Say goodbye to insurance nightmares! We're thrilled to introduce our exclusive in-house dental insurance plan, crafted with families in mind. We're kicking the middleman to the curb to bring you affordability and unbeatable benefits. Enroll your child today, and they'll be treated to the VIP dental experience – think two yearly cleanings, two exams, two fluoride applications, 24/7 access to our providers, routine x-rays as needed, plus a fantastic 15% off on all our dental services. It's not just coverage; it's a dental delight! 🚀✨

We accept all PPO dental insurance schemes and are here to help you submit your dental insurance claims after each appointment. To determine if we're included in your coverage network and to get more insights about your plan advantages, it's best to reach out to your insurance provider directly.

As a gesture of goodwill to our patients, we process dental insurance claims after every appointment. It's important to note that our relationship is with you and not directly with your insurance provider. Consequently, we don't have any control over how your insurer deals with claims, the benefits they decide to cover, or any discrepancies that might arise during the processing of your claim. Our role is primarily to offer a projected patient co-payment for your child's dental care requirements. It's essential to note that such projections are not a commitment from your insurance about the exact payout.

Should you be uncertain about the inquiries to make to your dental insurance provider, don't hesitate to connect with one of our patient liaisons. We're committed to supporting you in any way possible.

Insurance doesn't cover 100% of all procedures.

Dental insurance is designed to assist in covering dental care costs. Contrary to popular belief, insurance does not typically cover 90%-100% of dental expenses. Most plans pay between 50%-80% of the average total fee, with some offering more or less coverage.

The percentage covered usually depends on how much you or your employer has paid for the insurance, or the type of contract your employer has established with the insurance company. There are countless contract options available for employers to choose from.

Our office does not determine benefits.

Insurance companies establish their own fee schedules, and each company uses a distinct set of fees considered allowable. These fees can differ significantly because each company gathers fee data from the claims they process. The insurance company then uses this information to arbitrarily determine a level they deem the "allowable" UCR Fee. Often, this data can be outdated, with the information being three to five years old, and the "allowable" fees are set by the insurance company to ensure a 20%-30% profit margin.

You might have noticed that sometimes your dental insurance reimburses you or your dentist at a lower rate than the actual fee. Insurance companies often state that the reimbursement was reduced because the dentist's fee exceeded the usual, customary, or reasonable fee (UCR) used by the company.

Such a statement implies that any fee higher than the amount paid by the insurance company is unreasonable or significantly above what most dentists in the area charge for a specific service. This can be misleading and is not necessarily true.

Regrettably, insurance companies tend to suggest that your dentist is "overcharging" instead of admitting that they are "underpaying" or providing low benefits. Generally, less expensive insurance policies use a lower usual, customary, or reasonable (UCR) figure.

We proudly accept a variety of in-network PPO insurance plans, including Aetna, Ameritas, Blue Shield of CA (excluding the Pediatric plan), BEAM, Guardian, Principal, Sunlife, United Healthcare/UHC, Cigna DPPO (excluding the Advantage plan), Pacific Life Dental, and Humana.

For those with out-of-network insurance, upfront payments are required. As a courtesy, our team will submit claims on your behalf and run a pre-estimate benefits check to determine your out-of-network coverage. Your insurance will reimburse you directly based on your plan's coverage.

Please note, we are not your insurance company and cannot guarantee reimbursements. We provide the information available to us, but it is not a guarantee. It is your responsibility to know your coverage details, including the end date and reimbursement specifics.

For more information or questions, please contact our office or your insurance carrier.

Unless other arrangements have been made beforehand, full payment is required at the time of treatment. To make this process more convenient, we accept all major credit cards (Apple Pay, Visa, MasterCard, American Express, and Discover Card) as well as cash payments. Additionally, our patient care coordinators can help you with tailored plans through our financing alternatives. Please don't hesitate to reach out to us.

Our membership plan is not (i) insurance, (ii) a qualified health plan under the Affordable Care Act, (iii) pre-payment for future services, or (iv) payment for access to discounted services. Rather, our membership plan is a direct payment arrangement for services, products and care provided. The membership plan includes a 30-day money back guarantee. You can receive a full refund up to 30 days after purchase if no services or discounts have been used. We have partnered with Kleer, LLC to provide our membership plan to you. Kleer is located at 676 East Swedesford Road, Suite 350A, Wayne, PA 19087. You can learn more about Kleer at kleer.com. Your payments must be current to receive the services and discounts included in the membership plan. Payment for treatment not included in the membership plan is due at the time of service. The membership plan benefits may not be combined with insurance or any other offers or discounts. Our membership plan does not cover procedures completed by specialists outside our practice. The membership plan runs for 12 months and includes an auto renewal feature. You can opt out of the auto renewal at anytime from the Member Portal. You will receive an email reminder 45 days prior to the renewal date