Sometimes yes, sometimes no. Each employer chooses a plan with a certain list of allowable fees, known as a fee schedule. As you use your insurance, we get to learn your plan’s allowable fees. If an insurance indicates they cover a dental wellness visit at 100%, but their fee schedule allows up to $170 for a dental wellness visit then they will pay a total of $170 for the visit. Many times the insurance’s allowable fees are the same as our office fees. Sometimes they aren’t. If we bill your insurance for a dental wellness visit at $180, and they allow 100% of $170, you will be responsible for the remaining $10.
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