Covered vs. Non-Covered Services

Unfortunately, some of the services you need or may desire are not covered by your dental insurer. Our goal of providing optimum dental care is not necessarily shared by your insurer. The insurance company’s goal is to provide only the negotiated benefits for specifically selected services for the fewest number of people at the lowest possible cost.

The reimbursement mechanism from your dental insurance company is merely a mathematical formula for the benefits you will receive and the percentage of the dentist’s fee that will be paid. This percentage is determined by a nebulously preconceived formula based upon a “usual and customary” fee supposedly figured by collecting a given number of dental fees and then apply an average to determine the fees the insurance company will pay. It has been our experience that the fees determined by this method are significantly lower than any average fees in the area. We choose not to compromise your care based upon the arbitrary price restraints imposed by the insurance industry.

Many people do not realize that each dental insurance plan has a fixed dollar amount limitation each year. Once this limit is reached, no other services will be provided by the insurance company, regardless of the need or how essential the service may be for your dental health.