First Visit
Emergency Info
Early Decay Prevention
Treatment Info & Options
Appointments
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Insurance Guidelines
Forms
FAQs
Child Friendly Terms
Glossary of Dental Terms
If you have dental insurance, the estimated co-payment and/or deductible are due at the appointment. We will, as a courtesy, complete and file your insurance claim at no charge. In order to provide this service, we will need the social security and alternate identification number of the policyholder as well as a current dental insurance card with valid phone number to determine benefit eligibility.
With some carriers our office may be in network, with others out of network and coverage may change at any time without notification.
Our six month recall appointments include an exam, prophy, and fluoride treatment. X-rays (bitewing, periapical and panorex) are taken as we deem necessary to form a complete diagnosis. Your dental plan may not cover certain procedures, or preventative treatments such as sealants that can save you money later. This does not mean these treatments are unnecessary. Our dentists can help you decide what type of treatment is best for you.
Your dental plan is designed to share in your dental care costs. It may not cover the total cost of your bill. It is meant to provide assistance for your investment in your dental health. We realize that understanding your dental insurance can be difficult. We would be more than happy to answer any questions we can, but please keep in mind your coverage and benefit details are ultimately between you and your insurance company.
We cannot accept responsibility for negotiating a disputed claim and allow a maximum of 45 days for your insurance company to clear account balances. If your insurance company does not pay within 45 days of the treatment rendered, we shall expect payment in full from you. After 90 days from the time of service and attempts to collect outstanding funds, parents/guardians not fulfilling their financial obligation will be sent to collections.
Q. Do you accept my insurance?
We file claims for all PPO dental plans. Our doctors currently participate with Delta Dental of Missouri-PREMIER. All other PPO insurance plans would be considered out-of-network and may or may not reduce benefits. We strongly encourage our parents to first contact their insurance company or employer's human resource department to determine their type of dental plan. Our insurance coordinators are available to assist you in understanding and maximizing your benefits.
Q. What will I be expected to pay at my visit?
All applicable deductibles and co-pays including those for non-covered services are due at the time of service unless specific payment arrangements have been made with our financial coordinators prior to your child's appointment.
Q. Do you accept Medicaid?
All doctors on staff at Pediatric Dentistry of Sunset Hills are not contracted nor do they accept payment from Medicaid sponsored plans such as HealthCare USA or Harmony plans. It is recommended for families with Medicaid to contact their local county health department and request an "updated" referral for dental offices offering covered services under these plans.
Q. Why didn't my insurance company pay 100% of the charges?
Your dental plan is designed to share in your dental care costs. It may not cover the total cost of your bill. It is meant to provide assistance for your investment in your dental health.