Dental Insurance

We accept many dental insurance plans and will file claims on your behalf, saving you the time and hassle. Our knowledgeable benefit coordinators can help you maximize your dental benefits and minimize your out-of-pocket cost. We will tell you upfront what your insurance plan will pay for and offer options for taking care of any remaining balance.

The following are just a few of the dental insurance carriers we’re providers for:

Insurance FAQ

Treatment that is recommended by a dentist, is listed on the fee schedule, and accepted under the terms of your group’s plan.

Treatment that is either not listed on your fee schedule or more than the minimum to restore the tooth back to its original function.

Pediatric dentists receive two to three years of specialty training after completing their dental degree. Once they complete their training and certification, they serve as primary and specialty oral care providers for young patients, including those with special health needs

Indemnity or Traditional Insurance reimburses members or dentists at the dentist’s UCR (Usual, Customary & Reasonable fee). This allows the subscriber to go to any dental office without being limited to a panel.

Another reason baby teeth are important is that they help form a path that permanent teeth can follow when they are ready to erupt. If your child loses a primary tooth earlier than normal, whether through damage or disease, it’s important to maintain the space that it would have occupied so that the permanent tooth below it will have room to emerge. In such a case, your pediatric dentist may recommend using a space maintainer to prevent overcrowded or crooked permanent teeth.

PPO

(Preferred Provider Organization) is the most common form of insurance. They provide members with a list of participating dentists to choose from. The dentists on this list have agreed to a lower fee schedule, which provides you with greater cost savings. They also assist with insurance billing. Most companies pay 50% on major treatment (crowns, bridges, partials), 80% for basic care (fillings), and up to 100% for preventative care (exams, x-rays, basic cleanings). Annual maximums generally range from $1,000 to $2,000.

HMO

Also known as capitated or prepaid insurance, was designed to provide members with basic care at the lowest rate. Participating providers receive a monthly capitation check for patients assigned to the office. This amount is only a few dollars and is intended to offset the administrative costs. HMOs generally don’t pay for services rendered. Fees are usually greatly reduced, but the patient is solely responsible for paying the doctor.

Insurance Questions?

Our knowledgable billing staff would be more than happy to answer any questions you have!