How Dental Insurance Works
Dental insurance plans are all unique to the patient and insurer. However, the basics remain the same.
You’ll pay a monthly dental insurance plan premium. Then, your insurer will pay for a percentage of the
costs of covered dentistry services. While your specific coverage will vary from plan to plan, most policies
offer some combination of the following benefits:
100% preventive care covered
Minor restorative care around 70%-80% covered
Major restorative care around 50%
What is the Difference Between Dental & Medical Insurance?
There are many differences between medical insurance and dental benefits. The most obvious difference is in the
services they cover. Medical benefits provide the greatest amount of coverage for chronic illnesses and
emergencies. Dental benefits emphasize coverage for preventive dentistry services to keep your smile healthy and
avoid the need for more advanced dentistry services.
In-Network vs. Out-of-Network Dentistry
Our team is happy to process and file dental insurance claims for both in and out of network benefit plans. In
order to help us maximize your dental insurance benefits, please let our team know about your insurance coverage
when you call to schedule your first appointment.
As in-network providers, we have agreed to charge pricing for covered dentistry services that don’t exceed
the treatment maximums set by your insurer. That means you’ll only need to pay the out-of-pocket
percentage of dental services. We are in-network with a variety of providers.
If we’re not in-network with your dental insurance provider, our team will still be happy to work with you
to make the most of your benefits. While we don’t have an agreement to charge fees that fall within an out
of network plans’ maximums, we always do our utmost to provide affordable dentistry services. In most
cases, any fees outside of the out-of-pocket percentage of treatment costs are minimal. If you have questions or
concerns about your treatment pricing, please don’t hesitate to talk to one of our team members.
We’ll do our utmost to help you with treatment costs.