dr. toby derloshon

Specialist in Pediatric
and Family Dentistry
Call Us! 303.423.5437

Artwork for First Visit page

First Visit

What to Expect  |  Appointments  |  Our Services  |  Finances  |  Dental Insurance

What To Expect

Office front in Arvada, CO.At Lively Smiles in Arvada, we treat every patient with care and attentiveness. It is important for every person big or small to maintain their oral health. Our experienced staff is prepared to educate you and your children on the proper techniques to take care of your teeth and gums.

For adults, our goal is to earn your confidence and ease any apprehension you might have, so that you can look forward to visiting our dental practice in the future and we can develop a relationship of trust. Our team will review your medical and past dental history to get a clear picture of your overall health history. Then, we will perform a comprehensive oral exam to determine the current state of your oral health, and work with you to determine a dental plan best suited for your individual needs. We want to be certain that each of our patients has a clear understanding of their own specific oral health, and the benefits that personalized treatment plan options can provide.

For children, our office, as well as the The American Academy of Pediatrics (AAP), the American Dental Association (ADA), and the American Academy of Pediatric Dentistry (AAPD) all recommend establishing a "Dental Home" for your child by one year of age. Children who have a dental home are more likely to receive appropriate preventive and routine oral health care.

The Dental Home is intended to provide a place for dental care
other than the Emergency Room.

Pediatric Dentist in Arvada, CO. Dr. Toby Derloshon with two patientsWe try to make the first visit to our office an enjoyable and educational experience. Very young patients are usually examined with mom or dad present. Their mouth is checked for tooth decay or other problems. Parents are shown how to properly care for their child's teeth, and any questions are answered.

We prefer that children aged 4 years and older go to the treatment room alone. This encourages independence and in most cases better cooperation and attention. The older children are shown how all the instruments work, in a non-threatening manner. We attempt to explain to them how cavities are caused and how they can help fight gum and tooth disease by brushing properly. Parents however, are welcome in treatment rooms if necessary.

Try to make dental visits an important adventure for your child. Tell them the dentist is a friendly doctor who will help them keep their teeth and mouth healthy. Talk about the visit in a positive way.

It is best if you refrain from using words around your child that might cause unnecessary fear, such as "needle", "shot", "pull", "drill" or "hurt". The office makes a practice of using words that convey the same message, but are pleasant and non-frightening to the child, such as: "sleepy juice", "wiggle", "fix" and "pinch".

A child's first visit to the dentist makes a lasting impression. It is hard to not fear the dentist when your first visit is made because of a toothache or other emergency. That is why we encourage starting dental visits at on early age. You will help build a lifetime of good dental habits.

We invite you to accompany your child to the initial examination. During future appointments, we suggest you allow your child to accompany our staff through the dental experience while you wait in the reception area. Our purpose is to gain your child's confidence and overcome apprehension, and we can usually establish a closer relationship with your child when you are not present. However, you are more than welcome to accompany your child to the treatment room. For the safety and privacy of all patients, other children who are not being treated should remain in the reception area with a supervising adult.

How are appointments scheduled?

Exam areaThe office attempts to schedule appointments at your convenience and when time is available. Preschool children should be seen in the morning because they are fresher and we can work more slowly with them for their comfort. School children with a lot of work to be done should be seen in the morning for the same reason. Dental appointments are an excused absence. Missing school or work can be kept to a minimum when regular dental care is continued.

Since appointed times are reserved exclusively for each patient we ask that you please notify our office 24 hours in advance of your scheduled appointment time if you are unable to keep your appointment. Another patient, who needs our care, could be scheduled if we have sufficient time to notify them. We realize that unexpected things can happen, but we ask for your assistance in this regard.

Our Services

Patient during dental examAt Lively Smiles, our quality dental services are unsurpassed. We use only the most up-to-date technology and instruments. We can help patients with a variety of treatments including cosmetic dentistry, restorative dentistry, implants, oral surgery and orthodontics. We are prepared to care for patients with dental phobias, as well as any young smilers who experience varying levels of anxiety when they visit the dentist's office. Dental hygiene and restorative dental care are important facets of overall health, so it pays to call a dentist you can trust.

