groundhog said:
I know that pediatricians are almost looked upon as "GP's for kids" in the medical field. Most, if not all, health care plans allow folks to self refer to pediatricians who are considered to be primary care physicains. Is it the same in the dental world?
In my opinion, pedodontics is the speciality that relies on GP referral the least.
Many parents want their children to see a pedodontist, even when they have a family dentist they trust. Often, when a young family moves into a town, they find a dentist for their children before they find a GP for themselves. We have a very child centered culture.
I find that we see a lot less pedo in our practice than we did 20 years ago. I don't mind doing pedo, but personally, I like this trend. I'd much rather do endo and crown and bridge than ss crowns.
Word of mouth and a yellow page ad is generally all pedodontists need. I don't see pedodontists advertising too much. Patients many times make their choice based on other patient's recommendations and location. Orthodontists advertise much more than Pedo.
Many parents are very willing to pay the difference between their insurance coverage and what their pedodontist charges, even when their pedodontist does not participate with their plan. This is different than medicine where there is a strong reluctance to go out of network. To my knowledge, a patient is not required to be referred to a pedodontist from a GP.
I was recently told by a neighbor, with two young children, that her pedodontist takes payment in full, at time of service. The patient then waits for any insurance reimbursment. She did not feel that this was unusual for dentistry and feels it's becoming the norm. I do not know if this is the norm, but this practice has been gaining some steam, even with GP's.