Why do some patients need a dental clearance prior to heart surgery?
As the Insurance Coordinator here at West Park Dental, I know that the most common misperception about dental insurance is that it is like medical insurance. In fact, dental insurance is not really insurance in the traditional sense but more of a benefit plan that helps our patients supplement their out-of-pocket expenses. The result is that just because the doctor deems a treatment to be necessary does not mean that the dental insurance company will agree to pay the benefits.
Another misconception is that dental insurance will cover 100% of dental fees for many procedures. The usual and customary rate (UCR) is the cost the insurance company has agreed to pay for a certain procedure, but this is not necessarily 100% of the costs that are incurred for the work. The UCR is often based on zip codes, so insurance companies are creating their reimbursement schedules based on geographic zones rather than on the fees actually charged.
At West Park Dental we assign benefits and have the difference charged to our practice. If a patient is in-network and there is a difference in the amount the insurance company will pay and our fee, we absorb that difference so the patient need not pay more than the insurance company allows. As a courtesy to our patients we write-off that difference in cost.
The good news is that the patient will have a portion of their costs paid for by the insurance company. Part of my job is to help the patients maximize their benefits, helping them understand the explanation of benefits (EOB) they get in the mail from the insurance company. With all the rules and regulations that come with dentistry and insurance coverage I find it very rewarding to help patients understand how to maximize the benefits.
Molly MacBride, Insurance Coordinator
West Park Dental
New Patients Welcome
If you are looking for a gentle, courteous, and friendly dentist, then you've come to the right place. Our practice offers dental services for the entire family. Your oral health has a significant impact on your overall well being and our team is dedicated to providing you and your family with the best dental care possible.
The first thing most people notice about you is your smile. Advances in cosmetic dental care have made it possible for a dentist with the right training, qualifications and expertise to completely redesign your smile.
If you are missing one or more teeth, and wish to eat your favorite foods, increase your chewing ability, and improve your appearance, speech, and self-esteem, then you are a candidate for dental implants. The doctors at West Park Dental use the latest implant technology so you can smile again with confidence. Call our office today to schedule your appointment.
Do you find yourself waking at night gasping for breath? Are you exhausted all day long because you just can't get a good night's sleep?
'Apnea' is a Greek word meaning "without breath"; people who have apnea literally stop breathing in their sleep. A cessation of breath lasting for 10 seconds in adults, or 2 and 1/2 breath cycles in a child, is the clinical definition of sleep apnea.
To help patients who grind their teeth, the first step is to get to know the patient and learn about their lifestyle. So many people have excess stress in their lives that often leads to clenching the teeth or grinding the teeth, or both.
When a patient tells me, they want to be smart about their insurance and make sure they are choosing a company that will cover them in the best possible way, I offer my services to the patient.