{"id":22,"date":"2025-06-18T18:48:25","date_gmt":"2025-06-18T18:48:25","guid":{"rendered":"https:\/\/foothillendo.com\/?page_id=22"},"modified":"2026-03-16T17:44:37","modified_gmt":"2026-03-16T17:44:37","slug":"fees-payment-insurance","status":"publish","type":"page","link":"https:\/\/foothillendo.com\/index.php\/patients\/fees-payment-insurance\/","title":{"rendered":"Fees: Payment & Insurance"},"content":{"rendered":"
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Payment is due at the time of service<\/strong>.<\/h2>\n
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The final fee for your endodontic treatment is based on the treatment actually provided, which may differ from the estimate.<\/p>\n

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. An estimate is based on the referral from your dentist – this is a best guess as to the treatment you will require.<\/p>\n

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Payment<\/strong><\/em><\/u>:\u00a0 Payment is due at the time of service.<\/span> If you have any questions regarding your appointment, fees or estimates please call to prior<\/em><\/strong><\/u> to your appointment. We provided you with an estimated out of pocket cost prior to or just after scheduling. We will collect the estimated out of pocket at your appointment and bill any balance due after insurance processses.<\/p>\n

We take most credit cards (Visa, MasterCard, Discover, American Express), checks, cash as well as Cherry and CareCredit. See our page on Payment Plans for more info [ Payment Plans<\/a> ]<\/p>\n

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Treatment \/ Fee Estimates<\/strong><\/h2>\n

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 emailed to us for manipulation due to the file size. We cannot always read the file due to software differences.\u00a0 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.\u00a0 This is different than a Panorex (or Pan) x-ray which is a 2 dimensional view of your whole mouth.<\/p>\n

Endodontic treatment fees<\/span> range from $1,200 to $2,200 or more<\/em> per tooth<\/strong> depending tooth and treatment required. This is in addition to the Exam fees. Things like medication, Post Space, Core Build-up and N2O are additional charges.<\/p>\n

It is always a good idea to give us a call for a quote specific to your referral for treatment.\u00a0<\/strong><\/p>\n

We cannot provide treatment without a consultation in our office. We realize your dentist has diagnosed you but we need to confirm that diagnoses and determine a treatment plan for your best outcome. For example sometimes we find a fracture and we cannot provide treatment. We try to determine that prior to starting treatment.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Insurance Billing<\/h2>\n
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If you have Dental Insurance:<\/strong><\/em><\/h3>\n

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.<\/p>\n

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.<\/p>\n

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  1. Name of Dental Insurance Company with phone number<\/li>\n
  2. Primary: Complete Name (this is the person subscribed to the dental insurance plan first).<\/li>\n
  3. Primary: Date of Birth<\/li>\n
  4. Primary\u00a0 Dental Insurance ID number (or SSN)<\/li>\n
  5. Primary: Zip code<\/li>\n
  6. Patient\u00a0 (Dependent): Name and Date of Birth<\/li>\n<\/ol>\n

    When possible we will verify your insurance and only charge the\u00a0estimated\u00a0<\/em>patient portion at the time of service.<\/p>\n

    Please keep in mind that there are\u00a0no guarantees of insurance coverage<\/strong> as the information provided to us by your insurance company is limited.\u00a0 Some plans have MAB (Maximum Allowed Benefit) and they will not provide that information prior to our billing.\u00a0 For example an Exam charge is $151 – the insurance pays 100% but the MAB is $45 – your out-of-pocket cost will be $106.<\/p>\n

    If your plan has a ‘Fee Schedule’ or ‘Maximum Allowed [MAB or MAC]’ chances are they will not<\/em><\/span> 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.<\/p>\n

    We are\u00a0In-Network<\/strong><\/em>\u00a0with\u00a0Delta Dental<\/u>
    \nWe are Delta Premier \/ PPO & EPO.<\/h3>\n

    We are\u00a0Out-of-Network<\/u><\/em><\/strong>\u00a0for\u00a0all<\/strong><\/em>\u00a0other\u00a0insurances.<\/p>\n

    We cannot bill OHP \/ Jackson Care \/ Medicare \/ Kaiser Dental Insurance that requires in-network participation. We cannot bill any insurance that requires participation<\/p>\n

    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!<\/p>\n

    For us to be able to bill your insurance\u00a0plan you would need to have\u00a0Out of Network<\/strong><\/em>\u00a0benefits available (except for Delta Dental).\u00a0 If your plan requires a participating provider we cannot bill your insurance. If you are unsure please contact your insurance company directly\u00a0or 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.<\/p>\n

    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.<\/p>\n

    Insurance TIP!<\/strong><\/p>\n

    If your insurance requires In-Network participation, but there are No In-Network providers<\/span> 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). This doesn’t always work but it’s worth a try.<\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    Payment is due at the time of service. The final fee for your endodontic treatment is based on the treatment actually 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 […]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":20,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-22","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/22","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/comments?post=22"}],"version-history":[{"count":9,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/22\/revisions"}],"predecessor-version":[{"id":339,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/22\/revisions\/339"}],"up":[{"embeddable":true,"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/pages\/20"}],"wp:attachment":[{"href":"https:\/\/foothillendo.com\/index.php\/wp-json\/wp\/v2\/media?parent=22"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}