How Most Dental Plans Categorize Dental Services in Silver Spring, MD?

Traditional dental plans are issued by an insurance company which may have certain terms and conditions on dental services such as waiting periods, pre-existing conditions, and benefit maximums. HMO’s and PPO’s are types of insurance where your dental care is only provided by “participating” dentists. Dr. Rezaiyan at Spring Dental Associates in Silver Spring, MD accepts most PPO dental insurance.

A good dental plan provides regular and on-going diagnostic and preventive care. The goal of dental coverage is prevention or treating dental issues early to avoid time, money and effort spent; to correct problems when they are small.

A plan should be structured in such a way that it provides generous benefits for prevention and early detection and correction of issues. Hopefully, only a minimal amount of major dental services will be needed. However, when major dental services are required from your dentist in Silver Spring, MD, your plan's benefits should offer enough so that the procedures are obtainable.

Preventive and Diagnostic Dental Services

  • Examinations and cleanings – twice a year
  • Bitewing x-rays – once a year
  • Periapical x-rays
  • Full mouth, panorex x-rays – once every three years
  • Fluoride treatments – twice a year
  • Tooth sealants (for young children)

Basic Dental Services

  • Amalgam fillings
  • Composite fillings (white fillings)
  • Routine tooth extractions
  • Recementing dental crowns
  • Non-routine x-rays
  • Root Canals

Major Dental Services

  • Dental crowns
  • Bridgework
  • Implants
  • Oral surgery procedures
  • Dentures, partial and complete
  • Denture relines
  • Denture repair
  • Orthodontic treatment

Depending on your insurance carrier, some procedures by your dentist in Silver Spring, MD may be considered either basic or major. Periodontal treatment may be classified as basic or major dental service. Gum treatments are sometimes surgical (major) or non-surgical (basic) such as periodontal scaling and root planing. Root canals are more commonly a basic service but might be considered a major service under some policies.

Preventive dental services are most likely covered at 80 to 100% of the UCR (usual, customary, reasonable) fee. Basic services (routine dental services) are usually covered slightly lower (typically 50 to 80%). Dental services such as dentures and crowns in Silver Spring, MD will usually be covered at a lower rate (50%). Most dental insurance plans do not cover dental implants.

The office staff at your local dentist, Dr. Rezaiyan in Silver Spring, MD can assist you with any of your insurance questions and filings.

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