Call Us: 931-552-4935 or 931-552-7575

Ellis & Lilly

Oral & Maxillofacial Surgery and Implants

Where education, training & experience meet patient care.

Frequently Asked Questions

We trained at prestigious Medical Centers and choose to live and work in Clarksville!

Need an answer, have a question?

 

Table of Contents 

  1. How do I make an appointment ?
  2. Why can I not get my procedure done the same day as my exam?
  3. Will I be able to find out how much a procedure costs?
  4. Who is in charge of billing?
  5. Do you have a payment plan or in-office financing?
  6. What happens if my insurance doesn't pay enough or if they paid more than expected?
  7. Do I need a referral to your office?
  8. Will Medical Insurance cover my care?
  9. Do you take TennCare?
  10. Do you take Kentucky Medical Card?
  11. Do you take Tricare?
  12. Will Medicare cover my procedure?
  13. How will I know if you are in my insurance network?
  14. What do I need to bring with me for my consultation?
  15. Can my minor child come by themselves?
  16. How old can my X-Ray be?
  17. Do you make dentures, do fillings or clean teeth?
  18. Do you do implants?
  19. Do you put people to sleep for procedures?
  20. Why do I have to have an initial consult (exam)? 

How do I make an appointment?

You may call either of our offices and they will help you set up a convenient time to be seen.  The Hilldale Office number is 931-552-4935 .  The Parkway Place Office number is 931-552-7575 .

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Why can I not get my procedure done the same day as my exam?

We try to schedule patient procedures to allow us to deliver the best care possible.  Some patients have conditions that prevent us from being able to perform the procedure on the exam date.   Many times we either need to order lab tests, get a consult from your physician or the patient may have had a recent illness that prevents doing the procedure safely.  We also pride ourselves in running very close to "on-time".  Many procedures require as much as an hour or more appointment time, but some times they run longer than expected.  An exam appointment allows us to evaluate you in a thoughtful manner and schedule your procedure allowing appropriate time to do things right.

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Will I be able to find out how much a procedure costs?

We will make an attempt to create an estimate that will be very close to your final fee.  We have a database of most local insurance carries and contact them to verify your benefits.   Sometimes a procedure is more involved than we expect so added charges may be applied.  Usually our estimate comes very close to the final statement that you receive.

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Who is in charge of insurance and billing?

We have 4 office staff dedicated to this process. Our Practice Manager oversees the operations at both offices.  Most of the time you only need to speak to the office where your treatment was performed and you will be taken care of as quickly as possible.

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Do you have a payment plan or in-office financing?

 Unfortunately we cannot offer a payment plan or financing through our office.  We can make a recommendation to a finance company that will finance any uncovered portion of your treatment if you are approved by them.   We keep applications for this process in our office and usually know within 24 hours if you qualify. 

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What happens if my insurance doesn't pay enough or if they pay more than expected?

In the event that your insurance carrier does not pay the amount expected, you will be billed for the amount due.  This will be your responsibility to close out within 30 days after you receive your bill.   If your insurance carrier pays more than we estimated, you will receive a refund for the portion due you within 30 days as well.
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Do I need a referral to your office?

No, many of our patients are self-referred, but it is very helpful if you have seen a dentist or primary care physician before we see you because we will know that you are receiving well coordinated care.  We like to know that there is a plan that you are being treated to so that you don't have unnecessary procedures.
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Will Medical insurance cover my care?

This depends on your particular insurance plan.  Some plans cover impacted wisdom teeth and anesthesia as well as other procedures that we perform.  We usually do not know until after your consultation when the doctor makes his treatment plan.  We will try to make sure that you receive the appropriate benefit from you plan.  We also want to avoid exhausting your dental coverage unnecessarily.
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Do you take TennCare?

No, we no longer participate in this program.
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Do you take the Kentucky Medical Card?

No.  We cannot see these patients.
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Do you take Tricare?

We do not take Tricare Medical, but we do participate in the MetLife Dental or Delta Dental Plans.  Tricare does not cover impacted wisdom tooth removal.
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Will Medicare cover my procedure?

Yes, for medical procedures that we provide such as biopsies or tumor removal.  Medicare does not cover any dental procedure such as extraction of teeth or implant placement.
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How will I know if you are in my insurance network?

We participate in the following plans:
  • MetLife
  • Delta Dental
  • Guardian
  • Blue Cross Blue Shield

We can file other traditional insurances but not discount plans.  When we file them we expect to be paid as out of your network, so you may not see the same coverage benefit from them that you see from a network provider. 

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What do I need to bring with me for my consultation?

A current insurance card, a referral form (if you have one), current x-rays (less than 12 months old), a list of medications and good knowledge of you medical history.  You may download the forms and fill them out before you come.  

A parent or legal guardian must come with patients less than 18 years old.

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Can my minor child come by themselves?

Usually the answer is  No.  We will see minors for suture removal or uncomplicated post-op checks after having a permission form signed for the procedure.
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Why do you require an X-Ray if mine is over a certain age? (How old can my X-Ray be?

The standard of care amongst our peers is to have a current x-ray before performing a procedure.  Many insurance companies will only pay for one Panoramic X-Ray in a three year period.  This does not mean that the X-Ray is current enough for us to use to treat you.  Many conditions such as tumors, cysts, aneurysms and other pathologies can occur in just a few months time.  It is too dangerous to enter into surgery without adequate diagnostic images, so we require a routine panoramic x-ray within 12 months.  If you have a new condition, we may require a new x-ray sooner than 12 months.  Unfortunately these become your responsibility if charges apply.
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Do you make dentures, do fillings or clean teeth?

No, but we will insert dentures after your procedure.  You should see a dentist to have dentures made before we treat you.  

We do not perform fillings, root canals, crowns or cleanings.  These procedures are provided by your general dentist.

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Do you do implants?

Yes! Talk with your dentist about your implant desires and have them send you to our office with a restorative treatment plan.  We will place the implant in the bone where your dentist desires, then your dentist will place the crown, bridge or dentures. 
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Do you put people to sleep for their procedures?

Yes! If there are no medical reasons not to do so.  We enjoy being able to offer you this type of care.  Our doctors hold a General Anesthesia license and are very experienced in this realm.  
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Why do I have to have an initial consultation (exam)?

We try to schedule patient procedures to allow us to deliver the best care possible.  Some patients have conditions that prevent us from being able to perform the procedure on the exam date.   Many times we either need to order lab tests, get a consult from your physician or the patient may have had a recent illness that prevents doing the procedure safely.  We also pride ourselves in running very close to "on-time".  Many procedures require as much as an hour or more appointment time, but some times they run longer than expected.  An exam appointment allows us to evaluate you in a thoughtful manner and schedule your procedure allowing appropriate time to do things right.
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