Parent Place
Welcome to our Miami office! We make the insurance process simple for parents. To see if we accept your insurance, we need the following:
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Complete the online forms sent to you by email
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Send us your insurance card (front and back) to 305-285-8341
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Allow up to two business days for our team to check benefits, eligibility and verification of coverage
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Please note that insurance companies can only give us estimates of costs and copays, only after we submit can we fully receive 100% clarification of coverage.
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Once all of the above is met
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Then we will contact you at least 48 hours prior to the appointment to review coverages and co-pays
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Our office is in-network witha a few plans. Those are, Delta Dental, Cigna and some UnitedHealthcare Plans,.
The following are the PPO plans we are discounting. Delta Dental and Cigna
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✅ Understanding In-Network vs. Out-of-Network Coverage
In-Network
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Our office signs a discounted contract with the insurance company.
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This means the insurance company reduces the payment to our office, sometimes as low as $2–$10 per visit under certain private dental insurance plans.
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While this lowers the insurance company’s cost, it does not translate into better care or service for families.
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In fact, these reduced payments can limit what an office is able to provide, because it restricts resources for staff, training, and technology.
Out-of-Network
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The term “out-of-network” is a label created by insurance companies. It often makes parents think there is no coverage at our office or that something is wrong. This is not true.
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Out-of-network simply means your insurance pays a portion of the visit, and you as the parent are responsible for the remaining portion.
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Our office still files claims on your behalf, and your insurance still contributes.
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Unlike the deeply discounted “in-network” fees, this model allows our office to reinvest in what matters: hiring and keeping skilled staff, ongoing staff training, and updated technologies.
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This ensures a better overall dental experience and higher quality of care for your children.
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Remember: we are specialists. Our focus is solely on providing the highest level of pediatric dental and orthodontic care.
Key Point:
“In-network” does not mean better service — it means discounted payments to the office. “Out-of-network” is simply an insurance company term, not a barrier to your child’s care.
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Patients with dental insurance should anticipate a copayment either at the time of service or once insurance processing is complete. Please note that dental insurance is not a guarantee of payment for services rendered at Little Champions Pediatric Dentistry.
NOTICE OF INSURANCE POLICY COMPLIANCE
Private Insurance vs. Medicaid
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If your child has private dental insurance (PPO), only that insurance may be used for dental services.
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Medicaid (DentaQuest, Liberty, MCNA, etc.) cannot be used if private insurance coverage exists.
Why This Matters
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Improper use of Medicaid is fraud.
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Medicaid conducts audits that may look back months or years.
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Families may be required to repay the government for benefits used in error — with added interest.
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Continued misuse may lead Medicaid to limit or end coverage programs for families who truly depend on them.
What is Medicaid Fraud?
According to the Florida Agency for Health Care Administration (AHCA):
“Medicaid fraud means an intentional deception or misrepresentation made by a health care provider or a Medicaid recipient with the knowledge that the deception could result in some unauthorized benefit.”
Consequences may include:
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Loss of Medicaid benefits
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Restitution (repayment, with interest)
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Fines and/or imprisonment
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Exclusion from Medicaid/Medicare programs
How to Report Suspected Medicaid Fraud
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Ineligible recipients – FL Dept. of Children & Families, Public Benefits Integrity:
myflfamilies.com -
Eligible Medicaid recipients (suspected fraud):
FL Dept. of Financial Services Fraud Hotline: 1-866-762-2237 -
Billing fraud by providers:
AHCA, Medicaid Program Integrity: 1-888-419-3456 -
Health care provider fraud:
FL Attorney General: 1-866-966-7226 or myfloridalegal.com
What are the most common dental procedures in pediatrics?
The most common dental procedures in pediatrics include:
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Tongue-tie and Lip-tie Procedures: We use the LASER to safely remove the frenum in the mouth to help the baby nurse and can lead to improved speech, eating and better facial development.
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Fillings: This is when a dentist removes decay from a tooth and then fills it with material (composite resin)
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Crowns: We reduce the tooth and over it we place a tooth-colored white zirconia crown.
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Tooth Extractions: This is usually done if there is too much damage decay on a tooth or if baby teeth need to be removed.
What is the main goal of Pediatric Dentistry?
The main goal of pediatric dentistry is to:
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1. ensure that children have healthy teeth and mouths
2. via early age appointments, remember, the first dental visit should be by age 1 or when the first tooth erupts in the mouth.
3. maintain the baby teeth in the mouth because they preserve the space for the incoming teeth
For additional reading please visit the American Academy of Pediatric Dentistry's website at AAPD.org and
read their Oral Health Policies & Recommendations
https://www.aapd.org/research/oral-health-policies--recommendations/
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