(626) 656-8680 info@tonichendds.com

Dental Insurance Benefits

Our mission is to provide families with affordable, high-quality dental care that fits within your budget. For this reason, we’ll provide you with a treatment plan that clearly breaks down fees for each procedure, along with a total cost estimate before treatment is rendered. A few things to keep in mind.


No insurance pays 100% of all procedures

Dental insurance is meant to be an aid in receiving dental care. Many patients think 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, depending on how much you or your employer has paid for coverage, or the type of contract your employer has set up with the insurance company.


Benefits are not
determined by our office

You may find that your dental insurer may 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. This can imply that any fee greater than the amount paid is due to “overcharging”, when in reality it can be the insurance company “underpaying” based on an arbitrary definition of what is considered allowable.


Deductibles & Co-Payments must be considered

When estimating dental benefits, remember that deductibles and percentages must be factored in to determine payment responsibility. MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy name, insurance company address, or a change of employment.

Billing and Financial Policy

We are dedicated to providing all our patients with the finest service and treatment available. In doing so, we are happy to provide complimentary insurance verification and claim submission. If we received all of your insurance information on the day of the appointment, we will be happy to file your claim for you.
Payment for professional services is due at the time dental treatment is provided. The parent or guardian who brings the child to our office is responsible for payment, and any applicable billing statements will be sent to this person. For your convenience, our office accepts payment by cash, personal check, and all major credit cards. We also offer CareCredit for those who qualify. If you have any questions about financing or payment, please ask a staff member and we will be happy to go over our financial policy or financing options in full detail.
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 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 re-billing fee of 1.5% will be added to your account each month untill paid. We will be glad to send a refund to you if your insurance pays 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 bebefits 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 cannot be responsible for any errors in filing.

Start Your Journey With Us Today!


    T: 626-656-8680
    F: 626-656-8682
    E: info@tonichendds.com