Office Policies / Insurance

First visit to dentis, primera visita al dentista, pediatric dentist, dentista de ninos en Houston

 

We are open to serve you, answer questions or schedule an appointment during the following hours:

Monday – Friday: 8:30 a.m. – 5 p.m.*Lunch time from 1 pm – 2 pm daily, please leave a message on answering machine.

We don't usually see patients on Mondays except for special treatment or during holidays. Our front office staff will always be available on the phone to answer your questions.

 

Forms of Payment

At our office, we can accept: Cash, Credit Cards (Discover, Amex, Visa, MasterCard), Flex Benefit cards, and Care Credit. We cannot accept personal checks.

Insurance

** Insurance website search: You may find it under "Maria Febres" or "Carolina Febres". Just check that the office address matches.

We are currently In-Network providers for the following PPO plans:

  • Ameritas & Assurant PPO
  • Aetna PPO (not PPO Pediatric)
  • Cigna PPO & DMO* (*under 7yrs of age limitation)
  • Delta Dental Premier (also known as PPO plus Premier)
  • Guardian PPO
  • Humana PPO
  • MetLife PDP
  • United Concordia: only DHA network plans
  • United Health Care PPO: effective September 17, 2015.

 

As courtesy to our self pay patients and our policy holders with out of network insurance carriers, we offer a 10% discount.

We accept and file dental insurance as a courtesy to our patients. We try to know all aspects of your dental plan. Any treatment outline that we present to you is just an ESTIMATE and not a guarantee of paymets. When we call to verify benefits, the insurance company informs us that, "this is not a guarantee of benefits until we actually receive a claim and process the claim".

We file a pre-estimate to your insurance for some procedures such as orthodontic appliances, crowns, surgical procedures and large cases. We do not submit pre-estimates for every procedure, but at your request, we will gladly do so. It normally takes 3 to 4 weeks to receive an estimate back from an insurance company.

Appointment Cancellations

Each appointment needs to be confirmed in advance so that our staff is fully prepared to take care of your child's needs. Our office provides 3 different options for confirming scheduled appointments: email, text message and a phone call. We ask for a 24 hour notice for any cancellations or changes in our schedule.

Effective December 26, 2014 any last minute cancellations or failed appointments will incur a $26 charge.

Appointments for Treatment

We are now collecting patient out-of-pocket payment for pending treatment when the appointment is scheduled. Effective July 30, 2014.

 

Emergencies

Should a dental emergency arise during office hours, call the office as soon as possible. Your child will be given every priority and will be seen immediately. After hours, Dr. Febres can be reached by calling the office phone number and following the directions at the end of the voicemail. Dr. Febres will contact you as soon as she can.

Our Mission

Our goal is to make every child's visit pleasant and educational. Our practice is based on preventative care. We strive to teach good oral care that will enable your child to have a beautiful smile that lasts a lifetime.

Orthodontics

Evaluation of your child's orthodontics begins with their very first visit by monitoring growth, development and occlusion (bite). Early dental problems such as open bites due to thumb sucking, crossbite or crowding can be treated by interceptive or early orthodontics.

Infection Control

By practicing strict infection control policies as recommended by the Occupational Safety and Hazard Association and the Center for Disease Control, we help to ensure the safety and continued good health of the child. All dental hand pieces and instruments are sterilized by steam autoclaves and disposable items are used where applicable. Feel free to ask our clinical coordinator to show you our new state-of-the-art sterilization center.

Effective May 14, 2014 we are NO LONGER In-Network providers for United Concordia, except for plans that participate in the DHA network. To find out if your plan participates or for more details please contact our office.

Effective Nov 2014, we are no longer filing claims for Blue Cross and Blue Shield insurance plans. We will gladly provide you with a detailed statement of services provided to help you file your own claim.

Effective September 17, 2015 we are filing "in-network" for United Health Care patients. Please let our staff know if we need to add your insurance information to your account.

 

In-Network versus Out-of-Network PPO Insurance

 

When you have a PPO you can go Out-of-Network. What does it mean? In-Network  means we have a contract with your insurance company and we agree to accept their fees and we will  file the claim for dental services provided in your behalf. Out-of- Network means we DO NOT have a contract with your insurance, we do not accept the fee that your insurance allows, and you are responsible to file claims with your dental insurance company.

 

HMO/DMO Insurance

 

With an HMO plan, you pick one primary care physician. All your health care services go through that doctor. That means that you need a referral before you can see any other health care professional or specialist, except in an emergency. Visits to health care professionals outside of your network typically aren’t covered by your insurance. Cigna HMO is the only HMO plan that we are allowed to see up until the day before they turn 7 years old.

It is very beneficial, as the insured, to know your dental plan.

Common Questions to ASK Your Insurance Company

  • What is the frequency of exams, cleanings and fluoride?
  • Is there an age limit for fluoride treatments?
  • Are sealants a covered benefit? If so, what teeth are covered and what is the age limit?
  • Do I have orthodontic benefits?
  • Do you have a waiting period with your dental insurance plan?
  • Do I have a deductible for preventative services?

Most insurane companies will tell you how they will cover a procedure if you give them the ADA code, which can be found in the treatment plan.

Your Responsibilities

Your estimated patient portion must be paid at the time of service. As a service to our patients, we will bill insurance companies for services.

 

First Visit

 

Before you call to make your first appointment, please have your insurance information ready. Our staff will be better prepared to answer your coverage questions when they have been able to verify your dental benefits.

  • Insurance carrier
  • Policy holder: name and birth date
  • ID number (or SS# depending on the insurance company)
  • Group number
  • Providers phone number
  • Employer, if applicable
  • Last time your child visited the dentist, if applicable
  • We will also need the SS# of the policy holder if we will be filing your insurance claim.

Please bring a photo ID (for example driver's license) for the responsible party and, insurance cards with your child's name on it at the time of their first appointment.

We strongly encourage our parents to provide updated Dental Insurance information when calling to schedule your child's next dental check-up. If you have any questions, our courteous staff is always available to answer them

 
 

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