FAQ
What insurance plans do you accept?
We accept most commercial insurance plans. You may also use out-of-network benefits when applicable. We are not providers for Medicaid. Click here for a list of insurance plans.
Do you offer payment plans?
In general, payment is due at the time of service. In some instances where there are large co-pays or deductibles, we can discuss payment arrangements.
Does the doctor run on time?
We make every effort to see you and your child at the appointed time. In some instances, we may run behind. If you are asked to wait, be assured that you will receive our full time and attention when it is your turn. It is important to us to hear fully about your child’s condition and to explain to you the options for treatment.
What should I expect at my first office visit?
Please plan on an hour to an hour-and-half for a new patient visit, especially if audiometric (hearing) testing is recommended. Follow-up visits are typically of shorter duration, depending on the complexity of the problem.
If surgery is required, what happens next?
Depending on the type of surgery required, most surgeries can be scheduled within one to two weeks following your appointment. At certain times of year, (i.e., Spring Break), scheduling surgery may take longer due to higher demand.
At what facilities do you perform surgery?
Most procedures are performed at a day surgery center. In some instances, surgery at a hospital may be recommended. Click here for a list of facilities.
Note: Every facility we recommend will be staffed by pediatric nurses and will use pediatric anesthesia.
Are hearing tests performed on site?
If a hearing test is needed, your child will be seen by our Doctor of Audiology, Pat Arras. She is a pediatric specialist with a doctoral level degree. Click here for our audiologist.
Do you perform the "laser" surgery for tonsillectomy?
Several techniques are used to remove tonsils. The goal of tonsil removal is to safely remove the tonsils, minimize the risk of postoperative bleeding and lessen postoperative pain.
Dr. Biavati will be happy to discuss the various treatment options with you and help you choose the best technique for you or your child.
Do you give flu shots in the office?
No, we do not offer shots for the prevention of influenza (the “flu”). Please contact your pediatrician or primary care health professional for flu shots.
tongue tie FAQ
What is a tongue tie?
Ankylogossia or tongue tie is a shortening of the tissue fold (known as the frenum) beneath the tongue, such that movement of the tongue is limited. It is a congenital problem, meaning it is present at birth.
What problems does tongue tie cause?
For infants, tongue tie can make nursing and even bottle feeding difficult. Restricted movement of the tongue can result in shallow latch causing nursing to be painful for the mother and inefficient for the infant.
Tongue tie in older children can result in feeding difficulties as well, especially with sticky foods or ice cream. Dental problems can result from the tongue pushing on the lower teeth. Other problems include speech (articulation) issues and difficulties playing a wind instrument.
Feeding difficulties can be related to issues other than tongue tie, such as swallowing or breathing disorders. That is why we include a full medical evaluation with the diagnosis.
How is the tongue tie release procedure done?
Tongue tie (lingual frenum) release or “frenectomy” for infants is a simple office procedure that takes only a few minutes to complete. The baby is given an oral sucrose (sugar) solution and a topical anesthetic to minimize discomfort. With a parent holding the infant on their lap, the frenum is divided. Surgical scissors are used to minimize injury to surrounding tissues thereby speeding the healing process.
For babies older than 3-4 months and children, tongue tie release is done as a day surgery procedure with a brief anesthetic. In these cases, a frenoplasty is done. This differs from a frenectomy in that incisions are made to lengthen the undersurface of the tongue and the wound is closed with dissolvable suture. There is little or no discomfort from this procedure and it typically heals in a few days.
Does insurance cover this procedure?
Tongue tie procedures are considered medically necessary and are typically covered by insurance. We are in-network with most insurance plans and will file your claim for you. At ENT Care for Kids, all tongue tie procedures are preceded by a full and thorough medical evaluation for other problems related to feeding and swallowing.
Is laser tongue tie release the best method?
Using a laser is merely a different way to cut tissue. Some say lasers have advantages, but it cuts tissue using heat —causing a superficial burn. This burn can cause increased pain and prolong healing. Also, for safety reasons, you are not allowed to be with your child during a laser procedure.
What if my childs tongue tie is not causing problems?
Tongue tie is often noticed at birth. When the frenum extends to the tip of the tongue, mobility of the tongue is affected and can cause problems at a later time. For a tongue tie extending to the tip of the tongue, release of the tongue tie would always be recommended. In cases where tongue mobility is normal and your child is not experiencing any feeding problems, a tongue tie release may not be necessary.
Is there anything else?
If you have more questions about tongue tie or feel your child needs immediate attention, please call us at 214-696-8900. If we are not available in the moment, we will call you back as soon as we possibly can.