We appreciate you allowing us to provide dental care for your children.  As one of the Valley’s leading providers for pediatric dental care, we wish to attract parents that take an active role in their child’s dental health and remain financially responsible.  Because we value our relationship with you and believe that the best relationships are based upon understanding and communication, we offer these clarifications on methods of payment & insurance reimbursement.

Upon your child’s first dental visit, we will request a copy of your dental insurance information to allow us to file your claim for this and all future visits.  Please remember to bring all dental insurance information, especially your insurance card(s).  We also ask that you contact us immediately after making any changes to your family’s dental coverage, so we can keep our records current, thus providing expeditious reimbursement of your benefits.

Dental Insurance.  We are completely dedicated to providing all our patients with the finest treatment available and base our treatment recommendations on what we feel is best for your child and not what procedures your insurance company may or may not pay for.  Please note the following in regards to your dental insurance coverage:

1. We must emphasize that as a health care provider, our relationship is with you and not your dental insurance company.  Your dental insurance is a contract between your employer and the insurance company.  Most plans routinely pay between 50-75% of the average total fee for a covered procedure.  This percentage is determined by how much your employer has paid for coverage.
2. As a courtesy, we will be happy to file for your insurance benefits, though we are not legally obligated to do so.  Because your dental insurance plan is a contract between you, your employer, and the insurance company, many carriers will actually not allow for reimbursement directly to our office.  In such instances, you will be responsible for the entire cost of each visit at the time services are provided and your insurance company will send you the reimbursement check, directly.  
3. Any amount not covered by your insurance company is payable at the time services are rendered; these fees may include deductibles, co-payments or certain procedures not covered by your insurance policy.  Unfortunately, some of the services that we may recommend for your child will not be covered by your specific dental insurance.  Our primary goal is to treat your child using the best possible materials, supplies, medications and environment and not necessarily in the cheapest manner, which is sometimes the goal of many insurance companies. 
4. We allow a maximum of 45-days for your insurance company to clear account balances.  Any unpaid portions will be due in full, by you, after this period. 
5. Our office does not determine your dental benefits. Your employer chooses your particular policy and if you are unhappy with it’s coverage, this should be mentioned to your superior.  Only your employer can adjust benefits.

Methods of Payment.  For your convenience we accept personal checks and all major credit cards (Visa, MasterCard, and American Express).  All returned personal checks will be assessed a $35.00 management fee.

Financing Programs.  To help provide cost-effective care to our patients, we offer several long & short term financing programs for both dental and orthodontic treatment.  Please feel free to inquire about these various payment programs.

In-Office Discount Plan.  In an attempt to help families without dental insurance cover the increasing cost of care, we also offer a discount plan.  This plan is similar to an insurance plan, but is managed and operated by West Valley Pediatric Dentistry.

Financial Obligation.  After attempts to collect outstanding funds and a 90-day grace period from the time services are rendered, parents/guardians not fulfilling their financial obligation will be sent directly to collections, as stipulated by our accountants.

We will always do our best to estimate your financial obligation, and appreciate your understanding when information provided by your insurance company hinders our ability to be exact.  We will always do our best to maximize the insurance benefits that you are eligible to receive and we appreciate your prompt settlement of any charges that may be incurred during the treatment process.  We look forward to years of close association with you, as we work together to maintain your child’s oral health!

Prior to completing any treatment, we will provide you with a cost estimate indicating our total fee, what we anticipate your insurance coverage to be, and your estimated out-of-pocket portion.  Please remember, our office is here for you.  Feel free to contact us with any insurance or payment questions.

In-Office Discount Plan

In an effort to help control the increasing cost of dental care, West Valley Pediatric Dentistry has created a discount plan for families without dental insurance.  This is not an insurance policy, but a plan entitling the recipient to significant discounts off our offices’ customary fees.  Membership is easy, there is no waiting period, no annual limits, no paperwork hassles, no need to file insurance claims, no health restrictions, no background check, and for less than $15.00 per month, your child can become eligible for this coverage.  Using this plan exclusively for check-ups and cleanings will save a family over $319.00 per child each year, and savings increase should your kids require any actual restorative treatment.

Annual Membership Entitles Each Child to Receive the Following:

2 Annual Examinations (1.)
2 Prophylactic Cleanings
2 Professional Fluoride Applications
1 Complete Set of Radiographs (2.)
25% Discount Off All Restorative Dental Care
25% Discount Off All Pre-Orthodontic Care
25% Discount Off All Diagnostics & Additional X-Rays
25% Discount Off All In-House Prescriptions & Products (3.)
Free Orthodontic Consult Including Diagnostic Records (4.)

(1.) Includes new patient visits, semi-annual check-ups or emergency visits.  All additional visits will be at a 25% discounted rate off current customary fees.
(2.) Includes all x-rays required to establish a comprehensive diagnosis at the initial visit only.  Need for x-rays will be based upon the child’s age, presence of current diagnostic x-rays, active symptoms and/or presence of disease.  All additional x-rays will be at a 25% discounted rate off customary fees.  Panoramic x-rays are included in this benefit and are initially prescribed at 6-years old and again every three years thereafter.
(3.) In-house prescriptions and products are based upon office availability. 
(4.) Orthodontic provider referrals are selected based upon quality of care, acceptance into program, availability and office proximity.  Need for specific records is based upon treating orthodontist’s prescription during diagnostic phase of care.  Subsequent intra-operative records are not included in this plan and additional record costs may apply throughout the extent of orthodontic care.

Annual Cost:

How do I obtain coverage?  It’s easy.  Simply complete a short agreement, pay your annual fee in full and your child is immediately covered.  If the application process is completed at your child’s initial dental visit, we’ll even allow you to begin using benefits for that visit.

Does this plan include cosmetic dentistry?  Yes!  Plan discounts even include elective cosmetic dentistry, including teeth bleaching, pedi-partials, esthetic crowns, white colored fillings, athletic mouthguards, pre-orthodontic appliances, space maintainers or any other service provided by West Valley Pediatric Dentistry.

Are there any requirements?  The only requirement is that your child cannot be covered by an existing dental insurance or AHCCCS policy.  This plan is exclusively for those that have no other dental insurance coverage.

How and when is this policy renewed?  Once your child’s policy is activated, you will be given an anniversary date.  This date is very important, as it is when you will need to renew your child’s plan each year.  Should this date be missed, a 10% administrative fee will be added to reactivate the cancelled policy.  Our office will contact you at least two weeks prior to the end of your agreement to remind you of this impending date.

Click Here to Print Out An In-House Discount Plan Application