Frequently Asked Questions
About Insurance
Dental care shouldn’t feel like a hassle. That’s why we make it accessible for every family with in-network options. for multiple insurance providers and commitment to maximizing your benefits. we’ve got your back.
With which insurance companies do you participate?
United Concordia
Delta Dental
Met Life
Guardian
Aetna
Humana
Dentemax
Paramount
UPMC
WV Medicaid Adult & Children
AND MORE
Can I come to your office if you are not a preferred provider?
Everyone is welcome at our office. We process claims from most dental
insurance companies, and find that their coverage varies widely, depending on
your plan. We are always happy to help you understand your coverage, your
out-of-pocket expenses, and will gladly submit your dental claims at no cost to
you.
What is a PPO? (Preferred Provider Organization)
A PPO is a dental insurance plan that gives you the freedom to choose your
dentist. Your benefits will vary between In-Network and Out-Of-Network
providers.
What is a predetermination?
A predetermination is a written request for verification of benefits for a specified
procedure. Although it helps us determine your insurance company’s financial
responsibility for your particular treatment, it does NOT guarantee their payment
at the time of service. Variables such as deductibles, policy provision changes,
and other claims submitted for payment, decreasing your maximum yearly
benefit available, can all change the original authorized amount.
Why won’t my insurance company pay for the treatment that my dentist recommends?
Advanced Dentistry will always recommend the most appropriate care for you,
based on diagnosis and consultation. Your insurance company will approve the
least comprehensive approach, in an effort to control their costs. We will always
believe that insurance coverage should not dictate treatment when it comes to
our patients.
What to Expect
The dentist will perform a complete oral examination and discuss any treatment you
may need. The examination can identify conditions as tooth decay, periodontal
diseases, and even oral cancer. Teeth cleaning may be performed during your first
visit or might be scheduled for a follow-up visit depending on the condition of your teeth and gums.
What to Bring
To make your visit as pleasant and brief as possible, there are a few things you should
bring with you. If you've had dental x-rays in the last six months, please have
them forwarded to our office. If not, new x-rays will be taken only as necessary. With
just a few simple forms, we’ll ask for relevant medical history, any medications you
might be taking, your dental history, and any dental insurance coverage you might
have.