Insurance & Payment
Options
Premium dental care should be clear before treatment begins. Dental Implants & Cosmetics is a fee for service practice, which means we are not enrolled as an in network provider with dental insurance plans. We can still help you understand your benefits, prepare claim information, and submit documentation to your carrier when applicable.
Payment is due at the time of service. Any insurance reimbursement depends on your individual plan and carrier.
How insurance works
at our practice
Dental Implants & Cosmetics is a fee for service dental practice. We are not enrolled as an in network participating provider with any dental insurance plan. This is a deliberate choice, not a limitation.
Patients pay the practice directly at the time of service. As a courtesy, our team may assist with preparing and submitting claim documentation to your carrier when applicable. Whether your carrier provides any reimbursement, how much, and on what timeline is determined solely by your individual plan.
We are transparent about fees before treatment begins. If you have dental insurance, we encourage you to contact your carrier before your appointment to ask about your out of network benefits. We are happy to provide the procedure codes and fee information you need to make that inquiry.
Not in network
We are not contracted with dental insurance plans as a participating provider. This is a deliberate model choice.
You pay us directly
Payment is due from the patient at the time of service or per an approved written financial arrangement.
Claim assistance as a courtesy
Our team may prepare or submit documentation to your carrier when applicable. This is offered as a courtesy.
Reimbursement is between you and your carrier
What your carrier pays, when, and whether they pay at all is determined by your plan terms. We have no control over that outcome.
No surprises on fees
Every fee is presented and explained before any treatment begins. You decide whether to proceed with full information.
Why we chose a
fee for service model
Insurance contracts come with restrictions: approved materials, fee schedules, frequency limitations, and benefit caps that have nothing to do with what is clinically best for you. A fee for service model removes those constraints.
Treatment designed around the patient
When we plan implant treatment, All-on-X, or a full arch restoration, the plan reflects your anatomy, your bite, your goals, and your timeline. Not what a benefit period allows or an approved material list permits.
No material substitutions for coverage reasons
For veneers, crowns, implant components, or restorations, we recommend the material that is right for your situation. If a better option exists, we use it. You receive honest, complete information about the difference.
Appropriate time at every appointment
Fee for service practices are not volume dependent. Your appointments are not compressed to fit an insurance production model. Each visit receives the attention your care requires.
Advanced diagnostics and planning tools
Three dimensional cone beam imaging, digital smile design, guided implant planning, and full diagnostic workups are used when clinically indicated, not when they fall within a plan benefit.
Doctor led planning at every step
Every treatment recommendation is made by the treating dentist based on your clinical findings and goals. The insurance plan does not determine the recommendation.
What you pay
at the office
Payment is collected directly from the patient at the time of care or according to an approved written financial arrangement. Here is how the process works from your first visit forward.
You Pay the Practice Directly
Payment is collected from the patient at the time of service or according to an approved financial arrangement. We are transparent about fees before any treatment begins.
We Help With Claims
As a courtesy, our team may prepare and submit claim documentation to your dental insurance carrier when applicable. This is offered to support you, not as a guarantee of reimbursement.
Your Carrier Reviews Benefits
Your insurance carrier reviews any submitted claim and determines eligibility, coverage, and reimbursement based solely on your individual plan terms. We have no control over that outcome.
Clear Expectations Before Treatment
We explain fees clearly before treatment begins. You will know what the visit costs, what financing options are available, and what questions to ask your carrier before you commit.
What dental insurance
may cover
Out of network benefits vary significantly by plan and carrier. Some plans may provide benefits toward diagnostic, preventive, restorative, surgical, or implant related procedures. Others have limited or no out of network benefits.
Cosmetic procedures including veneers, teeth whitening, and aesthetic upgrades are typically limited or excluded by dental insurance plans. We explain this clearly before any cosmetic treatment is scheduled.
We never promise reimbursement. We can provide you with the documentation, procedure codes, and fee information to make your own inquiry with your carrier before treatment begins.
Diagnostic procedures
X-rays, exams, and diagnostic imaging may be covered in part depending on your plan and benefit period.
Preventive care
Cleanings and routine preventive services may qualify for out of network benefits under some plans.
Restorative treatment
Fillings, crowns, and bridges may carry some out of network benefit, though the allowable amount varies by plan.
Surgical procedures
Extractions, bone grafting, and other surgical services may qualify under some plans' surgical benefits.
Implant related procedures
Some plans offer partial coverage for implant supported restorations. Coverage varies widely. Many plans exclude implants or apply strict annual maximums.
Cosmetic and aesthetic treatment
Veneers, whitening, and purely cosmetic upgrades are typically excluded from dental insurance benefits. We explain this clearly before scheduling.
