7515 Greenville Avenue, #810
Dallas, Texas 75231



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Office Policy Regarding Dental Insurance


If we have received all of your insurance information on the day of your appointment, we will be happy to file your claim for you. If you are not familiar with your insurance carrier's benefits, we will try and help you as much as we can. At the time of treatment, we will collect from the patient the estimated amount that insurance is not expected to pay. By law, the patient's insurance carrier is required to pay each claim within 30 days of receipt. We file insurance claims electronically so that the patient's insurance carrier will receive each claim within days of the treatment. The patient is responsible for any open balance on account after 90 days, whether insurance has paid or not and at that time we will have you contact the insurance carrier to accelerate the payment process.

Please understand that we file dental insurance as a courtesy to our patients. We do not have a contract with any insurance carrier - only the patient does. We are not responsible for the way that insurance company handles its claims, or for what benefits they pay on a claim. We can assist patients in estimating the patient's out-of-pocket portion of the cost per treatment but we will at no time guarantee what insurance will or will not do with each claim. 


Dental Insurance Facts

Dental insurance are structured by percentages and do not typically have co-payments. Preventive treatments (cleanings, exams and x-rays) are usually paid at 100% of usual and customary. Basic treatments (fillings, root canals, etc.) are usually paid at 80% of usual and customary after you pay your yearly deductible. Major treatments (crowns, bridges, partials, dentures, etc.) are usually paid at 50% of usual and customary after the patients pay any required annual deductible.

Deductibles. There is usually a maximum deductible per year. The dental deductible applies to each covered person for each benefit period. It refers to the amount of eligible expense a person must incur during the benefit period (which can be a calendar year or a fiscal year depending on the carrier) for dental care before receiving reimbursement for services.

Some insurance policies have a missing tooth clause that states that if a patient has a missing tooth before becoming insured through their plan then they will not pay to have the tooth replaced.

Some policies have a replacement clause that states that if the patient needs a crown or bridge (or similar) replaced, then they will only pay the plan allowed portion if it has been over 5 to 10 years since the initial procedure. The replacement clause is differs from plan to plan.

Patient or policy holders who have questions or concerns regarding dental insurance claims or typical carrier policies, should contact Kim Cochran in our office. Kim has over 25 years of experience with filing dental claims and working with dental insurance companies and is happy to assist.





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