OFFICE INFORMATION:

Hours
Our Services
Emergencies
Dental Insurance

 


OFFICE INFORMATION

Hours

Our office hours are Monday through Thursday from 7:30 am until 2:30 pm. Kids are tired after a long day of school.  Our team knows that after school visits can be more stressful for kids.  So we see our patients in the early part of the day when they are rested and ready to have a pleasant dental experience.

Our Services

The focus of the practice is to help children have a positive dental experience to encourage maintaining a lifetime of good dental health.  Preventative care such as cleanings and dental sealants are emphasized.  Digital x-rays are used to detect decay and pathology not visibly seen.   Growth and development of the teeth and jaws are evaluated and orthodontic interventions are recommended when needed.  White fillings are used to restore most decayed teeth to a natural look.  To help relieve anxiety associated with dental treatment, the doctors at Rockwall Pediatric Dentistry use various forms of sedation.

Parents are welcome to accompany their children during all phases of the dental experience.  Our doctors and staff feel it is important to form a partnership between the child, the parent and the pediatric dental team.



Emergencies

Unfortunately, emergencies happen. During a rainy day in the gym, a child falls and breaks a tooth.  Or suddenly a tooth starts hurting.  If your child has an emergency, please call our office at
972-771-9933 and the answering machine will give you one of our doctor’s mobile phone number.
Please also see the emergency section under dental topics in this website.



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. Insurance is often confusing; we will do our best to help you understand what is and is not covered by your plan.  We will collect from you the estimated amount insurance is not expected to pay at the time of service.

PLEASE UNDERSTAND that we file dental insurance as a courtesy to our patients. You must realize, however, your insurance is a contract between you, your employer, and the insurance company.  And we are not a party to that contract. 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.

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.

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. Unfortunately the dental insurance companies do not share that information with us.  So they make it sound like we charge too much, instead of they don’t pay what most dentists charge.


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.

 

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Rockwall Pediatric Dentistry PA - Dr. Suzanne Allman and Associates

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