While we accept most plans, please note that the some plans are
not accepted by the Dentist. We will verify insurance
participation as well as checking eligibility, plan benefits,
co-pays, deductibles, and limitations.
Please review orthodontic benefits and plan limitations with
your Insurance Company, as each benefit and individual allowance
varies per your employers contract. Most plans only include the
band placement and 24 monthly visits ONLY. Most often when
treatment requires additional appliances or extended treatment,
these fees will be incurred by member. Generally, our office
allows a 3 month courtesy adjustment period, however, per our
contractual agreement with the insurance, each additional visit,
i.e., for broken brace, wire replacement etc., will be billed
as a separate visit.
Insurance is not a guarantee of payment,
and the member must maintain active coverage during the entire
course of treatment. Should there be a change and or
termination of insurance during the course of treatment, so will
the fee agreement change.
by Dental Insurance?
If you have dental insurance, familiarize
yourself with your plan so you know what is covered and how. For
example, if you require a dental filling and would prefer a
composite material, evaluate the benefits allocated in your plan
Many insurance companies will only reimburse composite filling
costs at a rate equal to that of an amalgam filling. You would
be required to pay the remaining balance as an out-of-pocket
limitations on the number of dental visits, radiographs (X-rays)
and treatments that are covered, and other services may be
excluded. Some plans only reimburse patients when the least
expensive treatment alternative is selected; other plans do not
provide coverage for necessary treatments of pre-existing
Cosmetic dental procedures are not
typically covered by dental insurance. However, if you have
insurance and require
for restorative purposes, ask your
about the possibility of filing for reimbursement for a
percentage of the costs.
Customary, and Reasonable (UCR) Fees
common term used by dental insurance companies on their
Explanation of Benefits (EOB) statement to identify the fee for
dental treatment is called Usual, Customary and Reasonable (UCR).
UCR fees are determined by insurance providers based on the
typical costs associated with various dental procedures.
if your procedure costs $90, your dental insurance provider may
have a UCR for the procedure of $60. You would therefore be
responsible for paying the $30 difference as an out-of-pocket
The following is a list of dental insurance companies we