(972) SPARKLE

Patient Information

How are Appointments Scheduled?

pediatric dentistry rockwall texas patient infoWe attempt to schedule appointments at your convenience and when time is available. We offer convenient hours, including after school appointments. Younger, preschool-aged children should be seen in the morning because they tend to do better in the morning and we can work more slowly with the child for their comfort. School children with a lot of work to be done should be seen in the morning for the same reason. Dental appointments are an excused absence. When regular dental care is continued, missing school can be kept to a minimum. Since appointed times are reserved exclusively for each patient, we ask that you please notify our office 24 hours in advance of your scheduled appointment time if you are unable to keep your appointment. If we have advance notice, we can notify and schedule another patient who needs our care. We ask for your assistance.

Office Hours

Rockwall – Ridge Rd.
Monday – Friday: 8:30am to 5pm

Rockwall – Goliad
Monday – Friday: 8:30am to 5pm

Sulphur Springs
Monday – Friday: 8:30am to 5pm

New Patient Forms

↵  Download New Patient Information Form

↵  Download Medical History Form

Financial Policy

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, and most major credit cards (Mastercard, Visa, American Express, Discover). For your convenience, we also provide third party financing through CareCredit:

apply for carecredit

Emergencies

Please contact our office in the case of a dental emergency. Our answering machine or service will instruct you on how to contact the doctor if the emergency is after regular office hours. An additional fee is added for emergencies that occur after regular office hours. Prescriptions will not be called into the pharmacy for patients not of record.

Please Call: (972) 772-7553 or (903) 885-3600

Dental Insurance

We are contracted with the following dental insurance companies:

Ameritas PPO
Blue Cross Blue Shield of Texas PPO
Cigna PPO
Delta Dental PPO and Premier
Guardian PPO
Humana PPO
United Concordia PPO
DentaQuest
MCNA Dental
DenteMax PPO
Dental Network of America PPO
Careington Discount Plan

We are happy to file your insurance claim for you. On the day of your visit, we will collect from you the estimated amount that your insurance is not expected to pay. All insurance claims will be filed electronically so that your insurance company will receive each claim within days of treatment. You will be responsible for any balance on your account after 30 days, whether insurance has paid or not. If your balance is not paid within 60 days a finance charge of 1.5% will be added to your account each month until it is paid. We are happy to send a refund to you once your insurance has paid us. We may or may not have a contract with your insurance company. We will assist you in estimating your portion of the cost of treatment. We cannot guarantee what your insurance will or will not do with each claim and we also cannot be responsible for any errors in filing your insurance.

Dental insurance is an aid in receiving dental care. It does not pay for 100% of all fees.  Most plans only pay a portion of the average total fee. The percentage paid is usually determined by such factors as: how much you or your employer has paid for coverage or the type of contract your employer has set up with the insurance company.

Sometimes your dental insurer reimburses you or the dentist at a lower rate than the dentist’s actual fee. Insurance companies state that the reimbursement was reduced because the dentist’s fee has exceeded the usual, customary, or reasonable fee (“UCR”) used by the company.  Insurance companies set their own fee schedules and uses a different set of fees they consider allowable. These fees may vary widely because each company collects fee information from claims it processes. The company uses this data which can be 3-5 years old and chooses a level they call “allowable” UCR Fee. The “allowable” fees are set by the insurance company so they can make a net 20%-30% profit.  Insurance companies can imply that your dentist is “overcharging” rather than say that they are “underpaying” or that their benefits are low. Usually, the less expensive insurance policy will use a lower UCR.

Deductibles and percentages must be considered when estimating dental benefits. An example would be a $200.00 fee for a service. If we assume that the insurance company allows $200.00 as its usual and customary fee, the benefits that will be paid can be figured out. A deductible on average $50 is subtracted, leaving $150.00. The insurance plan then pays 80% for this particular procedure: 80% of $150.00, or $120.00. Out of a $200.00 fee they will pay an estimated $120.00 leaving a balance of $80.00 to be paid by the patient. If the UCR is less than $200.00 or your plan pays only at 50% then the insurance benefits will also be significantly less.

It is important to keep us informed of any insurance changes such as insurance company address, or a change of employment.