Comprehensive DENTISTRY

Under General Anesthesia

ABOUT THE SCREENING

Your Special Smiles PLLC and St. Luke's Jerome Surgical Team screen patients one day per month. This screening typically occurs on the third Tuesday of the month at St. Luke's Jerome at 709 N. Lincoln Ave, Jerome, ID.

Screenings are all pre-scheduled and typically done between the hours of  noon and 3pm. The purpose of this screening is to determine if comprehensive dentistry under general anesthesia is best option for the patient.

CALL VEE TO SCHEDULE A SCREENING: 208-749-6433

WHO WE TREAT

 

To qualify,  the patient must be 14 or older unless a referral has been made from a pediatric dentist or other dentist with a reason why they did not refer to a pediatric dentist. They must have a disability that prevents them from receiving treatment in an ordinary dental setting. Some exceptions are made to these qualifications in individual circumstances.  

 

General anesthesia is safe, but is the most aggressive and expensive method of care. It is also not without risk.  It is reserved only for those who have no other options. We offer services to people who otherwise would have little to no other options. 

PAYMENT AND INSURANCE

 

We are not a free clinic nor are we a discounted clinic. We do accept Idaho Smiles and Delta Dental of Idaho insurance. There are two ways you can be billed: 

1) From us for dental treatments

(We will bill Medicaid, Deltal Dental of Idaho, and/or You)

2) From the hospital for hospital services

(They will likely bill your medical insurance then you)

There are no prior authorizations for dental treatment as often times we do not know what we will be doing until after the patient is asleep. Medicaid and Delta Dental work with us on this as they are familiar with our services. 

We do not file prior authorizations for Hospital Services. What this means, is that for a surgery to be covered by your insurance, you may need to do some paperwork before the surgery. This is different from what you may have experienced at other practices. Some practices have a staff person dedicated to such tasks. A large portion of our patients are covered by the Medicaid plan and the reimbursement from this plan is low. For that reason, we do not have the funds to pay a staff person to do this. We apologize for the inconvenience.

 

Dr. Brooke will provide you with a note that demonstrates medical necessity. We will use a copy of our screening form for this. 

 

If your loved one is covered by Medicaid for Medical insurance, Dr. Brooke or Cheryl will also give you a form that is partially filled out for you to finish filing out and fax to Medicaid. It will be YOUR responsibility to send in this form and follow up with your insurance to see if the service is covered.  If it is not back in time, the hospital may ask you to sign a paper saying you will pay for the surgery if your insurance does not. Do not sign this form unless you are willing to pay for their services. You can find this partially filled out authorization. HERE

If you have traditional insurance, you will need to talk with your insurance provider to find out how to submit for authorization. This is in relation to your MEDICAL insurance, not your dental insurance. 

MEDICAL PROCEDURES

We partner with physicians to offer medical services as well in a single surgery. Some procedures we have had done during our cases are: toenail removal, eye exam, radiographs of other areas of the body, ear cleaning, pap-smear, IUD placement, hemorrhoid banding, biopsies, blood draws, baclofen pump placement. If there are procedures that your loved one's primary care provider has been wanting to do, talk to us about possibility of partnering with them or having our partnering physicians/general surgeon help get these done safely under general anesthesia. 

FOLLOW UP 

We want to minimize how often a patient has to go to the operating room. Even patients who struggle in the dental office should go regularly. We do not want to complete a surgery then not hear from the patient until it is time for their next surgery. We are prevention focused. We want to work WITH you to help at least have some type of regular follow up. We understand these visits, at first will not be successful, but often times we are surprised at how few visits it takes to start seeing some success. 

 

We do not have a physical office to establish regular care, however Dr. Brooke also works at Family Health Services Dental in Twin Falls and she would be happy to establish regular care with these patients at that clinic. If you have another dentist you would like us to work with, we are also happy to send surgical records anywhere you would like. We will recommend a follow up interval based on the patient's oral disease risks after the surgery is over. Our most common is 3 months. 

Request a Screening Through Email

Thank you!  Vee will follow up with you shortly

to schedule a screening.

THE PROCESS  

  1. Call Vee and schedule a screening.

    • She will gather information from you so that we can contact your loved one's doctor and review their medical history before the screening

    • She will gather information so that we can prepare to have the most successful screening possible.

    • She will answer questions about the program. 

  2. At the screening:

    • Dr. Brooke will see if this is right for your loved one based on their medical history, their behavior, and their oral condition. (Don't worry if they won't show us their teeth, we get that all the time)

    • Cheryl , our wonderful partnering nurse,  will explain to you the hospital protocols and all paperwork that will be necessary. She will give you a packet. 

    • We will fill out THIS form at the screening. 

  3. After the screening:

    • Cheryl and Dr. Brooke will schedule patients  giving a priority to patients in pain. ​

    • Cheryl, Dr. Brooke, or Vee will call you and notify you of your surgery date. 

  4. Before your surgery date:

    • NO GREATER THAN 30 DAYS PRIOR TO SURGERY you will need a physical exam that states clear for "comprehensive dentistry under general anesthesia"​

    • Have the medical doctor fill out our sheet to see if they request other services. It is best to have this at least one week prior to surgery. This sheet will be given to you at the screening, but for another copy click HERE. 

    • Make sure to ask the medical doctor how they want you to take your medications the day of surgery. 

  5. Currently a COVID test is scheduled with all surgeries and will take place two days prior to the case (for most our cases this means going in Sunday)  This is mandatory for all cases. ​

  6. The day of surgery you will arrive early to the hospital.  Check in and then they will help you get where you need to go.  Plan to be there  ALL DAY (though you probably won't be). You will be given THIS form to fill out to help us assess risk for cavities and ways we can help decrease chances for needing surgery again. Please take the time to fill it out while your loved one is in their surgery. 

  7. We recommend that the patient seeks regular preventative dental care and we will make a recommendation on frequency based on their oral disease risk after the surgery is over. 

Dr. Brooke stands with Dr. McClusky in full operating room PPE