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As of now we are not contracted with any insurance providers due to the restrictive coverage and the limited reimbursement schedules essential to provide the best possible care to our patients. It is our policy, however, to periodically evaluate each plan to determine whether we can participate as a contracted provider.
Our office utilizes electronic claims processing. This means that rather than sending your dental claim through the mail, it is sent electronically to your insurance company with the click of a “mouse” button. By filing your claim electronically, information is submitted more efficiently and with fewer errors. This benefits our patients because the turn around time on claims is faster and fewer claims are returned or denied. We are happy to submit your dental claims to your insurance company on your behalf.
If you’re enrolled in a dental insurance plan that allows you to choose your dental provider, then we would be considered an “out of network” office. There may be a difference in the benefit reimbursement from an out of network provider, but generally the difference is nominal. We have found that our fees are typically lower than other contracted specialty providers. We encourage patients to research their dental benefits prior to making any decisions regarding their periodontal needs.
Dental insurance is an employee benefit that is offered through companies, unions and associations. However, Dental benefits vary from plan to plan depending on the type of benefit coverage selected by your employer.
Dental fees are arbitrarily developed by insurance companies and generally are not the fees charged by the dentist or dental specialist. Depending on the benefit from your insurance plan, you may receive less reimbursement than what the dental plan promises. For example, 80% reimbursement coverage based on the fee chosen by the insurance company, not the actual fee charged by the practice.
Plans differ in another important way. Most allow you to choose your own dentist; others require you to receive care from a limited number of dentists. Because we value our relationship with patients, we believe you should have the right to seek care from the dental professional of your choice.
In our office, your treatment and care will be determined by your dental needs and your general health, not by your dental plan. It is not in your best interest to compromise your treatment to fit an insurance program’s benefits.