Dental Insurance

We accept many PPO dental insurance plans from a variety of insurance carriers and dental benefit networks — the full list of insurance names accepted by our practice is on this page. Acceptance does not mean that every plan under a listed company has the same benefits or network status, so please send your insurance information before your appointment and our verification team will confirm your specific plan.

Most PPO plans cover preventive and diagnostic care (exams, cleanings, routine X-rays), basic services (fillings, extractions, periodontal procedures), major services (crowns, bridges, dentures), and, when included in the specific plan, orthodontic treatment. Coverage percentages vary by plan — there is no standard coverage percentage for every PPO plan.

A deductible is the amount you may need to pay toward certain covered services before insurance benefits apply; some plans do not apply it to preventive services. The annual maximum is the most your plan may pay toward covered dental services during the benefit period, and it decreases as benefits are used. Waiting periods may apply to certain services, though not every PPO plan has one and some plans waive or modify it.

Certain procedures may require pre-authorization or a pre-treatment review. For extensive treatment, a pre-treatment estimate can show what your insurance may pay, your estimated out-of-pocket responsibility, whether your deductible applies, and whether the procedure is subject to plan limitations. It is not a guarantee of payment; final benefits are determined by your insurance company when the claim is processed.

In-network benefits may be based on the plan's contracted or allowed fees, which depending on the plan may mean lower patient costs. Out-of-network, your plan may still provide benefits, but reimbursement levels, deductibles, allowable amounts, and patient responsibility may differ, and you may be responsible for amounts above the plan's allowed amount. Always verify your plan's network provisions before treatment.

The patient's full name, date of birth, and ZIP code; the subscriber's full name and date of birth; the insurance ID or member ID; and clear images of the front and back of your insurance card. Sending these ahead lets our team verify eligibility, coverage, deductible, annual maximum, waiting periods, limitations, network status, and authorization requirements. Without them, verification may add approximately 30–40 minutes to your check-in time.

Log in to your insurance carrier's member portal or mobile app, or call the member services number on your card, to see your plan's coverage levels, deductible, remaining annual maximum, and any waiting periods. Our verification team also reviews your benefits before your visit when you send your insurance information in advance.

No. Every PPO plan is different, and insurance verification provides an estimate, not a guarantee of payment. Final coverage is determined by your insurance company based on your specific plan, eligibility, limitations, exclusions, and benefits remaining. Patients are responsible for any balance not covered by their insurance plan.