Our Purpose Statement
Ap
pointment Policy 
Do I Stay with My Child During the Visit?
What About Finances?
Our Office Policy Regarding Dental Insurance


Our Purpose Statement
 

We Believe…Excellent Pediatric Dentistry can be completed in a caring and compassionate manner. 

We Believe…In the “Practice Family”, where our team members, the parents, and the children are in partnership, committed to providing a lifetime of positive dental experiences. 

We Believe…In teaching parents and children proper oral health care in a playful way. 

We Believe…Dental decay is a completely preventable disease, and in the possibility of a cavity free generation. 

We Believe…In continuously striving to make sure that Just For Kids Pediatric Dentistry is the best pediatric dental office possible. 

We Believe…In never violating a child’s or parent’s trust in us. 

We Believe…That God has called each one of us to a part of this practice, and we take pride in the responsibilities He has given us.


Appointment Policy

Pediatric dental appointments are reserved for your child, and may vary according to their needs and level of cooperation. Preschool children are typically more receptive to treatment during morning appointments when they are rested and alert. After-school appointments are in high demand. We try to accommodate any after school requests, however, we ask that you help us by being as flexible as possible when it is necessary to appoint during school hours. We will gladly provide a school excuse for your child.

Our office makes every attempt to remain on schedule throughout the day. We value your time and will do our best to keep you from having to wait. Each child is an individual, and some may require more "tender loving care" than others. We ask for your patience, and that you keep in mind that your child may be the next one needing our extra attention.

As a courtesy, our office will attempt to contact you for confirmation 1-2 days before your appointment. However, we do ask that patients/parents assume responsibility for their appointment time.

Broken appointments or short term cancellations (within 24 hours) without proper notification can be costly and unfair to other patients who need appointments. Repeated broken appointments of any kind may warrant dismissal from the practice. If you are running late, please notify us. We usually try to work any late arrivals back into our schedule when time allows.

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Do I Stay with My Child During the Visit?

We encourage parents to stay with their children during all visits to our office. We ask that parents be “passive observers” during the dental visit, only participating when prompted by the dentist or team member. On rare occasions, a parent may be asked to step out of the room, in order to encourage the uncooperative or apprehensive child to develop coping skills and trust in the members of our dental team.


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What About Finances?

Payment for professional services is due at the time dental treatment is provided. Every effort will be made to provide a treatment plan which fits your timetable and budget, and gives your child the best possible care. We accept cash, personal checks, debit cards and most major credit cards.  Our office also provides third party financing through Care Credit.

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Our Office Policy Regarding Dental Insurance

If we have received all of your insurance information on the day of the appointment, we will be happy to file your claim for you. You must be familiar with your insurance benefits, as we will collect from you the estimated amount insurance is not expected to pay. By law your insurance company is required to pay each claim within 30 days of receipt. We file all insurance electronically so your insurance company will receive each claim within days of the treatment. You are responsible for any balance on your account after 30 days, whether insurance has paid or not. If you have not paid your balance within 60 days a finance charge of 1.5% will be added to your account each month until paid. We will be glad to send a refund to you once insurance has paid us.

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 are not responsible for how your insurance company handles its claims or for what benefits they pay on a claim. We can only assist you in estimating your portion of the cost of treatment, we at no time guarantee what your insurance will or will not do with each claim. We also can not be responsible for any errors in filing your insurance, once again we file claims as a courtesy to you.

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.

Dr. Rick Nichols  ~  Pediatric Dentist Redlands, CA

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