Office: (770) 513-1312

Insurance companies have a certain limit for dental expenses per year – usually $1000 or $1500. This limit has not changed since dental insurance was introduced in the 1960s. The insurance company pays a percentage of the expense depending on the type of service provided – either preventive, basic or major. However, when an insurance company says that they cover 100% of a certain service; they mean 100% of the fee they set. This is based on the insurance plan, and not necessarily our office fees. This fee will also vary from plan to plan from the same insurance company! This may leave the patient with a balance toward his or her treatment, in spite of the insurance company claiming to cover 100% of that type of treatment.

For example, a typical fee in our area for an adult cleaning is $82. Most insurance companies will pay 100% of this fee; however, we have some patients with plans that pay as little as $40, although the insurance company refers to the $40 payment as “100% of usual, customary, and reasonable”.

We will always do our best to estimate how much your insurance plan will pay towards each visit and will give you a written treatment plan to minimize unexpected costs.

We are occasionally asked why we don’t participate in a particular insurance plan, or if we would consider participating in a certain plan. There are many insurance plans that restrict your choice of doctors to those on a specific list of participating offices. The participation agreement between those plans and the providers requires the provider to deliver care at a discount to those patients covered by that plan. For some plans the discount is small, for some it is not.

We believe that dentistry is a service, not a product. For us, the manner in which that service is provided and the attention to detail makes all the difference. We do not participate in plans that require us to heavily discount our treatment prices and encourage us to make up the difference in volume. We cannot be a “volume” practice and still provide the level of care and service that built our reputation.  Our reputation has been built by using high-quality materials and technology and by providing exemplary customer service. We cannot be a “volume” practice and provide that level of care and attention to our patients.

Our office will be more than happy to file your claims and provide the best estimate for your out-of-pocket expense.

We are currently an in-network provider for:

• – Ameritas
• – Cigna
• – Delta Dental Premier
• – Guardian
• – Metlife
• – DenteMax

We accept all other PPO plans as an out-of-network provider