(763) 786-3432 640 Civic Heights Drive Circle Pines, MN 55014

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Circle Pines Dental Insurance Coverage

Insurance coverage forms Offering affordable preventive, restorative, and cosmetic dentistry services is important to the caring dentist and dentistry team at Circle Pines Dental. One way that we help make your necessary dental care more affordable is by processing and filing dental insurance claims to maximize benefits and minimize out of pocket treatment costs. If you have questions about your dental insurance coverage, don’t hesitate to reach out to our knowledgeable team. We work with benefit plans on a daily basis, so we can often answer your questions right away. If we don’t have an answer for you, one of our team members will reach out to your insurer to find out. Call our Circle Pines dentistry office to find out more about insurance coverage for your necessary dental care or to schedule an appointment with us.

Dental Insurance Policies

Laughing woman with beautiful smile There are two main types of dental insurance policies, health maintenance organizations (HMO) and preferred provider organizations (PPO). Both types of plans cover a portion of the cost of necessary dentistry services up to an annual plan maximum that is usually between $1000 and $1500. In return, you pay a monthly premium. HMOs place restrictions on what dental services you can receive and what dentists you can visit. We are not currently in-network with any HMO plans, but we are happy to process and file dental insurance claims for PPO benefit providers. Our team works with these providers on a regular basis, so we can keep your out of pocket costs to a minimum.

Covered Services

Man receiving dental treatment Every plan is different, but you will likely receive some combination of the following benefits:

  • Preventive care – 80 to 100% coverage for dental checkups, teeth cleanings, and other services to protect your smile
  • Restorative dentistry – 50 to 80% coverage for fillings, crowns, bridges, and other conservative dental care
  • Orthodontics – when elected, 20 to 70% coverage is usually available for both traditional bracket and wire braces and more cosmetic solutions like alignment tray orthodontics
  • Miscellaneous services – can receive 10 to 50% coverage in some cases for other dental treatments like sedation dentistry, sportsguards, and oral appliances

In-Network VS Out of Network Dental Care

Smiling senior woman holding green apple One of the many benefits of PPO dental insurance coverage is that you can receive benefits no matter what office you visit. When you visit an in-network dentist with your PPO plan, you know you’ll have the lowest out of pocket treatment costs because in-network dentists agree to charge prices deemed fair by your insurer. Out of network dentists may charge higher fees, but you’ll need to pay the difference in price as well as the out of pocket percentage of the cost of treatment. Our office will process and file dental insurance claims for the majority of plans, and we offer in-network coverage for all of the following plans: