheduled in the mornings when children are well-rested and more likely to cooperate. If an emergency or schedule conflict arises and you must reschedule, please do so at least 24 BUSINESS HOURS before your child’s appointment. This allows us to offer this appointment time to a family that is on our waiting list.

*** If you are more than 10 minutes late for any appointment, we will reschedule and charge a broken appointment fee of $75 per child. Your appointment time is when we plan to begin the appointment, it is not the time at which you should arrive and register, which could take up your entire appointment block. We recommend that you give yourself 15 minutes before the appointment time to find parking and take care of any additional paperwork upon arrival so that we can see your child on time in an un-rushed fashion. If you think that you’re running late, please call us so that we can somehow try to accommodate you without running into the next family’s appointment.

*** For NEW PATIENTS: When your first appointment is scheduled, we will provide a link to access our registration forms. If we do not have the all registration forms completed in full  AND all insurance information on file (if applicable) BEFORE your appointment, we cannot see your child on time and will need to reschedule. For proper informed consent, please also make sure that your child is accompanied by a parent or legal guardian for the very first visit.

*** If you need to reschedule, please call our office at least 24 BUSINESS HOURS prior to your appointment to avoid a $75 broken appointment fee (per child) for any last-minute cancellations or no-shows. For example, if your appointment is on a Monday, please contact us before we close on Friday at 5:00pm. If you think your child is sick, please call us to see if it is most appropriate to stay home and reschedule.

• Payment in full is part of your child’s treatment. This will be required prior to starting any patient care. 
• We accept payment in the form of cash, personal checks, and most major credit & debit cards. For your convenience, we have a secure online payment portal on our website that you can access at any time. 
• A $25.00 fee will be charged for any returned checks. 
• The parent or guardian who brings the child to the appointment is responsible for any payment due that day. 

• Last-minute cancellations and no-shows prevent us from serving other patients on our waitlist for treatment. 
• A $75 broken appointment fee per child will be charged for a missed appointment that is not canceled or rescheduled at least 24 BUSINESS HOURS in advance. 

• To send a proper insurance claim on your behalf, you must accurately provide us the required insurance information (subscriber ID number, proper spelling, proper claims address & phone number, etc).
• Your insurance policy is a contract between you and the insurance company – we have no say in what is “covered” vs. “not covered.” 
• Reimbursement amounts depend on the type of plan you have, and whichever services you or your employer decide to cover. 
• Alternatively, you are always welcome to pay for services in full and submit dental reimbursement claims to your insurance on your own. 
• We may “accept assignment of benefits” for your child’s visit. This means that for in-network PPO plans, your insurance company will send payments to our office directly. However, you will still need to make full payment of the deductible and/or your estimated co-payment at the time of each service. 
• Your deductible is determined by your insurance plan, not by our office. 
• The balance on your family account is your responsibility whether your insurance company pays our office or not. 
• If we accept assignment of benefits, but your insurance company has not paid within 45 days, you will be responsible for the total amount of your balance. 
• A monthly service charge of 5% may be assessed for past-due accounts. 
• Some parts of the treatment plan may not be covered and not considered “reasonable” or “necessary” by your insurance company, but they are not your child’s doctor. 
• For after-hours consultations by phone or e-mail, the following billing codes may be submitted to your insurance: 
• D0140 – Limited oral evaluation, problem-focused 
• D9995 – Teledentistry - Synchronous; real-time encounter 
• or D9996 - Teledentistry – Asynchronous; information stored and forwarded to dentist for subsequent review 

• Our fees are usual and customary for our area. 
• You are responsible for payment regardless what any insurance company may determine as “usual and customary fees.” 
• Insurance companies may calculate their usual and customary fees by determining limitations on the extent or nature of treatment that may be provided for your child. 
• Billing code D1999 is a surcharge for required doctor and staff Personal Protective Equipment (PPE) and continuous office decontamination in compliance with proper mitigation of aerosol transmitted diseases, such as COVID-19.