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Our Fees
Our UCR (Usual, Customary and Reasonable) fees are established by our long-term participation with Delta Dental Plan of California. The fees are submitted and approved by Delta Dental annually on the basis of the fees established and used by other participating dentists in our same geographic area.
The majority of our patients have PPO dental plans that have a fee schedule somewhat lower than our UCR fee schedule, and upon receiving care with us as a participating provider, will generally have a lower out-of-pocket cost for each procedure.
Please let us know if you have any questions about our fees for specific procedures and services, as well as the provisions of your dental plan. In most cases, we can submit your treatment plan electronically for a pre-estimate of benefits. In most cases, this information can also be obtained via telephone inquiry during normal business hours.
Insurance Plans
We participate with the following dental indemnity and PPO plans:
Aetna Dental Plan
AmeriPlan Dental Care
American Dental Network
Ameritas
Blue Cross
Blue Shield
Careington
CDN
Conneticutt General
Delta Dental Plan of California
Dental Benefit Providers
Dental Health Alliance
Dental Plan Administrators
Dentemax
Diversified Benefits Group
First Dental Health
Foundation Health
Gena Connection Dental
Great West Care
Guardian
Humana Dental
Mass Mutual
Met Life
Metropolitan
MIDA
Mutual of Omaha
Mutually Preferred Dental
One Health Plan
Pacific Union Dental
Pacificare
Phoenix Home Life
Preferred Dental Advantage
Preferred Dental Health
Premier Access
Principal Financial Group
Principal Mutual
Protective Dental Advantage
Prudential
Signature PPO Network
Smile Saver
TDC Dental Companies
The Phoenix
The Travelers
United Concordia
United Dental Care
WellPoint Dental
Financial Policy
OFFICE AND FINANCIAL POLICY STATEMENT
Welcome! We are here to serve your dental needs and those of your family. After your examination and consultation you may have questions about the proposed treatment. Please discuss your dental health with us. An informed patient is a more relaxed patient.
Your dental appointments will be scheduled at a convenient time and date. SHOULD YOU NEED TO CHANGE OR CANCEL YOUR APPOINTMENT, PLEASE CONTACT THE OFFICE AT LEAST 24 HOURS IN ADVANCE to avoid being charged $75.00 per missed appointment. This is part of our policy and allows us to maintain our lower fees. Because of unscheduled emergency appointments the doctors sometimes run late. This is not true for hygiene (cleaning) appointments. However, a 10 minute grace period for hygiene appointments will be permitted before the appointment is considered failed. We are not a large clinic and we do staff and reserve time specifically for you!
Payment for care is due at the time services are rendered. Our office accepts cash, checks or, for your convenience, Visa, MasterCard, Discover and American Express. We can offer several alternative payment plans to you and will explain them to you more fully after your examination. We can also assist in obtaining a special ( "Care Credit") financing card. We are happy to file insurance claims as an additional service to you, crediting insurance payments to your account. All remaining unpaid insurance balances are due in full within 60 days of treatment.
HEALTHY TEETH - STAYING HEALTHY
Most insurance companies limit the number of prophylaxis (cleaning) to one every six months or twice in any given year. If the dentist should recommend additional prophylaxis, there may be a charge to you. It is the responsibility of the patient to check and be aware of any additional charges prior to treatment.
Patient acknowledgement: I HAVE READ THE ABOVE STATED OFFICE AND FINANCIAL POLICIES, AND I UNDERSTAND THAT I AM REPONSIBLE FOR PAYMENT OF ALL DENTAL SERVICES. IF I CARRY INDEMNITY TYPE INSURANCE I UNDERSTAND THAT THIS OFFICE WILL PREPARE MY INSURANCE FORMS TO ASSIST IN MAKING COLLECTIONS FROM MY INSURANCE COMPANIES AND WILL CREDIT SUCH COLLECTIONS TO MY ACCOUNT. I UNDERSTAND THAT I WILL BE FINANCIALLY RESPONSIBLE FOR ANY FEE NOT PAID BY MY INSURANCE COMPANY OR NOT PAID WITHIN 60 DAYS OF THE SERVICE BEING RENDERED. FOR THE DENTAL INSURANCE PLAN, THE OFFICE WILL ASSIST IN DETERMINING ELIGIBILITY AND I AM RESPONSIBLE FOR APPROPRIATE CO-PAYMENTS OF ALL DENTAL SERVICES. I UNDERSTAND THAT EACH DENTIST IS AN INDIVIDUAL PRACTITIONER AND IS INDIVIDUALLY REPONSIBLE FOR THE DENTAL CARE RENDERED TO ME. I ALSO UNDERSTAND THAT NO OTHER DENTIST OTHER THAN THE TREATING DENTIST IS RESPONSIBLE FOR MY TREATMENT.
Our staff will ask you to sign a copy of this financial policy when you register as a new patient. If you have any questions or concerns regarding our fees or your financial arrangements for your dental care, please let us know prior to having your treatment provided.
Thank you!
Phil M. Gendreau, D.D.S.
Richard A. Harder, Jr., D.D.S.
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