Endodontic fees are based on the complexity of the procedure. You will be advised of the fee for each procedure at the time of consultation. We are a participating provider of many insurance plans.
We welcome any questions you may have about payment and insurance benefits. We will make every effort to help you get reimbursed by your insurance carrier. Co-payments are due in full at the time of service. We accept personal checks, debit cards, VISA, MasterCard, American Express and Discover.
Insurance FAQ
What is a "UCR" and how is it determined?
"UCR" is the term used by insurance companies to describe the amount they are willing to pay for a particular endodontic procedure. There is no standard fee or accepted method for determining the UCR and the UCR has no relationship to the fee charged by our office. The administrator of each dental benefit plan determines the fees that the plan will pay, often based on many factors including region of the country, number of procedures performed and cost of living.
Why was my benefit different from what I expected?
Your dental benefit may vary because: you have already used some or all of the benefits available; your insurance plan paid only a percentage of the fee charged by our office; the treatment you needed was not a covered benefit; you have not yet met your deductible; or you have not reached the end of your plan's waiting period and are currently ineligible for coverage.
Why isn't the recommended treatment a covered benefit?
We diagnose and provide treatment based on our professional judgment and not on the cost of that care. Some employers or insurance plans exclude coverage for necessary treatment as a way to reduce their costs. Your plan may not include this particular treatment or procedure, although we deemed the treatment necessary.
How do I know what my payment portion will be if my insurance does not cover the entire fee?
Your payment portion will vary according to the UCR of your plan, your maximum allowable benefit and other factors. Ultimately, the patient portion is not known until the insurance check has been received by our office.
How do I understand my Explanation of Benefits (EOB)?
Your Explanation of Benefits (EOB) contains a wealth of information. The EOB identifies the benefits, the amount your insurance carrier is willing to pay and charges that are and are not covered by your plan. The statement includes the following information: UCR, co-payment amount/patient portion, remaining benefits, deductible and benefit paid.
How long does it take for a claim to be paid?
The time for a dental insurance carrier to process an insurance claim varies. We find that, on average, dental insurances take 30-60 days to process a claim.