David and Sofia Konikoff Dental Hygiene Care Facility
Our goals are to teach dental hygiene students to provide quality preventive care for our patients, and to research health care issues that will keep our profession in the forefront of scientific knowledge. Our services are available to Old Dominion University students, faculty, staff and the local community.
It is important for you to understand that your care will be provided by dental hygiene students who are directly supervised by licensed dental hygiene faculty.
Treatment at the School of Dental Hygiene is very thorough and proceeds more slowly than in private dental practice because patient care is provided by students in a teaching/learning environment. Preventive treatment appointments are usually 1.5 to 3 hours long, and many patients need more than one visit for the completion of services. The clinical staff realize that the patient's time is valuable and strive to keep to a minimum the number of appointments a patient must have.
Patients age 5 and older are welcome. All patients under the age of 18 must be accompanied by a parent or responsible adult who is available for the entire appointment in the waiting area.
We are unable to provide childcare services at the school; therefore, it is necessary to have someone care for your child while you are being treated.
Facility Details
The Dental Hygiene Care Facility is open from September through June with the exception of holidays, semester breaks, and Spring and Summer vacation. Facility hours vary from semester to semester according to program schedules; however, appointments are generally available during morning, afternoon and evening hours.
Our facility is located on the first floor of the Health Sciences Building between 40th Street and 41st Street on Killam Ave, on the campus of Old Dominion University. There are two entrances to the clinic, one facing Killam Ave and one facing Hampton Blvd. Parking is limited; please allow extra time before your appointment to find a parking space.
Services provided
Assessments
Medical & dental history; blood pressure; head and neck exam; oral cancer screening; periodontal disease; radiographic (x-rays); oral and systemic risk; and dental caries (cavities).
Treatments
Oral prophylaxis, periodontal therapy, dental sealants, fluoride application, mouth guard, desensitization, tooth whitening, health education, laser bacterial reduction therapies.
Fees
| Code | Description of Treatment | Fee |
|---|---|---|
| Screening | ||
| A1 | Calculus Class 1 | 35.00 |
| A2 | Calculus Class 2 | 40.00 |
| A3 | Calculus Class 3 | 50.00 |
| A4 | Calculus Class 4 | 80.00 |
| A5 | Calculus Class 5 | 100.00 |
| D1120 | Prophylaxis-Child | 20.00 |
| Diagnostic | ||
| D0191 | Assessment of a patient—fully edentulous patient | 15.00 |
| D9310 | Office consultation— Board Screening OR limited exam for an established patient with specific problem that is not due for recare | 15.00 |
| Diagnostic Imaging | ||
| D0210 | Intraoral—complete series of radiographic images (14-22) | 35.00 |
| D0220 | Intraoral—periapical first radiographic image | 5.00 |
| D0230 | Intraoral—periapical each additional radiographic image | 5.00 |
| D0240 | Intraoral—occlusal radiographic image | 5.00 |
| D0270 | Bitewing—single radiographic image | 5.00 |
| D0272 | Bitewing—two radiographic images | 10.00 |
| D0274 | Bitewing—four radiographic images | 20.00 |
| D0277 | Vertical Bitewing—seven to eight images | 25.00 |
| D0330 | Panoramic radiographic image | 25.00 |
| Non-Surgical Periodontal Service | ||
| D4999 | Laser Bacterial Reduction Therapy—full mouth | 15.00 |
| Preventive | ||
| D1206 | Topical application of fluoride varnish—Adults and Children | 10.00 |
| D1351 | Sealant—per tooth | 8.00 |
| D1354 | Caries arresting medicament—per tooth | 8.00 |
| Miscellaneous Services | ||
| D9910 | Application of desensitizing medicament | 10.00 |
| D9941 | Fabrication of athletic mouthguard | 20.00 |
| D9975 | External bleaching for home application (w/custom trays) | 110.00 |
| D9999 | Unspecified adjunctive procedure, by report (bleaching material refill) | 30.00 |
Fees are assessed using the most current Dental Hygiene Clinic Fee Schedule approved by Old Dominion University. Fees will be reviewed with patients prior to beginning of treatment.
Full payment is due at the first visit.
