Overview
- We are PPO Insurance Friendly - To maintain the highest standards of care, we have chosen not to enter into a contract with any insurance company. We are happy to help you use your Out-of-Nework PPO Dental Benefits to reimburse for services provided.
- We offer a flat rate preventative care plan, the Sunnyside Smile Club, for patients paying out of pocket.
- For PPO plans, we will gladly submit an electronic claim to your insurance company after each visit.
- Delta Dental and Anthem Blue Cross will reimburse the patient directly.
- Most other PPOs with reimburse our office directly
- We accept Visa, Mastercard, American Express, and Debit Cards for payment.
Our Payment Policy
The legal guardian accompanying the patient to their appointment is ultimately responsible for payment, and payment in full is expected at each visit. We are not able to send statements to other persons. If using your PPO insurance benefits, the co-payment due will vary depending on your contract with your insurance company.
We accept Visa, Mastercard, American Express, and Debit Cards for payment.
We accept Visa, Mastercard, American Express, and Debit Cards for payment.
Out-of-Network PPO Insurance Friendly
Please provide us with your insurance information before your consultation appointment. This will give us time to review your benefits package and do our best to answer any questions prior to your scheduled visit.
We are Insurance Friendly - this means that we will:
Large treatment plans
Keep in mind that annual maximums, deductibles and covered services vary widely among policies, even within the same insurance company. It is not uncommon for routine pediatric dental treatment to be excluded from the benefits plan.
We do not participate with Denti-Cal or any EPO/HMO plans. If you have one of these plans, you will be responsible for the full cost of treatment. We offer flat rate preventive care visits that offer significant savings over traditional "a-la-carte" per service dental billing.
Please understand that we file claims to your dental insurance as a courtesy to you. We have no relationship with your insurance company and are not responsible for your benefits coverage, your plan's fee schedule, maximum allowable fees/benefits, deductibles, or how they process and handle your claims.
All insurance estimates are based on the information provided to us by your insurance company. Keep in mind that they are ONLY estimates and there are many reasons that actual coverage may vary from the estimate provided by your insurance plan. Ultimately the guardian is responsible for payment for all services provided in our office regardless of insurance coverage.
If you have questions about your benefits package that we cannot answer, please contact your employer's benefits coordinator or your insurance company directly.
We are Insurance Friendly - this means that we will:
- Confirm benefits eligibility, obtain a breakdown of benefits, and make the best estimate possible for their coverage for services based on the information they provide to us.
- Electronically submit your insurance claim directly to your insurance company after each visit for reimbursement according to you particular plan's benefits.
- Accept payment directly from the PPO Dental Benefit Plans whenever that option is available (Please not that Delta Dental does not offer this option - if you have Delta Dental PPO contact us for more information)
- We generally submit a pre-determination for:
Large treatment plans
Keep in mind that annual maximums, deductibles and covered services vary widely among policies, even within the same insurance company. It is not uncommon for routine pediatric dental treatment to be excluded from the benefits plan.
We do not participate with Denti-Cal or any EPO/HMO plans. If you have one of these plans, you will be responsible for the full cost of treatment. We offer flat rate preventive care visits that offer significant savings over traditional "a-la-carte" per service dental billing.
Please understand that we file claims to your dental insurance as a courtesy to you. We have no relationship with your insurance company and are not responsible for your benefits coverage, your plan's fee schedule, maximum allowable fees/benefits, deductibles, or how they process and handle your claims.
All insurance estimates are based on the information provided to us by your insurance company. Keep in mind that they are ONLY estimates and there are many reasons that actual coverage may vary from the estimate provided by your insurance plan. Ultimately the guardian is responsible for payment for all services provided in our office regardless of insurance coverage.
If you have questions about your benefits package that we cannot answer, please contact your employer's benefits coordinator or your insurance company directly.