Individualized Care

A smiling older woman with short curly gray hair and glasses, wearing blue medical scrubs, looking outside through a window.

At the Institute for TMJ, Headache, & Sleep, we practice Direct Specialty Care.

This allows us to spend more time with our patients, provide highly personalized care, and make medical decisions based on your needs rather than insurance requirements.

Because of this model, we do not bill or contract with any insurance companies.

Book Now

Payments That Work for You

Payment is due when scheduling your visit.

After your appointment, you will receive:

  • An itemized invoice for your visit

  • A superbill that includes the diagnosis and procedure codes your insurance company may require (unfortunately insurance coverage for TMJ is rare)

If you have commercial insurance, you may choose to submit these documents directly to your insurance company to request out-of-network reimbursement.

Please note that reimbursement is determined entirely by your insurance plan. Institute for TMJ, Headache, and Sleep cannot guarantee that your insurance company will reimburse any portion of your visit.

CareCredit logo with three leaf-like shapes in green and teal colors

Use the Care Credit health and wellness credit card to get the care you want or need with flexible financing options.*


Enjoy no interest if paid in full within six months** on qualifying purchases of $200 or more made with your CareCredit credit card.

No impact to your credit score!

Pay Over Time With Care Credit

Get Started

*Interest will be charged to your account from the purchase date if the promotional balance is not paid in full within six months.


**Minimum monthly payments required.

Financial FAQ’s

  • Before scheduling an appointment, we encourage you to contact your insurance company to learn about your out-of-network benefits.

    You can usually find the Member Services phone number on the back of your insurance card.

    You may find it helpful to ask the following questions:

    1. Does my plan include out-of-network benefits for office visits?

    2. What is my out-of-network deductible, and has it been met?

    3. What percentage of an out-of-network office visit will be reimbursed after my deductible?

    4. Is prior authorization or a referral required for out-of-network specialty care?

    5. Is there a limit on the number of out-of-network specialist visits covered each year?

    6. Do I need to submit a claim myself, or can I submit a superbill provided by my clinician?

    7. Where should I submit my claim, and what forms are required?

    8. How long does reimbursement typically take?

  • No. As a Direct Specialty Care practice, we do not submit insurance claims

    We will provide you with an itemized invoice and superbill that you may submit directly to your insurance company if you choose.

  • Not necessarily. Many commercial insurance plans include out-of-network benefits.

    If your plan offers these benefits, your insurance company may reimburse you for a portion of your visit after you submit your superbill. The amount reimbursed varies by plan.

  • Yes! Many patients use Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs) to pay for visits. We recommend confirming eligibility with your HSA or FSA administrator.

  • To help you request reimbursement, we are happy to provide:

    • An itemized invoice

    • A superbill with the appropriate CPT and ICD-10 codes

    • Documentation of services provided, if requested by your insurance company

    We can NOT :

    • Bill insurance companies

    • Submit claims on your behalf

    • Appeal denied insurance claims

    • Communicate directly with insurance companies regarding reimbursement

    • Verify or estimate your insurance benefits

    Your insurance company is the best source of information regarding your specific coverage and reimbursement eligibility.

  • Unfortunately, no. Every insurance plan is different, and reimbursement depends on your individual policy, deductible, and out-of-network benefits.

    Your insurance company is the only source that can provide this information.

  • You are responsible for the full cost of your visit regardless of whether your insurance company provides reimbursement.

    We encourage all patients to verify their out-of-network benefits before scheduling an appointment if reimbursement is important to them.

  • Due to federal regulations, we are unable to provide care to patients enrolled in Medicare, Medicaid, or TRICARE. Please call our office for further information, if there is an exception.