How are Appointments Scheduled?
Do I Stay
with My Child During the Visit?
What About Finances?
Policy Regarding Dental Insurance
To provide the
highest quality care
to our clients in a
loving, caring and
honest manner. Only
in Dentistry and
relationships can we
make a positive
contribution to the
self-esteem of those
- New patients are
always welcomed. With
Pittsfield and Great
has been providing
Berkshire County and
the adjacent states
of New York,
orthodontic care for
35 years. From
restorative work to
care for your child
while making their
Dr. Louis, Dr. Steve,
and Dr. Lauren
have excelled in
Dr. Louis and Dr.
are part of the
teaching staff at
doctors of Yarmosky
Pediatric Dentistry are
members of many
American Academy of
Dental Society and
the Berkshire Dental
Society. They have
careers to providing
children with the
pediatric dental and
Dentistry works with
and is on the
with the most
Their high tech
your child with the
available and the
confidence they are
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The office attempts to schedule appointments at your
convenience and when time is available. Preschool children should be seen in
the morning because they are fresher and we can work more slowly with the
child for their comfort. School children with a lot of work to be done
should be seen in the morning for the same reason. Dental appointments are
an excused absence. Missing school can be kept to a minimum when regular
dental care is continued.
Since appointed times are reserved exclusively for
each patient we ask that you please notify our office 24 hours in advance of
your scheduled appointment time if you are unable to keep your appointment. Another patient who needs our care could be scheduled if we have sufficient
time to notify them. We realize that unexpected things can happen, but we
ask for your assistance in this regard.
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Why we Schedule
in the Morning Hours:
we are committed to
children with the
best dental care
We make every
effort to ensure
your child’s dental
experience is a
positive one and for
that reason certain
are scheduled at
specific times of
understand that it
can be very
difficult for your
child to miss school
or for you to have
to miss work, but
for certain dental
cases, your child
can return to school
or normal activities
We are also
more than willing to
provide your child
or you an “excuse”
letter if needed.
dental procedures on
sealants and nitrous
etc) we find that
children have a
better experience in
They are more
rested and more
likely to tolerate
than later in the
afternoon after a
long day at school
or at play.
Also, we find
that children that
are anxious tend to
get a little more
“worked up” and
nervous about “what
is going to happen”
as the day
in our office are
dedicated to our
patients that often
require a little
extra time and “TLC”
and we as
better able to focus
on them in a less
as an appointment
for full bracketing
(having braces put
on), we also have
a little more time
and focus for our
patients and we want
to provide the best
We hope you
understand that our
treatment goals and
focused on the
wellbeing of your
child and quality of
the care we provide
to them and why
We sincerely thank
you for your trust
and confidence in
our Pediatric Dental
Team at Yarmosky
Do I Stay with My Child During the Visit?
We invite you to stay with your child during the
initial examination. During future appointments, we suggest you allow your
child to accompany our staff through the dental experience. We can usually
establish a closer rapport with your child when you are not present. Our
purpose is to gain your child's confidence and overcome apprehension.
However, if you choose, you may come with your child to the treatment room.
For the safety and privacy of all patients, other children who are not being
treated should remain in the reception room with a supervising adult.
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What About Finances?
Payment for professional services is due at the time
dental treatment is provided. Every effort will be made to provide a
treatment plan which fits your timetable and budget, and gives your child
the best possible care. We accept cash, personal checks, debit cards and
most major credit cards.
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Our Office Policy
Regarding Dental Insurance
If we have received all of your insurance information
on the day of the appointment, we will be happy to file your claim for you.
You must be familiar with your insurance benefits, as we will collect from
you the estimated amount insurance is not expected to pay. By law your
insurance company is required to pay each claim within 30 days of receipt.
We file all insurance electronically so your insurance company will receive
each claim within days of the treatment. You are responsible for any balance
on your account after 30 days, whether insurance has paid or not. If you
have not paid your balance within 60 days a finance charge of 1.5% will be
added to your account each month until paid. We will be glad to send a
refund to you once insurance has paid us.
PLEASE UNDERSTAND that we file dental insurance as a courtesy to our
patients. We do not have a contract with your insurance company, only you
do. We are not responsible for how your insurance company handles its claims
or for what benefits they pay on a claim. We can only assist you in
estimating your portion of the cost of treatment, we at no time guarantee
what your insurance will or will not do with each claim. We also can not be
responsible for any errors in filing your insurance, once again we file
claims as a courtesy to you.
Fact 1 - NO INSURANCE PAYS 100% OF ALL PROCEDURES
Dental insurance is meant to be an aid in receiving dental care. Many
patients think that their insurance pays 90%-100% of all dental fees. This
is not true! Most plans only pay between 50%-80% of the average total fee.
Some pay more, some pay less. The percentage paid is usually determined by
how much you or your employer has paid for coverage or the type of contract
your employer has set up with the insurance company.
Fact 2 - BENEFITS ARE NOT DETERMINED BY OUR OFFICE
You may have noticed that sometimes your dental insurer reimburses you or
the dentist at a lower rate than the dentist's actual fee. Frequently,
insurance companies state that the reimbursement was reduced because your
dentist's fee has exceeded the usual, customary, or reasonable fee ("UCR")
used by the company.
A statement such as this gives the impression that any fee greater than the
amount paid by the insurance company is unreasonable or well above what most
dentists in the area charge for a certain service. This can be very
misleading and simply is not accurate.
Insurance companies set their own schedules and each company uses a
different set of fees they consider allowable. These allowable fees may vary
widely because each company collects fee information from claims it
processes. The insurance company then takes this data and arbitrarily
chooses a level they call the "allowable" UCR Fee. Frequently this data can
be three to five years old and these "allowable" fees are set by the
insurance company so they can make a net 20%-30% profit.
Unfortunately, insurance companies imply that your dentist is "overcharging"
rather than say that they are "underpaying" or that their benefits are low.
In general, the less expensive insurance policy will use a lower usual,
customary, or reasonable (UCR) figure.
Fact 3 - DEDUCTIBLES & CO-PAYMENTS MUST BE CONSIDERED
When estimating dental benefits, deductibles and percentages must be
considered. To illustrate, assume the fee for service is $150.00. Assuming
that the insurance company allows $150.00 as its usual and customary (UCR)
fee, we can figure out what benefits will be paid. First a deductible (paid
by you), on average $50, is subtracted, leaving $100.00. The plan then pays
80% for this particular procedure. The insurance company will then pay 80%
of $100.00, or $80.00. Out of a $150.00 fee they will pay an estimated
$80.00 leaving a remaining portion of $70.00 (to be paid by the patient). Of
course, if the UCR is less than $150.00 or your plan pays only at 50% then
the insurance benefits will also be significantly less.
MOST IMPORTANTLY, please keep us informed of any
insurance changes such as policy name, insurance company address, or a
change of employment.
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