- Dental insurance -

Understanding Your Coverage with Us

At our practice, we believe everyone deserves a healthy smile! That’s why we’re committed to making dental care accessible, regardless of your insurance plan. We accept all PPO (Preferred Provider Organization) dental insurance plans but want to clarify that we are considered out of network with these plans.

What Does "Out of Network" Mean?

Being "out of network" means we do not have a contracted rate with your insurance company. However, you can still use your PPO insurance benefits at our office!

Here’s how it works:

  • Freedom to Choose: With a PPO plan, you have the flexibility to choose any dentist, even if they are out of network. You are not limited to a specific list of providers.

  • Coverage Still Applies: Your insurance will still cover a portion of your treatment costs, although the coverage percentage may be slightly different than if you were seeing an in-network dentist.

  • Reimbursement Process: After your appointment, we will help file your insurance claim on your behalf. Your insurance company will reimburse you directly for the covered portion of your treatment.

What to Expect When Using Your PPO Insurance with Us

  • Claims Submission

    After your appointment, our team will file the claim directly with your insurance company on your behalf. We handle the entire process to make it as easy as possible for you.

  • Insurance Reimbursement

    Your insurance company will determine the amount they cover based on their "usual and customary" rates for out-of-network providers. This amount will be applied to your account, and you will only be billed for any remaining balance.

  • Maximizing Your Benefits

    Even though we’re out of network, we strive to maximize your insurance benefits and minimize your out-of-pocket costs. Our team is always available to answer your questions and help you understand your coverage.

Why Choose Us Even If We’re Out of Network?

  • We prioritize your comfort, care, and overall experience. Our team takes the time to get to know you, ensuring a personalized approach to your dental health.

  • Our highly skilled and experienced dental professionals are dedicated to providing the best possible care, using the latest technology and techniques.

  • We are transparent about all costs and work with you to understand your benefits, so there are no surprises.

- FAQ

Questions or concerns on your mind?

Our dedicated team is here to provide the assistance you need. Feel free to reach out – we're ready to help!

c: (512) 345-4998
e: info@nwhsmiles.com

  • Being "out of network" means we do not have a direct contract with your insurance company. However, you can still use your PPO benefits at our office. Your insurance will still cover a portion of the costs, but the reimbursement rates may differ from in-network coverage.

  • Yes! PPO plans typically provide coverage for out-of-network providers, though the percentage covered may be slightly lower than for in-network providers. We will submit your claim directly to your insurance company to help you maximize your benefits.

  • We recommend checking your PPO plan details or contacting your insurance provider to understand your out-of-network benefits. Our team can also help provide an estimate based on your plan and the type of treatment you need.

  • We will handle the entire claims process for you. After your appointment, we’ll file the claim with your insurance company on your behalf, ensuring you receive the maximum reimbursement possible.

  • Your out-of-pocket costs may vary depending on your specific insurance plan and coverage. We strive to provide transparent information about your treatment costs and help you understand how your benefits apply.

  • If your insurance does not cover the full cost, you will be billed for the remaining balance. We offer flexible payment options and are here to help you understand your financial responsibility upfront.

  • You can check your insurance policy details or contact your insurance provider directly to verify your out-of-network coverage, including any deductibles, co-pays, and maximum benefit amounts.

  • Absolutely! Our team is here to help you navigate your insurance benefits, answer any questions, and provide you with an estimate of any potential out-of-pocket costs.

  • Michelle K.

    "Wow, what an amazing dental clinic. Everyone was so friendly and helpful. I felt well informed about my dental health upon leaving and generally had a good time! Also, almost all women staff!!! Stellar!"

  • Edwyn A.

    "Excellent and friendly staff. Been going here for several years. Dr. Vo and fellow dentists are very knowledgable and the assistants and hygenists are awesome."

  • Kevan I.

    "This is a 5-star dental practice. Everyone who works here loves their job, and they are all so friendly. A beautiful office with windows looking over the greenbelt. In and out with no hassles or waiting."