Who this model
is best suited for
Fee for service dentistry is not right for every patient, and we will tell you that honestly. It is particularly well suited for patients who value comprehensive, doctor led care and want treatment that reflects their needs rather than a plan's benefit structure.
Dental implants or All-on-X treatment
Comprehensive implant care designed around anatomy and function, not insurance contract allowances.
Fixed solutions for missing or failing teeth
Full arch restorations, implant bridges, and permanent alternatives to removable appliances.
Cosmetic dentistry or veneers
Porcelain veneers, smile makeovers, and aesthetic work that insurance typically limits or excludes.
Private, elevated experience
Unhurried appointments, doctor led treatment planning, and a practice focused entirely on your care.
Doctor led treatment planning
Every recommendation is made by the treating dentist based on clinical findings, not a network benefit schedule.
Clear explanation of all options
You receive a full explanation of your findings, your options, and your fees before any treatment is scheduled.
Care not limited to what an insurance plan allows
When the right material or approach is more than what a plan allows, we use the right one. You pay the difference and we explain why.
Payment options
for your treatment
We offer several ways to manage the financial side of your care. Every option is presented clearly before treatment begins.
Credit and Debit Cards
Visa, Mastercard, American Express, and Discover accepted at the time of service.
ACH Bank Transfer
Direct bank payment accepted for larger treatment investments with prior arrangement.
Third Party Financing
We can discuss third party financing options for patients who prefer to spread treatment cost over time. Terms and approval are between you and the lender.
Phased Treatment Planning
When clinically appropriate, we can structure treatment in phases so care is delivered thoughtfully and financial commitment is managed over time.
Insurance Claim Support
For eligible services, our team can assist with preparing and submitting documentation to your carrier. Reimbursement depends on your plan.
Insurance, implants
and cosmetic dentistry
Some dental plans may contribute toward portions of implant treatment such as the implant body, abutment, or restoration crown. Coverage varies substantially by plan, and many plans apply annual maximums that limit the actual contribution. A plan that pays a portion of one implant may not contribute meaningfully to a full arch restoration.
Veneers and cosmetic treatment are typically limited or excluded by dental insurance plans. In some cases, a plan may allow benefits toward a crown that serves a restorative function even when placed as part of a cosmetic case. We explain what may qualify and what does not.
We provide clear fees and procedure codes so you can contact your carrier before treatment begins. We will never structure treatment in a misleading way to chase a benefit.
Common questions about coverage
Will my plan cover my implant?
Possibly in part. Contact your carrier with the implant procedure codes to ask about your specific out of network benefit before committing to treatment.
Will my plan cover my veneers?
Typically no. Veneers are classified as cosmetic by most carriers and are excluded from dental insurance benefits. Some plans allow a crown benefit if a restoration is placed for functional reasons.
Can I use my FSA or HSA?
Flexible spending accounts and health savings accounts are typically accepted for dental treatment. Confirm with your account administrator what procedures qualify under your specific plan.
How do I find out my out of network benefits?
Call the member services number on your insurance card and ask specifically about out of network benefits for the procedures you are considering. We can provide the procedure codes you need to make that call.
What to bring
to your first visit
Arriving prepared helps us make the most of your consultation time. Here is what we recommend.
Dental insurance card
If you have dental insurance, bring your card so we can note your carrier and plan information, even though we are not in network.
Photo ID
A valid government issued photo identification is required at your first visit.
Recent X-rays or scans
If you have recent imaging from another provider, bring it or have it forwarded. This helps avoid repeating studies unnecessarily.
Your smile goals
Think about what you want to achieve. The more specific you can be, the more useful your consultation will be.
Questions about payment or reimbursement
Write down any financial questions in advance. We are happy to explain fees, options, and what to ask your carrier before treatment begins.
Questions about insurance and payment
Dental Implants & Cosmetics is a fee for service dental practice and is not an in network participating provider with dental insurance plans. Payment is due directly from the patient at the time of service unless otherwise arranged in writing. As a courtesy, our team may assist with claim submission or provide documentation for your carrier. Dental insurance benefits, reimbursement, eligibility, exclusions, limitations, and payment timing are determined solely by the patient's individual insurance carrier and plan. Dental Implants & Cosmetics makes no representation regarding what a carrier will cover, pay, or reimburse. Patients are encouraged to contact their carrier directly to understand their out of network benefits before treatment begins. This page is for informational purposes only and does not constitute financial, legal, or insurance advice.
Your smile has a story.
Let's design
what comes next.
Begin with a private consultation designed to help you understand your options clearly and confidently with no pressure and no obligation.
