Insurance & Coverage

We accept most PPO insurance plans and will work with you to maximize your benefits. Our team handles all insurance claims and verifications to make the process seamless.

How We Handle Your Insurance

1

Benefits Verification

We verify your coverage and benefits before your appointment

2

Treatment Planning

We create a treatment plan that maximizes your insurance benefits

3

Claims Submission

We file all insurance claims directly on your behalf

4

Payment Assistance

We help you understand your coverage and any out-of-pocket costs

Accepted Insurance Providers

Delta Dental

PPO & Premier Plans

We proudly accept Delta Dental PPO and Premier plans, making quality dental care affordable and accessible.

Delta Dental coverage typically includes: Preventive care (cleanings, exams, X-rays) at 100%, Basic procedures (fillings, extractions) at 80%, Major procedures (crowns, bridges, dentures) at 50%. Annual maximum benefit: $1,500-$2,000. Deductible: $50 individual/$150 family. We are in-network providers, which means lower out-of-pocket costs for you. We file all claims electronically and accept assignment of benefits.

Blue Cross Blue Shield

All BCBS Plans

BCBS members receive comprehensive coverage for preventive, restorative, and cosmetic procedures.

Blue Cross Blue Shield dental plans typically cover: Preventive services at 100% (2 cleanings per year, annual exams, bitewing X-rays), Basic restorative at 70-80% (fillings, simple extractions, emergency care), Major restorative at 50% (root canals, crowns, bridges). Annual maximum: $1,000-$3,000 depending on plan. We accept all BCBS plans including FEP (Federal Employee Program). Pre-authorization available for major procedures. We are a preferred provider for most BCBS networks.

Aetna

PPO Plans

We work with Aetna to maximize your benefits and minimize out-of-pocket costs.

Aetna PPO plans generally provide: 100% coverage for preventive care (no deductible), 80% for basic procedures after deductible, 50% for major procedures after deductible. Typical annual maximum: $1,500. Orthodontic coverage available on select plans (50% up to $1,500 lifetime maximum). We are in-network with Aetna Dental PPO and DMO plans. Waiting periods may apply for major services (6-12 months). Contact our office to verify your specific benefits.

Cigna

DPPO Plans

Cigna patients can enjoy a wide range of covered services with in-network benefits.

Cigna Dental PPO coverage includes: Preventive care at 100% (cleanings every 6 months, annual comprehensive exams, necessary X-rays), Basic care at 80% (fillings, periodontal treatment, simple extractions), Major care at 50% (endodontics, crowns, bridges, dentures). Annual benefit maximum: $1,500-$2,000. Individual deductible: $50. Family deductible: $150. We participate in the Cigna DPPO network. Claims processed within 14 business days. Direct billing available.

MetLife

PDP & PPO

MetLife insurance holders benefit from our in-network provider status and competitive rates.

MetLife Preferred Dentist Program (PDP) and PPO plans offer: Preventive services covered at 100% with no waiting period, Basic services at 80% after deductible, Major services at 50% after deductible. Annual maximum benefit: $1,500-$2,500. Deductible typically $50/person. We are MetLife PDP providers offering guaranteed fee schedules and no balance billing for covered services. Enhanced benefits available for members who visit in-network dentists. Implant coverage may be available depending on plan.

Humana

PPO Plans

We accept most Humana dental plans and will verify your benefits before treatment.

Humana dental insurance typically covers: Diagnostic and preventive at 100% (2 cleanings and exams per year, fluoride for children, sealants), Basic restorative at 80% (amalgam and composite fillings, non-surgical extractions, emergency palliative treatment), Major restorative at 50% (crowns, bridges, complete and partial dentures). Annual maximum: $1,000-$1,500. Deductible: $50 per person. We accept Humana PPO and some Humana Dental Value plans. Pre-treatment estimates available upon request. Benefits verified before each appointment.

Understanding PPO Plans

Preferred Provider Organization (PPO) plans offer the most flexibility in choosing your dental provider. As an in-network PPO provider, we can help you maximize your benefits.

PPO Plan Benefits

  • ✓ Freedom to choose any dentist without referrals
  • ✓ Lower out-of-pocket costs when visiting in-network providers
  • ✓ No claim forms to file - we handle everything
  • ✓ Typically covers preventive care at 100%
  • ✓ Annual maximums range from $1,000 to $3,000
  • ✓ Coverage for basic (70-80%) and major (50%) procedures

How to Use Your PPO Benefits

Step 1: Provide your insurance information at check-in
Step 2: We verify your coverage and benefits
Step 3: Receive treatment with clear cost estimates
Step 4: We file claims and track reimbursements
Step 5: You pay only your portion after insurance

Don't See Your Insurance?

Even if your insurance isn't listed, we can still work with most PPO plans including Guardian, Ameritas, Principal, United Healthcare, and many others. Contact us at (214) 555-1234 to verify your coverage and benefits. Our insurance coordinators can provide a complimentary benefits check before your appointment.

No Insurance? No Problem!

We offer flexible payment plans and a membership savings program for patients without dental insurance. Our Membership Plan costs $299/year for individuals or $499/year for families and includes preventive care plus 15-20% discounts on all treatments. Quality care is accessible to everyone.

Verify Your Benefits