Surgery Day

                              Preparing for Surgery

Patients with Special Needs

We schedule the patient for a General Anesthesia evaluation with our Anesthesiologist. Once the evaluation is completed, the anesthesiologist will then determine if it is safe to treat the patient in our facility or refer them to a hospital setting.

Patients with Private Insurance

We will first schedule an appointment for a complete exam and x-rays with the dentist. Our dentist will then determine a dental treatment plan to submit to your dental & medical insurance companies for approval.

Authorization Process

After submission of required paperwork by your insurance, the authorization process can take up to 3-6 weeks for approval or denial. The Medical Insurance Specialist will then contact you regarding your approval or denial. We will also notify you of any financial responsibilities such as deductibles, co-pays, and/or percentages that are not covered by your insurance company for the surgery date.

Information Required for Authorization of Surgery

Referral from the patient's Primary Dentist as well as their Medical & Dental Health Plan cards, and the patient's Social Security Card. Once you have the above information, please call our office to start the process immediately.

Referral Form

Additionally, we will require a Pre-Operative Physical form completed by the patient's Primary Care Physician. If the patient has not had a physical within the last year, your primary physician may require an in-office visit in order to complete the form.

Pre-Operative Physical Exam Form

No Surprises Act Disclaimer

To read more about the No Surprises Act of the 2021 Consolidated Appropriations Act, please click the link below. 

No Surprises Act Disclaimer 


Informational Booklet

To view the necessary information for the day of surgery please click the following link. Information is available in English and Español.

Informational Booklet 

Day Of Surgery

What to expect on day of Surgery

• Expect to be here for three to six hours.; this time includes check-in, Pre-Op, treatment, and recovery. Due to the amount of treatment required per patient, each appointment time varies and depends on the necessary time to complete all treatment. We apologize in advance for the wait times, thank you for understanding.
• A parent or guardian must accompany the patient on the day of surgery. ​​ If responsible party bringing the patient on day of surgery is not biological parent then guardianship papers, a court order, or a letter signed by the biological parent(s) specifying consent for dental treatment under general anesthesia must be provided. ​
• Parent or guardian must remain on our premises while the patient is in surgery.
• Patients will not be allowed to leave our facility if not properly buckled in a car seat.
• Since all our surgery patients cannot have anything to eat or drink,  food or beverages are not allowed in our waiting area/lobby.​​

Preparing for Surgery

• For Safety reasons, the patient must have an empty stomach before the operation. Surgery will be canceled if the instructions below are not followed. ​
• No foods (including chewing gum and candy) after midnight the night before.
• No liquids (water, milk, Kool-Aid, or juice) after midnight the night before.
• Please remove all jewelry, make-up, and nail polish prior to the surgery appointment.​
• Patients need to wear loose fitting clothing with a short-sleeve shirt. NO dresses, rompers or onesie pajamas please.

Necessary Documents

Failure to bring these items will result in a delayed or rescheduled appointment.
• Completed Pre-Op or Well-Child exam form from a primary physician. (Requirement if the child has a diagnosed medical condition, or insurance requires)
• Patients Medical and Dental insurance cards. (Health Plan, Dental Plan, State Benefits Card, etc.)
• Patient's Social Security Card
• Parent/Guardian Picture ID
• Guardianship papers/court order/letter from the biological parent (if applicable)

COVID-19 Precautions and Rules

The appointment will be canceled if:
The patient, immediate family members, or any other person that the patient has been in contact with during the last 2 weeks has symptoms of:
Cough
Fever
Shortness of breath
Loss of smell or taste
The patient has been in contact with any individual who has been confirmed COVID-19 positive within the past 2 weeks

Other Rules:
Only 2 people (including parent/guardian) are allowed to accompany the patient.
No other family members will be allowed in the waiting area.
The patient must shower or bathe and wear newly washed clothes.