FINANCIAL INFORMATION
We understand how confusing and time-consuming it can be to get insurance companies to cover treatment costs. We are here to help you as best we can so that you can anticipate your out-of-pocket expenses and expedite reimbursement from insurance companies. Please read the information carefully to avoid any confusion at the time of your visit.
ANTICIPATED FEES
CONSULTATION FEES:
The fee for a consultation is $150 for patients of all ages, regardless of whether you treat the same day or return for treatment another time. Consultation fees are not applied towards treatment.
TREATMENT FEES:
Babies and Toddlers: The fee for a frenectomy is $799 per site. The tongue is considered a single site, and the upper lip and buccals (cheeks) are considered a separate site. Therefore, treating just a tongue tie would cost $799, and treating a tongue and lip (with or without buccals) would be $1,598. There is no charge for follow-up visits. The maximum out-of-pocket treatment cost is $1,598, not including the $150 consultation.
Children (ages 4-17): The cost for a tongue tie release is $899 and a lip tie is $799. If we schedule treatment and your child is unable to sit through the procedure and we need to stop due to cooperation, there will be a $150 office visit fee in lieu of treatment fees.
Adults (18+): The cost for a tongue tie release is $899 and a lip tie is $799. If a Cone Beam CT scan (CBCT) is required due to symptoms suggestive of airway obstruction, sleep apnea, or jaw size concerns, the cost of a CBCT is $250.
Payment is due at the time of service, and your insurance company should reimburse you directly if treatment is covered (if they send us reimbursement, we will refund your credit card or issue a refund check the same day we receive it.) See below for more information about insurance coverage.
INSURANCE
Dr. Aaronson is an out-of-network provider for all dental and medical insurance. This means that your insurance may not cover any treatment if your policy does not cover non-contracted providers. However, we have found that most medical and dental insurances will still reimburse some of the treatment fees (and in some cases the entire amount).
In order to best anticipate your financial responsibility, you should contact your medical and/or dental insurance provider directly in advance. When you call your insurance company, please be sure to inform them that you are seeing an out-of-network dental provider. Please note: some insurance companies require pre-authorization, in which case we would need to submit paperwork, including photos, prior to any treatments.
We will provide you with a superbill and all the forms necessary to submit for reimbursement from your medical insurance, however we are no longer able to submit medical claims on your behalf. We will, however, submit a dental claim if your child is on your dental insurance, even though coverage would still be based on whether you have out-of-network coverage.
Payment in full is due at the time of service,
regardless of insurance coverage.
The procedure codes are as follows
-
Medical Insurance:
-
CONSULTATION, $150. CPT code 99245
-
CONE BEAM CT SCAN, $250. CPT code 70486
-
LIP/CHEEK TIE, $799. CPT 40819; diagnosis code Q38.0
-
TONGUE TIE (infant), $799. CPT 41115; diagnosis code Q38.1
-
TONGUE TIE (child/adult), $899. CPT 41520; diagnosis code Q38.1
-
-
Dental Insurance:
-
CONSULTATION, $150. ADA code D9310
-
CONE BEAM CT SCAN, $250. ADA code D0383
-
LIP/CHEEK FRENECTOMY, $799. ADA code D7961
-
TONGUE FRENECTOMY (infant), $799. ADA code D7962
-
TONGUE FRENULOPLASTY (child/adult), $899. ADA code D7963
-
-
Dr. Aaronson's NPI: 1134375652
-
Office TIN: 99-3182430
Medical Reimbursement Forms
We will provide you with a superbill and invoice and a claim form to submit to your insurance for reimbursement (see below for links to download additional claim forms)
Please note: any fees not covered by insurance are your responsibility. Payment is due at the time of service, and any payments made by your insurance will be sent directly to you.
Medical Reimbursement Claim Forms (click to download):