Dental Insurance – Mt. Holly, NJ

Understanding How Dental Insurance Works

When enrolling in available dental coverage either on your own or through your employer, you will agree to pay a monthly premium for access to available benefits. Some plans offer or require a predetermination of benefits prior to beginning a course of treatment. We will submit the appropriate forms to your insurance company. The insurance company will return the forms explaining the amount of coverage for your treatment. There is usually a three- to five-week turnaround time for these forms.

Dental insurance typically covers 50% to 80% of the cost of dental treatment. There is usually a deductible and a yearly maximum that also apply. Some policies state they cover a percentage of the "usual and customary fee" for a specific geographic area. However, they are the ones who set these fees and determine the areas to which they relate, and they may not always be the same as the fees charged by this dental office.

We will provide all the assistance we can in seeing that you receive the maximum benefits your insurance plan allows. We will do our best to see that you receive your full benefits within the structure of your particular plan.

What is the Difference Between Dental and Medical Insurance?

Dental insurance is different from medical insurance in several ways. Most medical insurance plans have a sizable deductible that eliminates coverage for small claims. These policies are designed to help cover large, unexpected expenses.

Dental insurance, on the other hand, has a small deductible, and it covers the smaller procedures to a great extent and the larger procedures to a lesser extent. For example, routine dental cleanings might be covered at 100%, fillings at 80%, and crowns or bridges at 50%. There is also a yearly maximum of typically between $1,000-$2,000. The idea is to encourage patients to pursue preventive care before certain problems require restorative or emergency dental care.

Our In-Network PPO Dental Insurance Providers

Most dental insurance plans have in-network and out-of-network benefits. While many dental offices claim to be “in-network providers,” others opt to provide affordable care without sacrificing quality. We have an excellent staff, we demand excellence from the labs we use, and we do not cut corners on techniques or materials. We see this as part of our commitment to you as our patient. We will always stay current through continuing education, to allow a reasonable amount of time for every patient, and to stand behind the treatment we provide.

Don’t see your plan? We likely take it! Reach out to our team today!

• Aetna (PPO, Dental Expense)
• Cigna (PPO, DPPO)
• Delta Dental (PPO + Premier)
• GEHA (PPO)
• Guardian (PPO)
• Horizon Blue Cross Blue Shield of New Jersey
• MetLife (PPO, PDP)
• Principal Financial Group (PPO)
• Sun Life Financial (PPO)
• Tricare Dental Program (Fee for Service)
• United Concordia (PPO)
• And many more!