Frequently Asked Questions
Are you an in-network dental provider?
Yes, we are in-network with all PPO insurance plans.
Are you in-network with Delta Dental?
Yes we are in-network with delta dental PPO plans.
Will you bill my insurance for me?
No, we will not bill your insurance for you, but we will provide the claim form, x-ray, and exact notes and instructions needed for you to send your own claim in.
How much do insurance companies typically pay for crowns?
The most common reimbursement rate for crowns is 50%. If your crown qualifies for insurance coverage and you have over $400 in benefits remaining, you can anticipate about $400 coming back to you.
What if my insurance does not pay for my crown?
There are a variety of reasons you might not be paid back as much as you anticipated for your crown.
- You did not have benefits remaining for the year. Some plans are calendar year (January-December), some are plan years and can start and end on any month (ie March-March, September-September etc.)
- Your crown did not qualify for replacement (if you have already had a crown done on that tooth in the last 5 years)
- It is a crown done for aesthetics (no fractures, cracks, or deep decay)
- It is on the front teeth
- There was missing information on the claim form
We encourage you to contact your insurance if you do not receive a check back within one month.