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Dental Clinic Fee Schedule

Dental Clinic Fee Schedule

This document outlines the standard fees for services provided at our dental clinic. Please note that these fees are subject to change without prior notice. For any questions regarding specific procedures or payment options, please contact our administrative staff.

Payment Information

We are considered out-of-network with all PPO dental plans. While this is the case, many of our patients still choose us—even those with limited or no out-of-network benefits—because of our commitment to high-quality care, flexible hours, and the convenience of having a wide range of specialty procedures, like root canals and wisdom teeth extractions, performed right here in our office.

Payment for Treatment

For any scheduled treatment, we require full payment upfront before your appointment is booked. Key Dental requires payment in full for all procedures at the time treatment is scheduled. Unlike many offices, we don’t collect just the estimated out-of-pocket amount—and here’s why:

  • Clarity and Transparency: We want you to know exactly what to expect. If we were to only collect an estimated amount, and your insurance paid less than expected or denied the claim, we would have to send you an unexpected bill for the difference weeks after your treatment. By collecting the full amount upfront, we eliminate that possibility and ensure there are no surprises.
  • Accurate Information: As a newer dental office, we are still building our insurance data. This makes it difficult to provide precise estimations. Our policy helps us avoid the common situation of patients receiving an unexpected bill weeks after their treatment because an estimation was inaccurate.

Financing and Affordability

We are committed to making your care both affordable and accessible. Most of our patients use a third-party financing partner such as Sunbit, CareCredit, or Cherry to cover the full cost of their treatment. These options allow for low, manageable monthly payments with no large upfront burden.

Once your insurance reimbursement is received, it will be applied directly toward your financing plan, which can reduce or pay off your balance. Our team is here to help you navigate every step of the process, from understanding your insurance to coordinating payments, to make it as smooth and stress-free as possible.

Insurance Claims & Reimbursement

  • We submit claims to your dental insurance provider as a courtesy
  • When your insurance pays, funds are applied to your account. If your insurance covers part of the procedure, your account will reflect a credit

Options for Your Credit:

  • Apply toward pending treatment (recommended), or
  • Leave a minimum $200 credit toward your next recall visit (recommended if no benefits remain), or 
  • Request a reimbursement in full. 

⚠ Important Note About Reimbursements and Financing:

If you use a financing partner like Cherry, reimbursements are not issued directly to you. Instead, any insurance payment or refund amount is applied toward your financing account. This reduces the total number of remaining payments but does not lower the fixed monthly payment amount

 


Weekly Processing Policy 

  • All insurance payments are processed on Wednesday only. 
  • Courtesy calls and billing statements are also issued on Wednesdays. 
  • If an insurance payment is received on a Monday (e.g., $200 for a filling), it will not be processed until Wednesday
 

Refund Timing: 

  • If a reimbursement is issued, please allow up to 10 business days for it to reflect on the original payment method. 
  • All reimbursements are returned to the original payment method

 


Missed Communication Policy 

If we call you on Wednesday regarding reimbursement and you do not answer: 

  • Pending Treatment: If you opted to use the reimbursement toward treatment, we will attempt to contact you weekly for 1 month. After this period, if no response is received, we will issue the reimbursement in full unless you instruct otherwise.
  • No Pending Treatment / No Benefits: We will issue a reimbursement but retain a $200 credit toward your next check-up and cleaning unless you instruct otherwise. 
  • No Pending Treatment / Remaining Benefits: We will issue the full reimbursement. 

 


Non-Accepted or Denied Claims 

If your insurance denies or underpays a claim, you will not be billed further. Since full payment was collected in advance, you will not receive a statement requesting additional funds. 

At Key Dental, we review all accounts receivable (A/R) every Wednesday as part of our weekly billing process. If we notice that an insurance claim remains unpaid past 30 days, we perform a courtesy check-in with your insurance provider on your behalf to monitor the reimbursement process. 

In the event that a denial is issued, we kindly request your support in contacting your insurance company directly. In our experience, most insurance providers respond more promptly to their policyholders than to dental offices. By reaching out personally, you can often help expedite the appeals or reconsideration process, ensuring that any reimbursement due is handled as quickly as possible. 

Contact Us 

Phone: (956) 382-6364 

Fax: (956) 705-5261 

Clinic Hours:

Monday, Tuesday, Thursday, Saturday: 8:00 AM – 8:00 PM 

Friday, Sunday: 10:00 AM – 8:00 PM

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