Accepted Dental Plans
We will submit your insurance claims to any insurer, but some plans have limitations that prevent you from visiting the dentist of your choice. If your dental insurance carrier requires that you be seen by a “preferred provider” then they will deny any claim submitted by a provider that is not on their list.
If you’re unsure whether or not you are required to see a “preferred provider,” simply contact your insurance carrier. Or if you prefer, simply provide us with your:
- subscriber identification number
- date of birth
- insurance contact information
We would be happy to contact your insurance carrier for you.
Understanding your dental benefits
We will work with your insurance carrier to provide you with a summary of your dental benefits, which typically includes:
- your annual maximum and deductible
- your personal responsibility for each type of procedure
- any plan limitations
During your first visit with us, we will go over all of this information and answer any questions that you have.
It is very important that you understand your plan’s benefits, limitations, and your personal responsibilities.
Some facts about dental insurance:
- Most dental plans have an annual maximum of $1,500. That number has not increased in more than 40 years.
- Having dental insurance does not guarantee your insurance policy will cover the treatment you need.
- Decisions made by your insurance carrier about which treatments you are eligible for and which you are not are based solely on the level of coverage either you or your employer has chosen.
Example of a typical policy’s coverage:
| Type I (Cleanings, X-rays, exams, preventive and diagnostic procedures) | 100% |
| Type II (Fillings, root canals, extractions, many emergency procedures, most surgeries) | 80% |
| Type III (Crowns, bridges, dentures) | 50% |
| IMPLANTS, veneers, bleaching, crowns done for esthetics only | 0% (No coverage) |
Handling dental claims
Your claim will be electronically submitted to your insurance carrier before you leave our offce. Legally, your carrier has 30 days to either pay or deny the claim. If your claim is unpaid by the 31 day, we will contact your carrier to inquire about the claim’s status. If necessary, we will resubmit the claim and provide you with an update.
We will work with your insurance carrier to have your claim processed for up to 90 days. If the claim is unpaid after 90 days, we will close the claim and contact you for assistance.
