At THE FUN KIDS DENTIST, we do all we can to make dental health affordable. If you do not have insurance, we have a discount for parents who pay in full at the time of service. We offer orthodontic discounts for families who pay in full, make all their visits in the morning and have multiple children in orthodontic treatment.
- Our fees are based on the treatment necessary and the time involved and may vary according to the intricacies of each case. We accept cash, check, Mastercard, Visa, Discover, American Express, and Care Credit®.
- We offer payment plans for extensive treatment, including orthodontics. You can also make an online payment via our website.
- We can offer emailed account statements instead of mailing a paper copy. If your preference is email, please send us your correct email address with your name and account number. This email will also be used for appointment reminders.
Please provide us with your insurance card at your first visit and keep us updated on any changes such as policy name, insurance address, subscriber ID, or change of employment.
We file dental insurance claims as a courtesy to our patients. We are not responsible for how your insurance company handles its claims or for what benefits they pay on a claim.
All of the doctors are considered “out of network” providers for any PPOs or HMOs. This does not mean that your insurance will not cover treatment but may mean that payment is sent directly to you instead of TFKD. You are then responsible for forwarding payment to us. Please contact your insurance carrier or visit their website for further benefit information.
- No Insurance Pays 100% of all procedures. 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.
- 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. 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 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.
- Deductibles & Co-payments must be considered. When estimating dental benefits, deductibles and percentages must be considered. Before the insurance considers your benefit, they will subtract your deductible and then pay a percentage of the fee remaining or their usual and customary for that service.
- It’s important to know your maximum benefit amount for the calendar year. Any benefit which remains unused at the end of the year will be lost.