Grapevine, TX 76051
(817) 481-1041
Dental Insurance – Grapevine, TX
Top-Quality Care at an Affordable Price
At Smiles by Martin, we pride ourselves on providing top-quality care at an affordable price. That is why we welcome dental insurance and are always eager to help patients take full advantage of their benefits. Whether you have a policy through your employer or purchased one on your own, we are eager to help you understand how it can be used to keep your costs for preventive and restorative care to a minimum. We are even in-network with some popular plans!
Read this page to learn more about the basics of dental insurance, and give us a call if you have any questions. We look forward to speaking with you!
How Dental Insurance Works
Every dental insurance plan is a bit different from the next, so you should look at your unique policy to find out exactly how it works. In the meantime, we can give you an overview of the coverage provided by most standard PPO insurance plans:
- Preventive care: 100% covered. Cleanings, exams, and routine X-rays usually fall into this category.
- Minor restorative care: 70 – 80% covered. Fillings and simple extractions are usually classified as minor services.
- Major services: 50% covered. Crowns and some types of oral surgery are often deemed to be major services.
What Is the Difference Between Dental & Medical Insurance?
Medical and dental insurance are both designed to help you stay well. However, dental insurance has a strong preventive focus. By covering things like cleanings and exams, it can help you maintain your oral and overall health. Medical insurance, on the other hand, is broader in scope. While it does not cover most basic dental services, it can sometimes be used to help pay for major services that affect oral health, such as some types of surgery.
In-Network vs. Out-of-Network
If you have a PPO dental insurance plan, you can use it at virtually any dental practice, regardless of whether that practice is in-network with your insurer. However, network status can have a small effect on how much you are obligated to pay out of pocket.
In-Network Coverage
If a provider is in-network with your insurance, it means they have a contract that controls prices. This helps both patients and the insurance company to save money. Also, you may find that your coverage is greater at in-network practices. For example, you might receive 80% coverage for fillings in-network but only 70% if you go out of your network.
Here at Smiles by Martin, we are proud to be in-network with the following plans:
- Cigna
- All Delta Dental PPO plans
Out of Network
Even if we are not in your insurance network, we still invite you to use your PPO benefits in our practice. We can help you to understand how your coverage applies, give you a candidate estimate for your out-of-pocket costs, and file all necessary claims on your behalf. You can still expect to receive excellent care at a fair and manageable price!