Inwood Dental PC

implant + Braces Center

Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Registration Form

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Dental Insurance

Our Office is pleased to accept your insurance assignment as soon as the responsible party verifies your exact coverage.  We will file your claim forms and assist you in every way we can. However, it must be fully understood that the contract is between you and your insurance company and you are fully responsible for any amount not paid by your insurance. 

Office policy regarding insurance assignment:

 ___         1.     Since by taking your insurance on assignment we have to wait for payment, this     courtesy may be withdrawn if circumstances warrant it. The patient co-payment    will  be due at the time when services are rendered.

 ___         2.     If you discontinue care without the Doctor’s authorization, the balance of your account    is due and payable in full immediately, even if your insurance has been filed.  (If the   insurance does pay; it will be refunded if you have a zero balance.)

 ___         3.     Your insurance should pay within 30 days.  If your insurance has not paid within 60   days, you must pay the balance due and be reimbursed by your insurance company when and if it pays.

 ___        4.     We mail statements every month so if there is a balance that is of concern feel free to  call us first to verify if insurance is still pending.

 ___         5.     In restorative treatment your yearly deductible and percentage co-payment is due a  time service is rendered.  This figure is an approximate amount configured with what insurance information we have on file.  After insurance pays on all claims, if a balance is still due a statement will be mailed.

___         6.     You are required to sign an “Assignment To Pay” form and any other  assignment documents required by your insurance company if applicable.

 ___         7.     Our office DOES NOT GUARANTEE that your insurance will pay.  We will make  every attempt, at the time of service, to receive verification of your policy benefits.However, if for some reason, your insurance claim is denied, you are responsible for the full amount of your bill.

 ___         8.     Our office WILL NOT enter into a dispute with your insurance company over your claim.  THIS IS YOUR RESPONSIBILTY AND OBLIGATION.

 ___         9.     Our office does not file secondary insurance claims.  We will be happy to provide  you with the appropriate claim form to file with insurance reimbursement to be directed to the patient.  However, the balance due after primary insurance   payment has been made is due at the time of billing or time of service.

 ___         10.    The Patient Manager must sign all special arrangements regarding finances  and Patient with approval from the Doctor.


Insurance Terms to know

Your yearly benefit maximum

This is the maximum amount that your insurance company will pay toward your dental treatment. This number varies depending on your insurance policy. This number can range from $500-S2000 per year

Waiting Period

Waiting period is a time that an insurance company places on you before your insurance begins to pay for any service.  That time can be anywhere from 3 months to a year. When selecting dental insurance make your you select one with one waiting periods

Deductible

Your deductible is the amount of money you have to pay to either the insurance company or dental office before your benefits can became effective. This amount is typical around $50-100 per individual per year. This amount is much small than the copay. 

Copay

This is the amout you have to pay for the portion of your treatment. For example if your need a dental crown that costs $1000, and you are covered at 50% for that procedure, your copay will be $500, 

Coverage Period

Dental insurance companies have different coverage periods.  You need to understand what period of the year you are covered.  This is vital as that it will determine whether you use your coverage for that calendar year.

Covered services

Having dental insurance does not mean all your dental services will be covered.  It is important that you understand what your coverage  pays for and the percent covered before making that insurance decision.




Fee Schedule


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