Hinsdale, IL (Illinois) Orthodontists Michael A. Klepacki and Barry Walvoord serving our community since 1956

About Our Practice

Office Policies & What to Expect

Your First Visit
In order to treat each individual according to his/her unique bite and facial features, the first visit to our office, known as an exam, consists of a one-on-one visit with one of our doctors. Any questions that the patient may have can be addressed at this time. During this visit, the doctor will use only a mirror to determine whether diagnostic records are to be taken. Diagnostic records typically include photos of the patient’s face and teeth, X-rays, and diagnostic casts of the upper and lower teeth if necessary. This information is used to develop a custom treatment plan for each patient. These records are also helpful in tracking the progress of treatment for each patient. As a courtesy to the adolescent patient and his/her dentist, there is no fee for an exam visit unless X-rays are taken. The fee for an adult exam is $75. The patient is under no obligation to undergo treatment as a result of an exam.

Consultation
After the doctor has evaluated your records, we will discuss them with you (or the parent) and explain our treatment plan for you in great detail, including the cost of your treatment. (Your child does not have to be present for this visit, but is welcome to attend.)

Regular Appointments
The appointment when you get your appliances (braces, expanders, etc.) usually takes from 1 to 1_ hours. Then, you will see us at regular 4 to 8 week intervals that will take between 20 and 40 minutes per appointment. Our office hours are Monday – Wednesday 8:00 a.m.-5:00p.m., Thursday 9:00 a.m.- 6:30 p.m., and Friday 7:00 a.m. – 1:00 p.m. We make every possible effort to be on time for our patients and we ask that you extend us the same courtesy. If you cannot keep an appointment, please call us immediately (630-325-0100). Please notify us at least 24 hours in advance of a cancellation to avoid a charge to your account. If you miss an appointment without notifying us, there will be a charge of $25 with all proceeds benefiting local charities. Cancel only if it is an emergency, as it is difficult to reschedule because most appointments are scheduled 4 to 8 weeks in advance.
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Payment & Cost
The cost of treatment depends on the patient’s corrective needs. You will be able to discuss fees and payment options before treatment begins. We require an initial deposit of 25% to begin treatment. We then offer payment plans based on the duration of treatment. These payments are interest free. If full-treatment is necessary, you have the option of paying in full at the onset of treatment. In this instance, we offer a 5% total fee discount. If appliances, such as retainers, are lost or damaged due to abuse or neglect there is a replacement fee. For your convenience, we accept payment by VISA, MASTERCARD, DISCOVER, cash, or check.

Insurance
It is important to be informed that if your treatment is covered by dental or orthodontic insurance, our professional services are rendered and charged to you, NOT to the insurance company. We do not file with insurance agencies. We will, however, provide you with the necessary information/forms to do so.

Procedures for Submitting a Claim
At the start of treatment, you will receive our standardized form for orthodontic insurance claims. It is printed in triplicate. The white copy is submitted by you to your insurance company, the pink copy is for your records, and we retain the yellow copy for our records. To begin processing your claim, simply attach the white copy to the completed insurance form issued by your insurance company and mail it to the address listed on the form. It is not necessary for us to receive your insurance claim form.
Some insurance companies insist on sending payments to the Doctor even though the patient or parent has requested payments be sent to them. In this case, proper credit is applied toward your account balance. We cannot refund this money to you because each insurance company issues a W-2 tax report.
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Periodically throughout treatment, we will receive correspondence from your insurance company. You will usually receive a copy of it also. Normally, only a signature or treatment dates are necessary and we will promptly honor these requests.

HouseCalls™
HouseCalls™ is a sophisticated computer software program that calls our patients to remind them of their appointments. House calls are made the day before your appointment. We hope that this system is a convenience to you.

Emergencies
As a courtesy to our patients, our team is always available for concerns, questions, or emergency treatment. In case of an emergency, please call our office at (630) 325-0100 for after hours call 630-825-5830.
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Michael A. Klepacki & Barry Walvoord, Orthodontists | 105 East First Street Hinsdale, IL 60521
Tel: 630-325-0100 | Fax: 630-325-4383