Contact us about our FREE child screenings (and orthodontic and wisdom teeth consultations) or to schedule an appointment.

What about finances?

Payment for professional services is due at the time dental treatment is provided. Every effort will be made to provide a treatment plan which fits your timetable and budget, and gives your child the best possible care.

Accepted Payment Methods

Our Office Policy Regarding Dental Insurance

Patient with dogIf we have received all of your insurance information on the day of the appointment, we will be happy to file your claim for you. You must be familiar with your insurance benefits, as we will collect from you the estimated amount insurance is not expected to pay. By law your insurance company is required to pay each claim within 30 days of receipt. We file all insurance daily, so your insurance company will receive each claim within days of the treatment. You are responsible for any balance on your account after 30 days, whether insurance has paid or not. If you have not paid your balance within 60 days a re-billing fee of 1.5% will be added to your account each month until paid. We will be glad to send a refund to you if your insurance pays us late and you have a negative balanace.

PLEASE UNDERSTAND that we file dental insurance as a courtesy to our patients. We do not have a contract with your insurance company, only you do. We are not responsible for how your insurance company handles its claims or for what benefits they choose to pay on a claim. We can only assist you in estimating your portion of the cost of treatment. We at no time guarantee what your insurance will or will not do with each claim. We also can not be responsible for any errors in filing your insurance. Once again, we do our best to file claims as a courtesy to you.


Dental insurance is meant to be an aid in receiving dental care. Many patients think that their insurance pays 90%-100% of all dental fees. This is not true! Most plans only pay between 50%-80% of the average total fee up to an annual maximum. Some pay more, some pay less. The percentage paid is usually determined by how much you or your employer has paid for coverage, or the type of contract your employer has set up with the insurance company.


You may have noticed that sometimes your dental insurer reimburses you or the dentist at a lower rate than the dentist's actual fee. Frequently, insurance companies state that the reimbursement was reduced because your dentist's fee has exceeded the usual, customary, or reasonable fee ("UCR") used by the company.

A statement such as this gives the impression that any fee greater than the amount paid by the insurance company is unreasonable, or well above what most dentists in the area charge for a certain service. This can be very misleading and simply is not accurate.

Insurance companies set their own schedules, and each company uses a different set of fees they consider allowable. These allowable fees may vary widely, because each company collects fee information from claims it processes. The insurance company then takes this data and arbitrarily chooses a level they call the "allowable" UCR Fee. Frequently, this data can be three to five years old and these "allowable" fees are set by the insurance company so they can maintain their profit margin.

Unfortunately, insurance companies imply that your dentist is "overcharging", rather than say that they are "underpaying", or that their benefits are low. In general, the less expensive insurance policy will use a lower usual, customary, or reasonable (UCR) figure.


When estimating dental benefits, deductibles and percentages must be considered. To illustrate, assume the fee for service is $150.00. Assuming that the insurance company allows $150.00 as its usual and customary (UCR) fee, we can figure out what benefits will be paid. First a deductible (paid by you), on average $50, is subtracted, leaving $100.00. The plan then pays 80% for this particular procedure. The insurance company will then pay 80% of $100.00, or $80.00. Out of a $150.00 fee they will pay an estimated $80.00 leaving a remaining portion of $70.00 (to be paid by the patient). Of course, if the UCR is less than $150.00 or your plan pays only at 50% then the insurance benefits will also be significantly less.


If we are an in-network provider with your insurance company this means that we have accepted their fee schedule and in turn, once they have accepted our credentials, we become THEIR "Preferred Provider". If an insurance company's fee schedule is so low that we cannot accept it then in most cases we may still treat you as YOUR preferred provider but as an out-of-network provider to them. In this case, coverage will be based on our fee schedule so benefits will vary. We strive to keep our fees reasonable and comparable to the better insurance plans.

MOST IMPORTANTLY, please keep us informed of any insurance changes such as policy name, insurance company address, or a change of employment.

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