Payment is due at the time of service.
The final fee for your endodontic treatment is based on the treatment provided, which may differ from the estimate.
We are always happy to provide an cost estimate based on the referral from your dentist. If you have dental insurance we will need that information to include it with the estimate.
Payment: Payment is due at the time of service. If you have any questions regarding your appointment, fees or estimates please call to prior to your appointment. We provided you with an estimated out of pocket cost.
We take most credit cards (Visa, MasterCard, Discover, American Express), checks, cash as well as CareCredit.
Treatment / Fee Estimates
All appointments start with a Consultation which is an Exam and CBCT (3D scan) for the area(s) in question. We usually cannot accept CBCT from another office, even if you just had it done. The complete file cannot be transferred to us for manipulation due to the file size. Also we cannot always read the file due to software differences. Note the CBCT (3D scan, limited view) and x-rays we take are endodontic specific (different angles) and focused on the area of concern – they do not cover your full mouth.
Endodontic treatment fees range from $1,200 to $2,000 or more per tooth depending on treatment required. This is in addition to the Exam fees. Things like medication, Post Space, Core Build-up are additional charges.
It is always a good idea to give us a call for information specific to your treatment.
All treatment starts with a consultation which includes a CBCT, X-rays and Exam with the Doctor. We cannot provide treatment without a consultation and CBCT. We realize your dentist has diagnosed you but we need to confirm that diagnoses and determine a treatment plan for your best outcome. Sometimes we find a fracture and we cannot provide treatment. We try to determine that prior to starting treatment.
Insurance Billing
If you have Dental Insurance:
In order to provide an estimate of your out-of-pocket costs we will need your insurance information – if you have a secondary insurance we will need that information as well. YOU are responsible for providing your insurance information. We do not usually receive that information from your dentist.
Primary member – this is the person who is the main subscriber for the plan, generally through your employer. If your insurance is primary through your spouse / parent / partner we will need their complete information as well as yours (Dependent) for all insurance plans.
- Name of Dental Insurance Company with phone number
- Primary: Complete Name (this is the person subscribed to the dental insurance plan first).
- Primary: Date of Birth
- Primary Dental Insurance ID number (or SSN)
- Primary: Zip code
- Patient (Dependent): Name and Date of Birth
When possible we will verify your insurance and only charge the estimated patient portion at the time of service.
Please keep in mind that there are no guarantees of insurance coverage as the information provided to us by your insurance company is limited. Some plans have MAB (Maximum Allowed Benefit) and they will not provide that information prior to our billing. For example an Exam charge is $151 – the insurance pays 100% but the MAB is $45 – your out-of-pocket cost will be $106.
If your plan has a ‘Fee Schedule’ or ‘Maximum Allowed [MAB or MAC]’ chances are they will not tell us what that is. We can submit for a pre-authorization but that can take 30+ days and is still not guaranteed. However it’s usually a good indicator of what they will cover.
We are In-Network with Delta Dental
We are Delta Premier / PPO / EPO.
We are Out-of-Network for all other insurances.
We cannot bill OHP / Jackson Care / Medicare / Kaiser Dental Insurance that requires in-network participation.
Verify your out-of-network benefits! Depending on how your specific plan is set up the benefits may be the same for In and Out of network, or they can be very different!
For us to be able to bill your insurance plan you would need to have Out of Network benefits available (except for Delta Dental). If your plan requires a participating provider we cannot bill your insurance. If you are unsure please contact your insurance company directly or call us and we can help. Most insurance companies have a website you can log into and search for in-network providers as well as review your plan documentation. That said, most endodontist specialists in southern Oregon are out-of-network.
You will need to provide your insurance information to us prior to your appointment / treatment. Please provide (in person, fax, email) a legible copy of your insurance card [front and back], Primary Member (you, spouse, parent, etc) Full Name, Date of Birth, Insurance ID number or SSN (if that is what your insurance uses), zip code and the same information for the patient if they are secondary.
Insurance TIP!
If your insurance requires In-Network participation, but there are No In-Network providers within a reasonable range, you may be able to get an authorization from your insurance company to go to a provider Out of Network for the same coverage. You would need to call your insurance directly (we cannot do this for you) and ask them to help you find an in-network provider. When they prove to themselves there are no providers in a reasonable distance ask for an authorization number or letter (get it in writing if possible) allowing you to go out of network (at in-network prices).