We accept direct payment for the following international health insurance companies.

Cigna International
Allianz
Globally DKV.

We can claim directly, but the patient is responsible for any balance. Patient must agrees to leave Credit Card Informations to allow us to deduct any balance not paid by the insurance company.  Patient not residing in Japan or leaving soon will need to pay in full and claim themselves.

For all other type of insurance, we try to help patient fill the forms when we can.  All our forms and receipt are in English and coded with ADA codes. 

We are not provider for Japanese National Health Insurance (国民健康保険Kokumin Kenko-hoken) and Employees' Health Insurance (社会健康保険 Kenkō-Hoken) 

Many of the procedures such as white fillings, Porcelain crowns, veneers, and implants are not covered by National Health Insurance. Under the NHI, the fees are set and many times not sufficient to allow dentist to spend adequate time with the patient for Comprehensive treatment plan and treatment. The system is meant to provide dental care accessible to all and not meant to provide the best possible. 

Our philosophy of practice is to treat you as if you were our own family.   We will only use professional judgment and experience as our guides when making treatment recommendations, to decrease the risk of further damage to your teeth and associated functions. We strive to provide QUALITY WORK efficiently and comfortably, with judicious planning and predictability.

In Japan, there is medical (dental included) expense deduction for your income tax.  Please refer to Reduction for Medical Care Costs.

We do see dental emergency during office hours and outside office hours (additional fee applies).  Please call 03-5570-4334 to make appointment or you can come and wait until our doctor is free.  Our doctor speaks fluent English, some Chinese and Spanish.  Our New Patient Forms are also available in Chinese, German, Spanish, French, and Russian.

We will do the exam and give you treatment options and fees.
Pre-authorization(Payment) of approximate fees will be required before we start to see the patient for dental emergencies. If you are not sure if your credit card works in Japan, please bring cash for payment.

Reasons to choose our clinic 

• Universal Precautions for Infectious Diseases (including Covid-19)
• Accurate Diagnosis
• Up to date Root Canal Treatment
• UCLA/NYUDental School Graduate 

• US (California, New York ) Dental License
• Clinical Experience in California and New York City
• Quality recognized and direct payment by Cigna, AllianZ, and Globality DKV
• Digital x-rays and oral photos for your record and consultation with your home dentist
• Up to date facility and techniques
• Punctual appointment
• All documentations in English

Our fee schedules are as follows: (in Japanese yen)

Limited Exam           16,000 
Panoramic x-rays      12,000
Each small x-ray         1,600
Oral Photos                3,500

CBCT (for root canal) 17,000

Out of Office Hours     22,000-33,000

Sample treatment fees

smooth off sharp edges    12,000~
medication                          4,400~
emergency root canal tx    55,000~
Out of Office Hour     22,000-33,000
send x-rays and photo       free

Our fee schedules are as follows: (in Japanese yen, including 10% tax)

We will do the exam and give you treatment options and fees.
Preauthorization(Payment) of approximate fees will be required before we start for the New Patient.  If you are not sure if your credit card works in Japan, please bring cash for payment.

Initial Exam               12,000 (for patient who will do cleaning at the same time)
Panoramic x-rays        12,000
4 bite wing x-rays         6,400
Oral photos                  3,500
Oral Cancer Screen       3,300
Cleaning                    12,000~16,000
___________________________________
Total                          49,200-53,200                    

We require the Panoramic and four bite wing X-rays (taken within last 6 months.as stated by the standard of care to provide necessary data for us to evaluate your oral conditions.  Please bring any x-rays for reference, but we will need to retake the x-rays if it is too old or not good enough.

The amount of radiation exposure your body receives on an airplane flight from Los Angeles to New York exceeds the amount of exposure you will receive from a modern dental x-ray machine. Contrast this minimal exposure with the risk of not finding an illness until it is too late, and you can see why we prescribe regular diagnostic x-rays.

We will need to check your teeth and do the exam before we can quote you a price.  We will not start any dental work without your consent to the treatment plan and the fee. We strive to provide QUALITY WORK efficiently and comfortably, with judicious planning and predictability.  You will be ask to pay for the scheduled procedures before we start the treatment.

Our fee schedules are as fol

Initial Exam               12,000 (for patient who will do cleaning at the same time)
Panoramic x-rays        12,000
4 bite wing x-rays         6,400
Oral photos                  3,500
Oral Cancer Screen       3,300
Cleaning                    12,000~16,000
_________________________________

Fillings                       25,000 ~
Root Canal TX           132,000~
Crowns                     190,000~
Veneers (Porcelain)    190,000~ 

We do Invisalign and Orthodontics

 We need to know how you want your teeth to look like, and evaluate your situaton to see if it is possible with Invisalign.  Typical fee for Invisalign as follows:

Initial evaluation        16,000 ~ 55,000      
Invisalign trays        550,000~ 770,000
Adjustments/visit      12,000
Finishing                    22,000~
Retention                  55,000 per arch

We recommend that orthodontic treatment needs not only tooth alignment, but the top teeth and bottom teeth should meet properly for long term good result in chewing and less joint problem.

Transfer Case:  We will accept transfer case only after the patient came in for a check up and cleaning.  At that time we can evaluate the progress of the Invisalign treatment and discuss the fee/treatment goal with the patient.  It is strongly advised that Invisalign treatment is completed with the same doctor, as there will be additional fee for transfer patients.

Committed to practicing excellence in dentistry and patient care, Dr. Enatsu regularly attends continuing education courses on advanced clinical skills. Dr. Enatsu was named a graduate, only one in Japan by the Kois center (Creating Restorative Excellence Center for Advanced Dental Learning) in Seattle, Washington.

Following are few of the advance courses for practicing dentists Dr. Enatsu took.

1. Microscopic Endodontics ; Stephen Buchanan, Dental Education Laboratory
2. Microscopic Endodontic Technique Residency at University of Illinois, Chicago
3. Bioesthics Level II (Three visits to California in 2004)
4. FORCE-IT Orthodontic Seminar (Three visits to Toronto in 2005)
5. California Implant Institute, Implant Mini Residency
6. Seattle Institute of Advanced Study (Anterior Esthetics)2005
7. Sustaining Member, American Academy of Cosmetic Dentistry
8. Kois Center Graduate (Creating Restorative Excellence Center for Advanced Dental Learning)
9. Endodontic updates 2014 UCLA
   
10. Kois Symposium 2007-2019

We have been keeping OSHA standard for infection as follows.

1. Disposal items (gloves, aprons),

2. Patient eyewear,

3. Sterilized handpieces with Class B Autoclave,

4 Filtered water supply

Due to Covid-19, we have added following precautions.

1．Laminar Flow of Air by opening the windows and doors all the times(It is more effective to flush out any virus or bacteria by running water or running air, instead of using chemical to disinfect )

2. Body Temperature Screening for patients and all the staffs

3. Patients wear gloves when in our clinic and gargle with Hydrogen Peroxide for 30 seconds.

4. Protection Gowns for Dentists, Dental Hygienists, and Dental Assistants

5. Disinfection with Ozone overnight when clinic is closed.

6. Wipe down areas between patients.

In addition, we try to decrease patient contact among each other.

1. No more than two patients at a time in our office

2. Request patient to fill the forms at home

3. Schedule same family member together

4. Discourage patient to come with family member without appointment. (unless Child)

5. No magazines or things to read in waiting room

6. Try to not touch the door nob of toilet by using the paper towel for drying to open the door when leaving.

We welcome any suggestions that may make you feel SAFE