Expenses for services will be $25 and up. Payments for radiographs, fluoride and sealants are due at the time service is rendered.
We accept VISA, Mastercard, Discover, AMEX, personal checks, or cash (in exact amount) as forms of payment.
ODU students, faculty, staff, active military (with current ID), those with proof of financial hardship and adults 62 and older could be eligible to receive a $5.00 discount.
The School of Dental Hygiene Care Clinic will accept the following documents as proof of financial hardship*:
- Social Security or Supplemental Security Income (SSI) with current award letter and photo ID
- Social Security Disability Income (SSDI) with current award letter and photo ID
- Supplemental Nutrition Assistance Program (SNAP) with current award letter and photo ID
- Temporary Assistance for Need Families (TANF) with current award letter and photo ID
- Medicaid recipients with current award letter and photo ID
*A discount would apply only to individuals listed on current award letters.
Note: If 5 months has elapsed since the beginning of treatment, a new fee will be charged and the appointment will be treated as a re-care.
*Refunds are processed through the University Accounts Payable Department (AP). The refund will be performed by the clinic office manager and must be approved by the Director of Clinical Affairs. Refunds are not processed for partial treatment provided.
The dental hygiene students have established schedules for patient care. Since the goal is quality dental hygiene care within a teaching/learning environment, patients should understand that this is an educational setting and the student's learning experience and progress depends on the patient's full cooperation. Everyone's time is valuable. If for some reason a patient is unable to keep an appointment, advance notice of 24 hours is required to allow the student to schedule other patients. Patients with two cancellations or no-shows will be inactivated from the care facility.
Patients may be dismissed/inactivated from the Dental Hygiene Clinic if:
- Two (2) appointments are cancelled for any reason.
- Two (2) appointments are missed without notification.
- Since our ultimate goal is to educate students with acceptable teaching patients if faculty deem that a patient is not suitable for our teaching clinic, or if a patient fails to comply with policies, the patient will be dismissed, inactivated, and referred to a community clinic or private sector.
All broken appointments are documented in the patient's health record by the dental hygiene student and approved by supervising faculty.
We thank you for making an appointment with us and look forward to working with you.
The goal of the staff at the Dental Hygiene Care Facility is to assist individuals in eliminating and preventing oral disease and in maintaining optimal health. The facility is staffed and supervised by licensed dental hygienists and dentists. Dental hygiene students, provide the oral health care, have extensive education and training and have demonstrated competence in the clinical services before treating the public.
Patients in the Dental Hygiene Clinic at Old Dominion University have the right, consistent with the law, to:
- Courteous, respectful, and confidential treatment
- Treatment that meets the standard of care in the profession including the use of appropriate infection control
- Inspect their patient record and any radiographs taken
- Advanced knowledge of fees and services
- Explanation of recommended treatment, alternate treatment options, and explanation of risks with no treatment
- Participate in the planning of treatment (informed consent)
- Refuse recommended treatment (informed refusal)
- Continuity of care or referral for continued care
- Written informed consent prior to participating in experimental research and the right to refuse participation
- Provide feedback, comments, or complaints about treatment using the confidential Patient Satisfaction Survey
- The Dental Hygiene Clinic DOES NOT provide a dental exam or diagnosis of restorative needs. Services such as fillings, crowns, root canals, extractions, partials, or dentures are NOT provided in the Dental Hygiene Clinic. A dentist must provide these services.
- If a patient has medical or dental conditions that warrant further consultation with their physician/dentist, treatment in the Dental Hygiene Clinic will be delayed until written approval is obtained from the patient's physician/dentist. Examples of such conditions include: damaged or abnormal heart valves, specific heart conditions, organ replacements, joint replacements, uncontrolled diabetes, kidney dialysis, decreased immune system, elevated blood pressure (160/110), active infections of hepatitis or tuberculosis, active herpes infection (cold sores).
- Multiple appointments (2-4) and extended appointment lengths (3 hours) are required for most clients.
To promote infection control and to protect patients, dental hygiene students and faculty following the current CDC Guidelines for Infection Control for Dental Health Care Settings. Our goal is to provide a safe environment for our students, patients, faculty and staff. The Dental Hygiene Care Facility has implemented numerous additional safety measures following CDC Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response including:
- Screening patients for risk factors associated with COVID-19.
