The type of treatment patient receives from Children’s Dentistry of Longwood, is based upon our professional dental judgement, and NOT on if the procedure is covered by patient’s Dental Insurance Benefit Plan.
As a courtesy our office is happy to file claims with our patient’s dental insurance carriers. However, since the terms of the patient’s coverage is a contract between the patient and insurance carrier, questions, problems, or disputes about patient’s insurance coverage need to be addressed directly to patient’s insurance company. For all non-dental insurance claims, patients must pay in full upfront and will be reimbursed by their non-dental insurance if it applies. Ultimately, the fee and payment is the patient's responsibility. It is the patient’s responsibility to confirm with the patient’s dental insurance company that David E. Donald, D.D.S. is an “in-network” or “out-of-network” provider prior to being seen. In most cases we would be consider an out of network provider or in some cases a P.P.O. provider. The patient is responsible for all charges not covered by their insurance policy.
It is the patient’s responsibility to know what their insurance coverage and limitations regardless if their insurance coverage is “In or Out of network”, which includes examinations, x-rays, and treatment of any kind. Payment of patient’s copay, deductibles, estimated amount not covered by patient’s dental insurance is due at the time services are rendered. Any amount not covered by patient's insurance or denial of coverage for any reason by patient's insurance coverage, or patient refusal to return to this office within 30 days to complete a procedure previously started, such as (but not limited to) laboratory procedures, becomes the patient’s responsibility and payment is due immediately with no grace period. Children’s Dentistry of Longwood reserves the right to ask for and expect payment in full with no grace period at any time, even prior to submitting dental claims to the patient’s dental insurance.
Disputes With your Insurance Company
If the patient has a dispute with their insurance company (Dental or other) over coverage, that dispute must be resolved between the patient and their insurance company. The amount owed to David E. Donald D.D.S. during the duration of the dispute is the responsibility of the patient and payment is due immediately in full, with no grace period.
Dental Pre-Authorizations for treatment are submitted upon patient request. Pre-authorizations must be sent with up-to-date diagnostic x-rays, along with all necessary insurance, personal, dental and/or medical information. This is dependant on insurance company and can take up to 90 days if not 120 days. If you don’t wait for your pre-authorization response before beginning treatment, then the patient still responsible for any amount not covered by their insurance for any examinations, x-rays and/or treatment. We recommend that you get your pre-authorization response back prior to starting treatment if you are needing to know the exact dollar amount of how much your potion will be.
The day any laboratory procedure (such as but not limited to Space Maintainers) is started, the patient’s estimated portion is due in full the day of the first appointment or impression. If insurance denies or covers less than the estimated portion the patient will be billed for the remaining costs and payment is due immediately with no grace period.
Change of Personal Information
It is the patient’s responsibility to notify us, either in an email or through webforms of any changes in their address, phone number, employment information, school status, insurance coverage, etc... so that the patient may maximize their insurance benefit. We have online forms to easily update your information at your covenance. Monthly statements are mailed out as a courtesy when there is any remaining portion after insurance has paid, otherwise all balances are due day of treatment.
All balances must be paid in full in order to proceed with future treatment. Guarantors (the parent/patient or guardians) are responsible for any and all (but not limited to) collection agency recovery fees, attorney fees and/or legal fees, court costs, interest on delinquent accounts, as well as the time the doctor and/or staff spends working on (but not limited to) filing paperwork, appear for court, mediation/proceedings/and/or legal meetings and/or frivolous legal charges. There is a $45.00 charge on all returned checks (per check). At 120 days past due your account may be turned over to our collection agency, court and/or attorney. All of the above stated responsibilities of the patient are due immediately without a grace period. If David E. Donald, D.D.S. is notified as being included in any bankruptcy files, the patient and/or immediate family members will be dismissed as patients of David E. Donald, D.D.S. for failure to meet patient financial obligations to David E. Donald, D.D.S.
David E. Donald, D.D.S. does not offer in house financing, Care Credit or payment plans. All fees are due at time of service unless expecting insurance to cover. Once all insurance payments or denials have been processed, the balance is due at that time.
Nitrous Oxide is usually not covered by insurance. It is the guarantor’s responsibility to pay for nitrous regardless if Nitrous Oxide is deemed necessary by the doctor or if requested by the patient to ease anxiety during dental procedures.
Copies of Dental Records
Florida State Law mandates that the patient or designated representative is entitled to 1 (one) copy of his/her dental Record’s at no charge. If more than one is needed a fee may apply.
a copy will be email to you, or you can download a copy here