Patient Information
The first visit to our office is designed to introduce you to Dr. Je Dong Reagan Ryu, Dr. Theodore Tanabe and our caring team as well as discuss your specific area of concern. You will also have an opportunity to discuss insurance coverage and payment options with our experienced staff. We encourage questions and do our best to always deliver quality care.
If you would like to streamline your first visit to the office, please take a moment prior to your scheduled appointment to download the Patient Information Form that applies to you as well as the Medical History Form. We ask that you print and complete the forms and bring them with you to your appointment so we may better assist you in a timely manner.
It is highly recommended that patients with a complex medical history bring in a list of their prescription medications as well as contact information for their physicians. Please be advised that in some cases Dr. Je Dong Reagan Ryu and Dr. Theodore Tanabe may need to discuss details of your proposed treatment with your physician prior to scheduling a date for surgery in order to give you the safest possible care.
Thank you for your confidence in our office, we look forward to bringing you into our family of patients.
Save Time – Complete Forms in Advance
Complete your forms in advance to save time at your appointment. Download, fill out, and bring them with you for a smoother visit.
Patient History Form
Post-op Instructions
Insurance & Payments
Information about Your Dental Insurance
How dental insurance works: Many of our patients have dental insurance coverage as a benefit of employment. Alternatively, some patients pay for their coverage on their own. Dental insurance is a contract that is made with an insurance company. The insurance company has negotiated the benefits you receive under the terms of the contract, not your dentist or our office. No relationship exists between our office and the insurance company. In some cases, surgical treatment that you need or want may not be covered by your insurance plan. It is also likely that the treatment covered by your insurance is not paid at 100%, and in fact may even be paid at a lower percentage in our office than in your dentist's office. You may also have a deductible that you must pay each year. If your deductible has not been met by the time of our treatment, it will be included in your share of the payment.
What we do to help you: We have extensive experience in helping you obtain the highest level of benefits to which you are entitled. We will use all of our resources to get as accurate an estimate as possible for your treatment. We will review the amount of benefit provide under your dental insurance coverage with you, and we will inform you of your estimated share of the payment. As a courtesy to you, we will do our best to file a claim with your dental insurance on your behalf. Because the insurance reimbursement process is often very complicated, please understand that we may need to request your assistance in certain cases to help us process your claim. In rare cases, and despite our best efforts, our office may not be able to resolve every issue with your insurance company.
If you find it necessary to know the exact amount of coverage from your insurance company, you may request that our office send in a pre-determination of benefits prior to treatment. This process may take up to six weeks, but it may be the only way to confirm the correct benefit information. Oral confirmations are estimates and may not always be accurate.
Our office will do everything we can to help you maximize your insurance benefits. Please understand that in the event your dental insurance company fails to pay for all or part of your treatment, you are responsible for all fees. If the insurance company pays less than our estimate, we will bill you for the balance; if we are paid more than our estimate, we will promptly refund what you overpaid. You are entering into a relationship with our office in which the doctor agrees to provide treatment and you agree to pay for that treatment.
Please be aware that the fee quoted to you at the consultation appointment is based on observations made prior to surgery. In rare cases where additional procedures, medications, or x-rays become necessary, you will be responsible for those additional fees.
Our philosophy: Our office is dedicated to providing the best possible care for all of our patients, and assisting in the complicated process of dental insurance claims is one of the ways we try to help you. Please feel free to ask us about any part of the billing process.
Payment is due on the day treatment is provided:
1. Payment may be made with cash (exact amounts please), checks, or most major credit cards.
2. If insurance is to be billed, you are responsible for any co-payments, non-covered benefits, deductibles, and any amount over the yearly maximum coverage. Any benefit information obtained by our office on your behalf is not a guarantee of payment.
3. If a pre-treatment estimate is obtained from your insurance carrier, the amount not covered is due on the day treatment is provided.
4. If your payment due on the day of treatment is more than $300, you have the option to apply for our flexible monthly payment plan. Details are available at your consultation appointment.
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Welcome to Our Office
We are committed to providing expert, compassionate care in a comfortable and supportive environment. Your first visit is an important step in your treatment journey, and we want to ensure you feel informed and at ease. Below, you'll find helpful information to prepare for your appointment with Dr. Je Dong Reagan Ryu and Dr. Theodore Tanabe.
Your First Visit
During your first visit, you’ll meet Dr. Ryu, Dr. Tanabe and our caring team to discuss your dental concerns and treatment options. Our knowledgeable staff will also review insurance coverage and payment options with you. We encourage questions and strive to provide the highest quality care in a welcoming environment.
Medical History & Safety
If you have a complex medical history, please bring a list of your current medications and your physician’s contact information. In some cases, Dr. Ryu and Dr. Tanabe may need to consult with your doctor before scheduling a procedure to ensure the safest and most effective treatment plan for you.
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We Look Forward to Meeting You!
Your trust means everything to us, and we are committed to providing exceptional care. We appreciate the opportunity to serve you and look forward to welcoming you into our patient family.
Insurance & Payments
We are committed to helping you navigate the complexities of dental insurance and payment options. Below, you'll find important information about how insurance works and how we assist you in maximizing your benefits.
Insurance & Financial Responsibility
Dental insurance is a contract between you and your insurance provider, and coverage may vary. Some treatments may not be fully covered, and you may have a deductible.
We’ll help maximize your benefits by providing an estimated cost and filing claims on your behalf. If you want a more accurate estimate, we can submit a pre-determination of benefits, which may take up to six weeks.
If insurance doesn’t cover the full cost, you’re responsible for the balance. Additional procedures or services may result in extra charges, and any overpayments will be refunded.
Payment Policy
Payment is due on the day of treatment. We accept:
- Cash: Please bring the exact amount.
- Checks & Major Credit Cards: Most major credit cards are accepted.
- Insurance Billing: You are responsible for co-pays, non-covered services, deductibles, and any amount exceeding your annual coverage limit.
- Pre-Treatment Estimates: If a pre-treatment estimate has been obtained, the non-covered portion is due on the day of treatment.
- Flexible Payment Plan: For balances over $300, you may apply for a monthly payment plan. Details are available during your consultation.
Our Commitment to You
We strive to provide the best care possible while assisting you with the insurance and billing process. If you have any questions about your coverage or payment options, please don’t hesitate to ask.
Want to schedule an appointment?
Contact Whittier Surgical Arts today to schedule your consultation!
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