- Ensuring our personal protective equipment (PPE) is appropriate for the procedures performed, and adding additional PPE as needed such as: N95 masks, barrier gowns, and face shields
- Using high speed evacuation for all dental hygiene procedures that produce aerosols
- Hand sanitizer available throughout the clinic for staff and patient use
- Achieved compliance with ODU Environmental Health and Safety policy and procedure.
The Dental Hygiene Care Facility is open from September through June with the exception of holidays, semester breaks, and Spring and Summer vacation. Facility hours vary from semester to semester according to program schedules; however, appointments are generally available during morning, afternoon and evening hours.
Our facility is located on the first floor of the Health Sciences Building between 40th Street and 41st Street on Killam Ave, on the campus of Old Dominion University. There are two entrances to the clinic, one facing Killam Ave and one facing Hampton Blvd. Parking is limited; please allow extra time before your appointment to find a parking space.
Services provided
Assessments
Medical & dental history; blood pressure; head and neck exam; oral cancer screening; periodontal disease; radiographic (x-rays); oral and systemic risk; and dental caries (cavities).
Treatments
Oral prophylaxis, periodontal therapy, dental sealants, fluoride application, mouth guard, desensitization, tooth whitening, health education, laser bacterial reduction therapies.
Fees
| Code | Description of Treatment | Fee |
|---|---|---|
| Screening | ||
| A1 | Calculus Class 1 | 35.00 |
| A2 | Calculus Class 2 | 40.00 |
| A3 | Calculus Class 3 | 50.00 |
| A4 | Calculus Class 4 | 80.00 |
| A5 | Calculus Class 5 | 100.00 |
| D1120 | Prophylaxis-Child | 20.00 |
| Diagnostic | ||
| D0191 | Assessment of a patient—fully edentulous patient | 15.00 |
| D9310 | Office consultation— Board Screening OR limited exam for an established patient with specific problem that is not due for recare | 15.00 |
| Diagnostic Imaging | ||
| D0210 | Intraoral—complete series of radiographic images (14-22) | 35.00 |
| D0220 | Intraoral—periapical first radiographic image | 5.00 |
| D0230 | Intraoral—periapical each additional radiographic image | 5.00 |
| D0240 | Intraoral—occlusal radiographic image | 5.00 |
| D0270 | Bitewing—single radiographic image | 5.00 |
| D0272 | Bitewing—two radiographic images | 10.00 |
| D0274 | Bitewing—four radiographic images | 20.00 |
| D0277 | Vertical Bitewing—seven to eight images | 25.00 |
| D0330 | Panoramic radiographic image | 25.00 |
| Non-Surgical Periodontal Service | ||
| D4999 | Laser Bacterial Reduction Therapy—full mouth | 15.00 |
| Preventive | ||
| D1206 | Topical application of fluoride varnish—Adults and Children | 10.00 |
| D1351 | Sealant—per tooth | 8.00 |
| D1354 | Caries arresting medicament—per tooth | 8.00 |
| Miscellaneous Services | ||
| D9910 | Application of desensitizing medicament | 10.00 |
| D9941 | Fabrication of athletic mouthguard | 20.00 |
| D9975 | External bleaching for home application (w/custom trays) | 110.00 |
| D9999 | Unspecified adjunctive procedure, by report (bleaching material refill) | 30.00 |
Fees are assessed using the most current Dental Hygiene Clinic Fee Schedule approved by Old Dominion University. Fees will be reviewed with patients prior to beginning of treatment.
Full payment is due at the first visit.
Expenses for services will be $25 and up. Payments for radiographs, fluoride and sealants are due at the time service is rendered.
We accept VISA, Mastercard, Discover, AMEX, personal checks, or cash (in exact amount) as forms of payment.
ODU students, faculty, staff, active military (with current ID), those with proof of financial hardship and adults 62 and older could be eligible to receive a $5.00 discount.
