Need Help with your insurance?

The TMJ & Sleep Therapy Centre employs specially trained Treatment Coordinators to maximize each patients unique insurance plan.  We are committed to assisting in the process by offering up to date information in our office and our site.

We invite all patients to use this page as a resource when calling your insurance company to verify benefits prior to your visit.  If at any point in time you have a question we have not addressed, please feel free to call us at 574-203-5599 or email us and we will do our very best to answer your questions.

Your Insurance in Our Office

Daniel G. Klauer, DDS is not a participating provider with medical or dental insurance companies. As a courtesy, we would be happy to file any necessary insurance forms or documentation to assist the processing of claims. Typically, TMJ and/or sleep breathing treatments are filed with medical insurance, however; some dental plans have limited coverage for TMJ – be sure to check with your dental carrier. We feel it is important for you to understand your plan and its payment allowances.

Once Dr. Klauer has developed a diagnosis and treatment plan for you, we will send the appropriate information to your insurance company to assist with required authorizations. Please keep in mind no insurance plan covers all costs.

Most have member service representatives available to assist in understanding your plan’s specific benefits. Since Dr. Klauer is an out of network provider, your insurance company may be unwilling to provide any other information than the basic plan benefits to our office. Insurance contracts are between you the member, employer and the insurance carrier.

We will attempt to obtain as much information as we can, however; the insurance company may limit the information they provide us. Therefore, we advise you to contact the insurance carrier to obtain the plan’s specific benefit information so you can make an informed and educated decision while creating a payment arrangement.

Terms and Definitions

In-network or participating provider: The healthcare professional has a contract with your insurance company agreeing to a dollar amount for a service and adjusts the fee based on the contracted amount.

Out-of-network or non-contracted provider: The healthcare professional does not have a contract for services with the insurance company. There may be benefits available, however; the benefit is not determined until the claim is reviewed. Therefore, the insurance company is not able to provide the dollar amount for a service to an out of network provider.

HMO (Health Maintenance Organization) vs. PPO (Preferred Provider Organization) plans: With an HMO, you have benefits available only when you received services from an in-network or contracted provider. PPO plans allow benefits for both in and out-of-network providers. Occasionally, if receiving a service from an out-of-network provider or facility the benefit may be reduced but, there is still coverage of some dollar amount.

Deductible: The dollar amount that must be satisfied prior to the insurance plan making payment or reimbursement.

Co-Insurance: The percentage the member is responsible for covering after the deductible is met.

Reasonable and customary limits or allowed amounts for services: The arbitrary amount an insurance company sets as the fee for a particular product, procedure, or service. (For example: We will bill them the full fee for each service, your benefit or coverage/ payment will be based on the dollar amount they have chosen.)

Exclusions and limitations: There are times where an insurance plan or group will not provide any payment or allow any benefit for a particular diagnosis or service. Limitations are occasionally seen as a maximum amount an insurance company will allow or pay for a particular diagnosis or service. The limit can be either in the form of a dollar amount or percentage.

CPT (Current Procedural Terminology) code: The code or number that represents the service, procedure, or equipment being performed or provided on the claim form.

ICD 10 (International Classification of Diseases) – Diagnosis code: The code or number that represents why the service, procedure or equipment was done or provided.

Let Us Help!

If jaw pain, facial pain, or sleep disorders plague you, let us help! The TMJ & Sleep Therapy Centre has a treatment that will provide relief. From laser therapy and physical therapy to airway pressure machines and orthotic appliances, we will find a way to help you live your best life.

For more information, please call 574-203-5599

Very thorough evaluation of my son. The technician had him do all the measurements with a game, which was great for a 6 year old. You can tell they have worked with many other children and know how to get what they need in an engaging way. I was very impressed.read more
Alaina Brady
15:22 17 Dec 18
The staff is AMAZING. So supportive and positive, it’s clear everyone enjoys what they do and have helped me tremendously. Dr. Klauer has uncovered a lot of underlying problems for symptoms I didn’t realize could be caused by my clenching and grinding. I feel better and better every day and continue to be fully supported by the staff during my treatment. They even bring me hot tea during my visit! Aesthetically pleasing facility, and sometimes you get to wear some sweet looking goggles. 😄 10/10 would recommend.read more
Jessica Rowley
00:52 07 Nov 18
The staff at the TMJ & Sleep Therapy Centre are courteous and professional, but are also treat the patient in a friendly way. The wait times for my appointments have been short. Taken all together, I would highly recommend Dr. Klauer and his staff for treatment of any TMJ or sleep deprivation issues.read more
Daniel Kleimola
18:53 27 Nov 18
When I started with Dr Klauer I couldn't open my mouth wide enough to take a bite of a sandwich. I had constant jaw pain and always thought I had an ear infection. I had instant relief while the Dr was making the impressions for my mouth piece. I told him, and he gave me the 2 pink forms to use until my mouth pieces were finished! Worth every penny!read more
Lori Renee
22:19 08 Feb 19
Doctor Klauer’s staff was amazing. I came in with horrendous pain and left feeling almost normal again! The staff was compassionate and well trained. Sally was very thorough and her chair side care was gentle and reassuring. Everyone was extremely professional. A few days later, when (after looking again at the imaging that was taken in the office) Sally spotted something that resembled a fracture in one of my teeth that the referring dentist didn’t see on the panoramic x-rays that were taken in his office prior to referring me to The TMJ & Sleep Therapy Centere. She brought it to my quick attention and advised me to call her immediately if I am feeling any additional pain. This only proves how skilled their staff is!! I hadn’t thought TMJ was even a real condition until I experienced my pain and was diagnosed. The treatment plan that was designed for me is sensible and I look forward to learning how to relax and not store built up tension. I understand it will be a process but I believe that I am in very good hands!M.KretchmerGranger, INread more
Michelle Kretchmer
23:39 25 Feb 19
I was just in Dr. Klauer’s office for my yearly follow-up. Dr. Klauer and staff are so thorough and friendly it makes the appointment so easy and seamless. He always makes me feel like I am the only patient he has. I appreciate his attention to detail and his expertise on head and neck disorders. TMJ, ear, sinus, and especially airway problems. We are very fortunate to have him in our professional community. Thanks Dr. Klauer!!Kevin T Campbell D.D.S.read more
Kevin Campbell
21:38 04 Mar 19
Dr. Klauer is not only a colleague of mine, but a mentor in the field of Craniofacial Dental Sleep Medicine. His relentless dedication and thoroughness in continuing education and patient centered therapies are what set him apart from just about any other dentist/doctor I've ever met. That's saying a lot in that my father is a fantastic dentist as well. He has helped treat my condition and I have sent my own family members to him and would do so again.read more
Ryan Skale
19:45 10 Mar 19
Amazing team here! Dr. Klauer was very knowledgeable and very thorough at my consultation. All my questions and concerns were addressed. Kelly and Jillian were also great to work with, so helpful and accommodating. Top notch team which I highly recommend!read more
william hull
14:29 26 Mar 19
From the moment I walked in the door, until I left a few hours later, I was showered with hospitality, education, compassion, and expertise. I did not feel more therapy was prescribed than needed but was given a course of action to relieve the symptoms of my diagnosis. The doctor and staff were very personable and made me feel very comfortable.read more
Bobbi Hall
17:32 08 Apr 19

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