Exceptional Aesthetic Dentistry

– In Papillion, Nebraska –

Financial Considerations

Today’s visit * We request payment on the date of service * We accept Debit or credit card, personal check, and cash. * We offer Care Credit for larger treatment plans. * Any balance not covered by your insurance company is your responsibility. 

How do my insurance factor into my billing and financial responsibility?

It is important to understand that the contract regarding your dental benefits is between you, your employer, and your insurance company. The obligation you have with our practice is to pay for treatment, regardless of the amount that may or may not be reimbursed by your insurance company. The following provisions identify our policies governing insurance claims. Although we are willing to complete insurance forms and submit a claim on your behalf, we do not accept responsibility for the outcome of the transaction. 

Completing insurance forms is a courtesy we extend to you in an effort to maximize your insurance reimbursement. By having our office process your insurance forms, it is important that you understand that this does not eliminate your financial obligation for your treatment. Insurance companies’ reimbursement (payment to you) ordinarily is received within two weeks from the time of billing. If your insurance company has not made payment to you within 15 days, you are responsible for seeking reimbursement from your insurance company at that time. We will provide the necessary documentation your insurance company requests to sort out any confusion or questions that may arise. Our office will not enter a dispute with your insurance company over any claim, the service you receive is ultimately your responsibility. If an account goes 45 days past due a finance charge of 16% APR will be passed on a monthly basis to your account.

As a courtesy to you, our office will make sure each person receives assistance in maximizing their insurance benefits. During a normal “repair-oriented” dentistry and routine cleaning visit, we will submit your claims as a courtesy on your behalf. Starting January 1st, 2021 Assignment of benefits (the insurance payment, the insurance check) will go directly to you the patient.

At each appointment, patients will pay (in full) for services rendered. 

In the case of restorative care where our work may be more extensive, we are obviously working for you directly, not the insurance company. In other words, we are not working from insurance companies’ allowances for repair work. Diagnosis and treatment recommendations will be based on the desired outcome of the patient as well as the judgment and experience of Drs. Matthew and Coatlicue Carter. Given that our patient’s goals typically revolve around spending as little time in a dental chair as possible in the future and a lifetime free of disease and repair we provide a much broader range of services that are not accounted for in a repair orientated fee schedule (what otherwise is thought of as “usual and customary”). Please feel free to discuss your financial concerns with our office coordinator or the doctors.