Policies & Charts

Welcome to Our Practice!

Our team is so excited to have you and your family join our family of patients. Thank you for choosing our team to take care of your or your child’s or your own dental health.  We look forward to providing you with a fun, positive, and comfortable dental experience. 

We know that having your child come to the dentist can be stressful. We also know that getting braces on is exciting, but demanding for kids, teens, and adults alike.  Our promise is to make your appointments easy, quick, comfortable, and fun.  Our skilled team of pediatric dentists, orthodontists, and supporting staff will keep that promise from the moment you call us until the last visit you’ll have with us.

What to Expect on Your First Visit:

• A warm welcome from our front office team

• A gentle dental examination and cleaning

• A discussion about your child’s oral health, habits, and any concerns you may have

• Helpful tips on brushing, flossing, diet, and how to prevent cavities

• Comprehensive orthodontic evaluation when appropriate

• Supreme orthodontic treatment if needed with a variety of options such as traditional braces, Invisalign, expanders, or surgical team intervention.

We know that visiting the dentist can sometimes be a new or even anxious experience for kids, which is why our team is specially trained to make dental care fun, educational, and stress-free.

Please browse our website for more information about our doctors, our team, tips and information about dental and orthodontic care, and fun events in the office.  Feel free to call or email us for additional information.

Thank you again for entrusting us with your child’s dental care and with your orthodontic needs. We look forward to seeing you soon!

Warmly,

Dr. Kasia Lindhorst
Dr. Drew Darsey
And your wonderful dental team at Heights Pediatric Dentistry and Orthodontics

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Your protected health information (i.e., individually identifiable information, such as names, dates, phone/fax numbers, email addresses, home addresses, social security numbers, and demographic data) may be used or disclosed by us in one or more of the following respects:

• To other health care providers (i.e., your general dentist, oral surgeon, etc.) in connection with our rendering orthodontic treatment to you (i.e., to determine the results of cleanings, surgery, etc.);

• To third party payers or spouses (i.e., insurance companies, employers with direct reimbursement, administrators of flexible spending accounts, etc.) in order to obtain payment of your account (i.e., to determine benefits, dates of payment, etc.);

• To certifying, licensing and accrediting bodies (i.e., the American Board of Orthodontics, state dental boards, etc.) in connection with obtaining certification, licensure or accreditation;

• Internally, to all staff members who have any role in your treatment;

• To other patients and third parties who may see or overhear incidental disclosures about your treatment, scheduling, etc.;

• To your family and close friends involved in your treatment; and/or,

• We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

• Any other uses or disclosures of your protected health information will be made only after obtaining your written authorization, which you have the right to revoke.

Under the new privacy rules, you have the right to:

• Request restrictions on the use and disclosure of your protected health information;

• Request confidential communication of your protected health information;

• Inspect and obtain copies of your protected health information through asking us;

• Amend or modify your protected health information in certain circumstances;

• Receive an accounting of certain disclosures made by us of your protected health information; and,

• You may, without risk of retaliation, file a complaint as to any violation by us of your privacy rights with us (by submitting inquiries to our Privacy Contact Person at our office address) or the United States Secretary of Health and Human Services (which must be filed within 180 days of the violation).

• We have the following duties under the privacy rules

• By law, to maintain the privacy of protected health information and to provide you with this notice setting forth our legal duties and privacy practices with respect to such information;

• To abide by the terms of our Privacy Notice that is currently in effect;

• To advise you of our right to change the terms of this Privacy Notice and to make the new notice provisions effective for all protected health information maintained by us, and that if we do so, we will provide you with a copy of the revised Privacy Notice.

 Please note that we are not obligated to:

• Honor any request by you to restrict the use or disclosure of your protected health information;

• Amend your protected health information if, for example, it is accurate and complete; or,

• Provide an atmosphere that is totally free of the possibility that your protected health information may be incidentally overheard by other patients and third parties.

This privacy notice is effective as of the date of your signature. If you have any questions about the information in this Notice, please ask for our Privacy Contact Person or direct your questions to this person at our office address. Thank you.

Thank you for choosing Heights Pediatric Dentistry and Orthodontics. We want to let you know that we are considered Out of Network with all dental insurance plans.

As a courtesy, we’re happy to file your insurance claims for you. However, you will be responsible for the difference between our fee and the amount your insurance pays. Your estimated portion is due at the time of service. Once your insurance has processed the claim, we’ll either bill you for any remaining balance or refund you if you’ve overpaid.

Example:

• If a procedure costs $100 and your insurance pays $50, you’ll owe the remaining $50.

• If we estimated insurance would pay $30 and you paid $70 at the time of service, but the insurance actually pays $50, we will refund you $20.

Why we are out of network:

Our decision to remain out of network is based on our commitment to exceptional care. Insurance companies often base their coverage on financial statistics, not on what’s best for your child. We prioritize:

• Evidence-based dental care

• High-quality materials

• A compassionate and highly trained team

• One-on-one time with families

• The latest technology

• Long-lasting relationships and positive dental experiences

We’re proud to stand behind our work and the care we provide.

If you have any questions about your insurance or coverage, please reach out to our front desk team. Our insurance coordinators are knowledgeable and ready to help explain your benefits clearly.

We’re here for you—thank you for trusting us with your child’s smile!

Thank you for trusting us with your child’s dental and orthodontic care! We take pride in providing personalized, attentive treatment in a friendly and comfortable environment. Each appointment is carefully scheduled to ensure your child receives the time and care they deserve.

To respect the time of all our patients and team members, we kindly ask that you provide at least 24 hours’ notice if you need to cancel or reschedule an appointment.

We understand that illnesses and emergencies can arise unexpectedly. However, outside of these exceptions, a No Show or Late Cancellation Fee of $100 per child per appointment will apply if we are not notified at least 24 hours in advance.

If you have any questions or need to make changes to your appointment, please don’t hesitate to contact us. We appreciate your understanding and cooperation in helping us provide the best care for every patient.

Please note that Heights Pediatric Dentistry and Orthodontics is an OUT OF NETWORK provider for all dental claims. Although we file insurance as a courtesy to our patients, you will be responsible for the difference between our fee and your insurance’s payment to us. Your estimated payment for today’s treatment is due at the time of service. Any balance left after the claim is processed with your insurance company will be either charged or refunded to you.