Austin
Dallas
General Dentistry
Restorative Dentistry
Cosmetic Dentistry
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$99 New Patient Special! - Learn More
Insurance Coverage
At Enamel Dentistry, We accept most dental insurance plans, and we bill for services through insurance, just like a typical dentist’s office.
Hassle-free coverage options
We Accept 100+ Insurance Plans
Don't see your insurance above? Click here and call us to find out if we accept yours.
Hassle-free coverage options
We Accept 100+ Insurance Plans
Don't see your insurance above? Click here and call us to find out if we accept yours.
Not Using Insurance? Here’s What To Expect.
Service
Cost
Emergency Exam
New Patient Exam
Cleaning
Fillings
$99
$99
$114-$320
$193-$425
*We include a range because final cost can vary based on your location and the complexity of the treatment your dentist recommends.
Tooth troubles?
Frequently Asked Questions
Dental insurance is like a trusty sidekick for your teeth. It typically operates on a 100-80-50 coverage model. This means it's super generous with preventive care, covering 100% of costs for check-ups and cleanings (because who doesn't love a free teeth spa day?). For basic procedures like fillings, it's still quite the pal, covering around 80%. But when it comes to major procedures, like getting crowns or bridges, it's a bit more reserved, covering about 50%. There's also a yearly maximum, which is the cap on what the insurance will pay in a year – think of it as the insurance's way of saying, "I'll help, but let's not go crazy with the spending!" And don't forget the deductible, the initial amount you pay before insurance starts sharing the bill. It's like the cover charge at a club – pay a little to get a lot more in return. So, in essence, dental insurance is your financial buddy in keeping your smile bright and your wallet not too light!
Dental insurance is like a safety net for your smile, typically covering a range of services to keep your teeth in tip-top shape. It's a champ at covering preventive care, usually handling 100% of costs for routine check-ups, cleanings, and X-rays, encouraging you to keep those pearly whites sparkling. For basic procedures like fillings and root canals, it often steps in to cover a good chunk, around 80%. When it comes to major procedures like crowns, bridges, and sometimes orthodontics, it's still in your corner, usually covering about 50%. However, it's important to remember that there's often a yearly maximum, so it's like your dental insurance saying, "I've got your back, but let's keep it reasonable!"
If you’re out-of-network, it means Enamel Dentistry doesn’t have a direct contract with your insurance provider. However, this doesn’t mean we don’t take your insurance! We accept all insurance except DHMOs, Medicaid, Healthplex, and Emblem. In-network providers have negotiated prices with us; for out-of-network patients, we use the base price for the service and your out-of-network coverage percentages to calculate your cost.
You can check with your insurance company to find out what your out-of-network benefits are and what they cover, or we can look it up for you. Let us know your carrier name and subscriber ID, and we can give you a full breakdown of your benefits.
Good news—out-of-network benefits often cover preventative services at 100%! This includes services like exams and cleanings.
In the realm of insurance, dental plans often follow a 100-80-50 coverage rule: they cover 100% of preventive care (like cleanings), 80% for basic procedures (hello, fillings!), and 50% for major work (crowns, anyone?). But here's the twist: dental plans usually have a yearly maximum, which is the cap on what they'll pay within a year – think of it as a financial finish line. In contrast, medical insurance deductibles are more like a starting gate; you pay up to a certain amount before coverage kicks in, but without a yearly cap on benefits. So, while dental insurance plays a game of "up to a point," medical insurance is more of a marathon with a broader coverage scope but no finish line in sight.
PPO stands for “Preferred Provider Organization.” PPOs don’t require you to choose a primary dentist (although it’s always recommended) and you don’t need referrals to see a specialist. Choosing a provider in your plan’s network will help you save money. This is different from DHMO insurance plans. DHMOs typically cover dental services at a low cost with minimal to no copayments, provided you visit a pre-selected primary care dentist or dental facility. With a DHMO, you’re also restricted to your primary dentist unless they refer you to a specialist.
In most cases, dental insurance covers two exams and cleanings each calendar year.
At Enamel Dentistry, we charge $375 for a dental exam and cleaning.
In most cases, yes! However, there are some exceptions and rules to be aware of depending on your insurance policy. For example, a dental implant won’t be covered if you were missing a tooth and your coverage has a “missing tooth clause.” We’re happy to let you know which rules apply to your specific coverage.
In most cases, orthodontics is covered by dental insurance, but there are typically rules surrounding the age of the patient, who on your plan can use orthodontic benefits, and coverage amounts. We can let you know which rules are in place for your specific coverage.
Watch this video here to see what insurance we accept.
If you have questions about what’s included in your benefits, whether a specific procedure is covered, or any other insurance-related questions, give us a call or send us a message online!