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"Where caring, skill, will and technology intersect while striving for endodontic excellence."

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If we only provide Endodontic Evaluation (Limited Evaluation, Consultation):

This consists of an examination and testing, discussing the likelihood of maintaining the tooth and treatment options available to you.  Payment is due at the time of service.  A statement will be given to you to help you bill your insurance (except Delta).  Please see I have insurance, Why do I have to pay for the exam?

 If we provide Treatment:

   Those without dental insurance:  Fifty percent of the total will be required when we begin treatment and the balance due upon completion of treatment.  If we complete treatment in a single visit, payment is due at the time of service.

  Those with dental insuranceWe will estimate the portion your insurance is going to pay.  Since this varies for each individual, usually 25 - 75% of the cost of the procedure is required at the time of service.  We will bill your insurance for you.  Please keep in mind however, insurance companies routinely indicate that coverage verification does not guarantee payment.  This means while we have done our best to estimate your out of pocket expense, when the insurance company actually processes the claim, the insurance payment maybe substantially less then expected.   OK, sometimes it's more then expected, but nobody ever complains of that!

 Please Note

u If your insurance pays more than the estimated amount, a refund check from this office will be mailed within 1 month from  the date payment is received in this office.  It's pretty common for the insurance company to send you information about the claim prior to us receiving the check.  Insurance companies often print checks biweekly.  We typically batch our refunds at the end of the month so it could be up to 30 days under the worse case scenario after we recieve the check and before we print your refund check.

u If your insurance pays less than the estimated amount, you will receive a statement from this office We usually do not send monthly statements so prompt attention is greatly appreciated!   NOTE:  If your insurance company does not reimburse us after 2 submissions,  you will be responsible for the remainder of the balance since we were unable to collect from them.

 

For your Convenience we Accept:

Personal Checks, Cashiers Check, and Money Orders OK too. 

Any Questions, Please Ask!

We are unable to provide in-house financing at this time but do have an external financing option for those that qualify. 

Try www.carecredit.com and even apply online!

For More Information About Insurance and itís Coverage, See I have Insurance!

 

Canceled, Missed, and Late to

Treatment Appointment Charge

Treatment appointments which are canceled with less then 24 hours notice to our office, missed, or patients who are late to their appointment will be charged a $250.00 canceled, missed, and late appointment fee.

Like any caring business, we try to put ourselves into the position of our patients.  Unfortunately, we had to institute a policy change to cover our expenses.  It came down to charging more for those that have treatment to cover those who scheduled and either did not show for their appointment or canceled with less then 24 hours notice.  Instead of cost shifting the expense to those that had treatment, we have decided that the offenders are the ones that should be responsible.  This includes folks who show up 20 minutes or greater beyond their appointment time.

 

What If? 

The fine print

Most treatments within our office progress as anticipated.  Occasionally we will begin treatment with the best of intentions and discover a tooth just canít be maintained.  There are many causes, but some of the more prevalent include a significant crack or fracture, inability to find canals, or not enough tooth structure to repair it.  Because we complete a thorough exam, we usually will inform you of this possibility  prior to beginning treatment.  Once in awhile, a tooth that seemed to be maintainable will catch us off guard without much warning.  What ever the cause, overhead within the office does NOT allow us to do these exploratory cases at no charge.   Usually, the charge is a minimal, 350 dollars or less.  Want to know more?  Just ask!

 

I have insurance, Why do I have to pay for the examination?

 

If we do treatment, we do bill for the exam.  This note is only for those that have an examination with dental insurance and we don't do treatment.

I would love to tell you dental insurance pays for everything but it's really an aid.   Please see I have Insurance for more information.   There are so many restrictions on every plan it's difficult for us to really find out all the nuances. 

We call on every insurance and we try to accumulate as much information as possible.  Unfortunately, we are unable to collect enough of the correct information from the carrier to be accurate.  So we determined that the information provided by the insurance company in reference to the exam just could not be used for us to determine the likelihood of being paid for the examination.  Most insurances will only cover 2 examinations per calendar year.  Often one or more is already used by the time folks get to our office.  Some dental insurance programs will just not pay for an examination prior to endodontic treatment.  The list and conditions kept getting longer and bigger even though we would call and ask trying to do our part.  The insurance companies will say "This is not a guarantee of benefits.

So when the insurance company does not pay, we are left trying to explain to folks the reason and attempt to collect which diverts resources from our primary duty, endodontics!!!!!!

We spent more time trying to collect the exam fee than the cost of the exam to begin with.  This happened in so many cases that we had to write off a significant amount each year. 

Two options existed: 1) Charge more so those that we collect on shoulder the burden of those that we are unable to collect from.  2) Collect the fee up front so we could keep our expenses down and make the examination reasonable.

There was a third option, which was doing less on the examination, but that goes against my grain.  The examination is absolutely needed for medical and legal reasons.  In addition, we try to inform you as much as possible about potential scenarios and treatment alternatives.  If we skimped on the examination, we would be less likely to give you accurate information that allows you to make an informed decision.  Finally, we try to do our very best on everything we do.   As a consequence, this option would not work in our office.

 

 

My insurance sent me a note saying they paid.

When do I get my refund?

 

Good Question!

It's not unusual for the insurance company to indicate they have paid us via a note sent to you.  Often though, the check is not really printed and mailed for up to 2 weeks after the notice is printed and sent.  Depending on the date insurance companies batch their checks, which is typically twice per month, they might send the check or print it up to 2 weeks after the date of the note.  Once in awhile, it will take 30 days after the note from the insurance company before we actually receive the check. 

We also batch our refund checks sent to our patients.  It's more time efficient.  Typically your refund check will be in the mail within 30 days after we receive it under the worst case scenario.

 

More About Our Office I have Insurance Endodontic Information for Patients Home Page
 

Joseph S. Dovgan, D.D.S., M.S., P.C.

Practice Limited to Endodontics
10585 N. Tatum Blvd., Suite D-132
Paradise Valley, Arizona 85253 USA
480-483-9001

"Where caring, skill, will and technology intersect while striving for endodontic excellence."

Serving Phoenix, Scottsdale & Paradise Valley, Arizona

Copyright 2000-2004 Joseph S. Dovgan, D.D.S., M.S. All rights reserved.

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