Hospital Dentistry

Payment & Insurance

Billing for Dental Services:  We do accept Idaho Smiles (Medicaid coverage managed by MCNA) and Delta Dental of Idaho. IF YOU HAVE ANOTHER INSURANCE YOU WILL BE BILLED AND IT WILL BE UP TO YOU TO WORK IT OUT WITH YOUR INSURANCE CARRIER. We will provide you with an ADA Claim form filled out for services rendered, our clinical notes, and our radiographs. If you would like to discuss costs prior to the case please notify Dr. Brooke.  She may not know what services are needed until after the exam, but you can request to be called during the case with cost estimates. The dental billing is pretty easy and we do understand how it works with MCNA and Delta Dental. No prior authorizations are required for billing MCNA and Delta Dental for these cases and those are the only insurances we work with.

Billing for Other Services:  We are NOT the only bill

• You may receive a bill for hospital services (They will likely bill your medical insurance then you. Also there may be more than one bill from the hospital. This has nothing to do with us. Please contact St. Luke's Magic Valley hospital billing for questions about hospital services billing.
• You may receive a bill from the anesthesia team. This also has nothing to do with us. The hospital may have a better idea of who to contact about this.
• If other services were combined with our dental services, you may receive a bill from those other providers for their services.  For example, if you have your ears cleaned, the doctor who does that may bill separately. This has nothing to do with us. Please contact the partnering providers for questions on their billing.
• Above are the common bills we see, there may be some others that we are not aware of. If you receive a bill from a service not mentioned here, please let us know so we can add it to the list for others to know what to expect.

We do NOT Complete Prior Authorizations:

• ​The Services We Bill Do Not Require Prior-Authorization:  MCNA and Delta Dental of Idaho work with us on this as they are familiar with our services. We do not accept insurances that require prior authorizations as such authorizations may require unnecessary sedation for diagnostics.
• The Services Other Entities Bill May Require Prior-Authorization: Hospital Services, Anesthesia Services, or other services may require Prior-Authorizations. We are not insurance liaisons and we do NOT file prior authorizations for any services billed by other entities. We are happy to provide a letter of medical necessity for any entity that needs one to file their Prior-Authorizations. You may need to work with the hospital authorizations department or your insurance provider if your Medical insurance requires prior-authorization. They may require you to do some paperwork for your insurance before the surgery. Make sure to contact the hospital authorizations department about this. This may be different from what you may have experienced in the past as some dental practices do act as insurance liaisons for other entities. If there is no authorization, or it is not back in time, the hospital may ask you to sign a paper saying you will pay for the hospital costs if your insurance does not. Do not sign this form unless you are willing to pay for their services. Sometimes prior authorization forms require the surgeon's NPI even if the surgeon is not the one billing the services. If that is the case, a providers NPI is public information and ours is 1932466489.