Insurance company allows a certain limit of dental expenses per year. Based on the type of treatment the benefits vary. The insurance company
pays a percentage of the expense depending on the type of service provided. The range of benefits depends solely on what your employer
wishes to purchase. Some plans may cover as little as 30% or as much as 100% of dental services, with most falling in the 40% to 80 % range.
The financial obligation for dental treatment is between you and our office. The insurance company is responsible to you, and not to our office.
We will be happy to assist you in any way that we can. Once your carrier has paid the claim, any difference will be due upon receipt of our
statement. If for any reason, we have not received your insurance carrier's payment 60 days after the claim, the remaining balance will be due
and payable by you.
List of Dental Plans we accept
The following is a list of major dental insurance, dental fee-for-service and supplimental dental plans we accept. It is likely that we accept your
insurance plan, even if it does not appear on the list below. It is also possible that you carry one of the plans from the following insurance
companies that we do not currently accept. Please contact us to verify if we accept your insurance plan, even if it is listed below.
Aetna DMO
Aetna PPO
Aflac Please note that this is not an insurance plan and you will be paying the difference between what Aflac pays and our standard fees.
Ameritas Group
Assurant PPO
Careington –We accepted CARE 15, CARE 15 PPO, CARE PPO, and CARE POS. We do not accept the 500 series.
CIGNA DMO
CIGNA PPO
Connection Dental including the following plan administrators
Allegiance Benefit Plan management
Allied Benefit Systems, Inc.
Altus Dental
AmeriBen
American Administrative Group (Old name is Gallagher)
American Benefit Corp
American Dental Professional Services
American Sterling
American Trust Administrators
Benefit Administrative Systems (Spectrum Risk)
Benefit Planners
Bollinger Insurance Company
Boon-Chapman Benefit Administrators
Boston Mutual
Capitol Administrators of the Southeast
CB Tracy
CBCA
CBSA
Combined Insurance Services
Comprehensive Benefits
Dental Select
DentalSource
DentaQuest
Diversified Group Brokerage
Essex Dental Benefits
First Dental Health, Inc.
Foundation for Medical Care
Gallagher Benefit Administrators of CA
Gettysburg Health Administrators
GMS
Graphic Communications National (GCIU)
Great-West National Accounts
Group Benefit Services
Group Resources Incorporated
GroupLink, Inc.
HCH Administration, Inc.
Health Network America
HealthComp Administrators
HealthDataInsights / Premier Access (Integrated Healthcare Solutions)
Healthplex Inc
Incentus Benefits (Cemara)
J. W. Terrill Benefits Administrators
Kansas City Life
Kipp & Co.
LifeRe
MBA
Med Tac
Medical Claims Service
Mid-American Benefits
Midlands Benefit Administrators
North American Administrators
PacifiCare Dental and Vision Administrators
Preferred Health Plan, Inc.
Professional Benefit Administrators, Inc
Self Funding Administrators
The Benefit Group
The Epoch Group
The Loomis Group
TR Paul
TransWestern
UltraBenefits
UMR
Watkins Associated Industries
Web-TPA Employer Services
Wheeler Companies
DeCare
Delta
Dental Benefit Providers
DenteMax including the following plan administrators
Benefit Planners
Companion Life
CoreSource – OH
Dental Network of America (DNoA)
Empire
GE
Genworth Financial
Herrington
Horizon Healthcare
Ingenix/Apreture
Medical Mutual of Ohio
Premera
Wausau
Denticare
DHA (Dental Health Alliance) including the following plan administrators
Advanced Benefit Solutions
America’s Choice Healthplans
American Administrative Group, Inc
Assurant Employee Benefits
Assurant Health
Aware Dental
Benefit Concepts
CBCA Administrators
Comprehensive Benefits
Dentalplans.com NO CLAIM SUBMISSION
Direct Dental Administrators, L.L.C.
Formula Corporation
Insurance Design Administrators
Integrity Administrators
International Benefits Administrators
Loomis Company
Nippon Life Insurance Company
NOVA Healthcare Administrators
Performax
Previously: Corporate Healthcare Financing
Previously: Gallagher Benefit Administrators
Previously: Summit Health Administrators
Previously: USI Administrators or Select Providers, Inc.
Renaissance Life & Health Insurance Company
SIEBA, Ltd.
United Benefit Solutions
United Group Programs, Inc.
Wausau Benefits
Wholesale Benefits Club
Employer Provider Network, Inc (EPNI)
Fortis
GEHA – For federal Employees.
Guardian
HealthPartners
Metlife
Premier Dental Group
Principal Financial Group
Signature Dental Plan - GE Wellness Plan
Star HRG(Applebee’s)
United Concordia (Tri-Care)
United Healthcare -
We accept most dental insurance plans, some of which are listed below. Also, we'll file
your insurance forms as a courtesy to you. It is important, however, that you read your
policy so you understand the benefits you're entitled to, as the success of your dental
insurance depends on your full understanding and cooperation in filing claims.
For patients who do not have dental insurance we offer a dental discount program
called SmilePlan. Please visit our SmilePlan for Uninsured and Small Business
SmilePlan pages for details of these programs.
It is our pleasure to assist you by completing your dental claim forms. As a courtesy , in
addition to filing the claim, we may file a pre-authorization to get estimated co-payment
from your insurance company. Please understand that this is only an estimate, and it is
based upon the information available to us by your insurance company.
Most patients are unaware of their dental benefits. They feel that similar to medical
insurance they will only have to pay a fixed office co pay during their dental visit. Dental
benefits vary depending on the procedure being done. Dental procedures are generally
categorized into preventative, basic and major. Coverage with each category varies
depending on your insurance plan.
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