The School of Dental Hygiene Care Clinic will accept the following documents as proof of financial hardship*:
- Social Security or Supplemental Security Income (SSI) with current award letter and photo ID
- Social Security Disability Income (SSDI) with current award letter and photo ID
- Supplemental Nutrition Assistance Program (SNAP) with current award letter and photo ID
- Temporary Assistance for Need Families (TANF) with current award letter and photo ID
- Medicaid recipients with current award letter and photo ID
*A discount would apply only to individuals listed on current award letters.
Note: If 5 months has elapsed since the beginning of treatment, a new fee will be charged and the appointment will be treated as a re-care.
*Refunds are processed through the University Accounts Payable Department (AP). The refund will be performed by the clinic office manager and must be approved by the Director of Clinical Affairs. Refunds are not processed for partial treatment provided.
The dental hygiene students have established schedules for patient care. Since the goal is quality dental hygiene care within a teaching/learning environment, patients should understand that this is an educational setting and the student's learning experience and progress depends on the patient's full cooperation. Everyone's time is valuable. If for some reason a patient is unable to keep an appointment, advance notice of 24 hours is required to allow the student to schedule other patients. Patients with two cancellations or no-shows will be inactivated from the care facility.
Patients may be dismissed/inactivated from the Dental Hygiene Clinic if:
- Two (2) appointments are cancelled for any reason.
- Two (2) appointments are missed without notification.
- Since our ultimate goal is to educate students with acceptable teaching patients if faculty deem that a patient is not suitable for our teaching clinic, or if a patient fails to comply with policies, the patient will be dismissed, inactivated, and referred to a community clinic or private sector.
All broken appointments are documented in the patient's health record by the dental hygiene student and approved by supervising faculty.
We thank you for making an appointment with us and look forward to working with you.
The goal of the staff at the Dental Hygiene Care Facility is to assist individuals in eliminating and preventing oral disease and in maintaining optimal health. The facility is staffed and supervised by licensed dental hygienists and dentists. Dental hygiene students, provide the oral health care, have extensive education and training and have demonstrated competence in the clinical services before treating the public.
Patients in the Dental Hygiene Clinic at Old Dominion University have the right, consistent with the law, to:
- Courteous, respectful, and confidential treatment
- Treatment that meets the standard of care in the profession including the use of appropriate infection control
- Inspect their patient record and any radiographs taken
- Advanced knowledge of fees and services
- Explanation of recommended treatment, alternate treatment options, and explanation of risks with no treatment
- Participate in the planning of treatment (informed consent)
- Refuse recommended treatment (informed refusal)
- Continuity of care or referral for continued care
- Written informed consent prior to participating in experimental research and the right to refuse participation
- Provide feedback, comments, or complaints about treatment using the confidential Patient Satisfaction Survey
- The Dental Hygiene Clinic DOES NOT provide a dental exam or diagnosis of restorative needs. Services such as fillings, crowns, root canals, extractions, partials, or dentures are NOT provided in the Dental Hygiene Clinic. A dentist must provide these services.
- If a patient has medical or dental conditions that warrant further consultation with their physician/dentist, treatment in the Dental Hygiene Clinic will be delayed until written approval is obtained from the patient's physician/dentist. Examples of such conditions include: damaged or abnormal heart valves, specific heart conditions, organ replacements, joint replacements, uncontrolled diabetes, kidney dialysis, decreased immune system, elevated blood pressure (160/110), active infections of hepatitis or tuberculosis, active herpes infection (cold sores).
- Multiple appointments (2-4) and extended appointment lengths (3 hours) are required for most clients.
To promote infection control and to protect patients, dental hygiene students and faculty following the current CDC Guidelines for Infection Control for Dental Health Care Settings. Our goal is to provide a safe environment for our students, patients, faculty and staff. The Dental Hygiene Care Facility has implemented numerous additional safety measures following CDC Interim Infection Prevention and Control Guidance for Dental Settings During the COVID-19 Response including:
- Screening patients for risk factors associated with COVID-19.
- Ensuring our personal protective equipment (PPE) is appropriate for the procedures performed, and adding additional PPE as needed such as: N95 masks, barrier gowns, and face shields
- Using high speed evacuation for all dental hygiene procedures that produce aerosols
- Hand sanitizer available throughout the clinic for staff and patient use
- Achieved compliance with ODU Environmental Health and Safety policy and procedure.
