191 Hamburg Turnpike | Pompton Lakes, New Jersey 07442 | 973-831-0109

Office Policies

We Welcome You as A Patient ...and appreciate the opportunity to provide your child with quality pediatric dental care. Thank you for choosing us. We are proud of our office and hope you find it warm, modern, friendly and efficient. Compassionate, expert care has been the hallmark of our practice for over 25 years. The emotional and physical well being of our patients is our top priority while providing excellent care in our safe, fun environment.

Our Staff

The team that will serve you are all well trained professionals dedicated to making your visit a pleasant one. They are the best in the business. We spend hours working on techniques, attending continuing education seminars, and planning our practice to provide you with the very best dentistry has to offer. It is our goal to educate, motivate, and promote great dental health that will last a lifetime. We invite you to come smile with us.

Office Appointments

Specific appointment times are carefully made to ensure a smooth flow of patients. The office attempts to schedule appointments at your convenience, with full awareness of the conflicting demands that your work schedule, the school calendar, and extra curricular activities can present. 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 needing longer appointment times for treatment should also be seen in the morning for the same reason. Dental appointments are an excused absence.

Our friendly and accommodating patient coordinators have over 40 combined years of experience with our practice. These team members successfully manage a schedule that consistently runs on time. We do not overschedule or double-book appointments. Your childs time is reserved exclusively for them. They will have a team member who will remain with them until their visit is completed and they are returned to you, prize in hand. When a patient gives us short notice or fails to keep their appointment we have wasted valuable time that another child would have wanted. This is especially true for those coveted after school appointments. Please use common courtesy and inform us if you will be unable to keep your child’s appointment. We ask 24 – 48 hours advance notice to allow us time to offer your spot to another patient. We realize that unexpected situations can happen, but we must require your cooperation in this matter.

We know that regular visits are essential to gaining and maintaining a lifetime of dental health. Our staff work tirelessly to keep all patients appointed and on schedule with reminder post cards and personal confirmation phone calls. Our reminder service is a courtesy, we consider all appointments confirmed when they are made.

Fees and Payments

Our primary mission is to deliver the best pediatric dental care available. An important part of the mission is making the cost of optimal care as easy and manageable for our patients as possible. We ask that all patients pay for their care upon completion of their visit. Should this not be possible, please discuss your situation with our experienced business staff. We accept cash, personal checks, Visa, Mastercard, American Express and Discover Card. We also offer a no interest payment plan through Care Credit.

For Our Patients With Dental Insurance

Our office is a participating provider in Delta Dental Premier and Horizon Blue Cross/Blue Shield. However, we accept assignment of benefits from many other dental insurance companies. Most PPO plans offer “out of network” benefits which allow you to choose the very best care for your child. Please be sure you can see providers out of your network before you schedule your first visit.

If we have all of your insurance information on the day of your appointment, we will be happy to file your claim for you. We file all insurance electronically, on the day treatment is provided. You will need to be familiar with your plan as we will collect your estimated payment at this time. You are responsible for any balance after 30 days, whether insurance has paid or not. This will be paid by check or credit card.

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 at no time guarantee what your insurance will or won’t do with each claim. Your level of coverage is determined by the policy your employer selects.

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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