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Dental Insurance – Green Hills, Nashville, TN

Affordable Dentistry to Keep You Smiling

Dental insurance coverage form

Offering affordable dentistry is always a top priority at Green Hills Dental Center. We work hard to set fair dental treatment pricing that fits within the average for the Green Hills, Nashville area. In addition to keeping our pricing well within the average for our geographic area, we also process and file dental insurance claims to help further offset the out of pocket costs of your dental care. Whether you’re new to the area or just looking for a new dentist, give our team a call. We’ll be happy to answer your dental insurance questions and help you to make the most of your available benefits.

How Dental Insurance Works

Man receiving dental checkup

Every dental insurance plan represents a unique agreement between an insurer and a patient. In exchange for the payment of a monthly plan premium, you’ll receive coverage for a percentage of the out of pocket costs of covered dentistry services. While individual dental policies will vary, most plans provide some combination of the following coverage:

  • 100% preventive care covered
  • Minor restorative care around 70%-80% covered
  • Major restorative care around 50%

What is the Difference Between Dental & Medical Insurance?

Young girl receiving fluoride treatment

Every insurance plan is unique, but many patients wonder why their dental benefits don’t seem to provide the same level of coverage as medical plans. The main difference between these two types of insurance is the covered services. Most dental plans provide the greatest amount of coverage for your preventive care, encouraging patients to keep up with their dental checkups and teeth cleanings. While medical insurance also covers preventive care, the majority of medical benefits are put toward treatment for chronic conditions and emergencies.

In-Network VS Out of Network Dentistry

One of the other ways that dental insurance differs from medical benefit coverage is in the way the networks function. Where medical insurance networks restrict which providers patients can visit, most dental insurers allow patients to visit any dentist and still receive some coverage. Keep reading to learn more about the differences between in-network and out of network dental benefits.

In-Network Coverage

Dentist and patient looking at dental x-rays

When you visit an in-network dentist, you know you’ll have the lowest out of pocket costs. For our in-network insurers, we agree to charge fees that fall within their maximum price range for covered services. That means you’re only responsible for the out of pocket percentage of the costs of dental care. Out of network insurers don’t agree to the plan’s set pricing, so you may be responsible for an additional fee to make up the price difference between your insurer’s maximum and the fee charged by the dentist. For the most part, these difference in pricing are minimal, but when you visit an in-network dental office, you won’t need to worry about extra fees. We offer in-network coverage for all of the following providers:

Out of Network Coverage

If your plan isn’t one of our in-network insurance policies, we can still help you make the most of your benefits. In most cases, our prices will fall within your insurer’s set pricing, but there may be situations where the fees we charge are higher than your insurance policy maximum. Typically, this difference in pricing and your added out of pocket costs are minimal, but if you’re ever concerned about pricing, please let us know.