Payment Options

At Smile Wonders, our mission is to be the gold standard in comprehensive and collaborative care for ALL of our patients. Payment is requested on the day of service and whether your needs are large or small, we are here for you!

Cash, Credit Card or HSA

Our patients pay at the time of services being rendered via Cash, Visa, MasterCard, Discover, American Express as well as HSA (Health Savings account).

Insurance

Our patients utilize Out-of-Network benefits from their Dental and Medical plans as applicable for services at Smile Wonders.

We are not an authorized or certified provider for Medicaid, Tricare, Kaiser, DMO or HMO plans. Per the limitations set forth by these plans, if patients use a non-network dentist, they will be responsible for all payment and unable to get reimbursed through the insurance provider. Subscribers or beneficiaries of these plans have the options of receiving care with another Provider in a certified facility. Smile Wonders does not discriminate services based on third party coverage or insurance plan level allowances. Care at Smile Wonders is available to all patients on a self-pay basis.

Dental Insurance

We understand that many of our patient families would like to utilize out of network dental benefits. We are happy to help you in the process.

Please provide all the required information on the pre-appointment paperless forms. We will help submit your claim with applicable narrative explanations of treatment and images electronically on your behalf. We have enjoyed great success with maximizing coverage for our patients within the limitations of their individual policy.

Medical Insurance

We understand that many of our patient families would like to utilize out of network benefits from their medical insurance for infant frenectomy procedure. We are happy to help you in the process.

On the day of the procedure, if you let us know in advance, we can prepare a letter of medical necessity that has the pertinent Diagnosis (ICD-10 codes), Treatment (CPT codes), Narrative explanations and fees that can be submitted along with your claim. We will also provide an itemized receipt of payment so that the reimbursement can come directly your way.

Insurance Facts

IF you would like to prioritize only insurance-oriented care here are some facts for you to consider:

Fact #1 Since Covid-19, we have found that many insurances have reduced their ‘coverage amounts’ and implemented many obstacles of strict limitations, exclusions, waiting periods and plan deductibles.

Fact #2 Please know that a customer service rep that usually does not have any medical or dental background and is located in a completely different part of the world is responsible to determine the eligibility for services. They simply follow numbers and codes. They do not understand the level of care needed for your child.

Fact #3 The usual and customary rate (UCR) is determined by each individual insurance company. Subscribers are unaware that since 2020, many companies have categorically reduced their reimbursement by as much as 20% without any reduction of premiums from their subscribers. Reimbursement levels are most influenced by profitability of the insurance companies, rather than cost of living and fees relative to the region, let alone expertise of the provider or your child’s specific needs.

Patient Financing

In order to make oral health affordable and comfortable, our office has partnered with a PatientFi for financing options. It is medical loan that does not require hard credit check and allows for no interest financing for up to 6 months. Please click the link below to find out more and obtain pre-approval.

Our team has many years of experience

Although we cannot make any guarantees when it comes to insurance payments and estimates, we will do our best to share our knowledge and experience with you to help you maximize your reimbursement. Please reach out to our friendly professional staff for any questions at all.