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Insurance we are "in network" with:
We accept and bill to all PPO insurance as long as they pay “out of network” providers. If we are “out of network”, your coverage may vary.
Understanding Your Dental Benefits
There are as many different plans as there are contracts. Your employer has selected your plan and is ultimately responsible for how your contract is designed. Remember, whether your plan covers a major portion of your dental bill or only a small amount, dental benefits are good for patients because they help pay for necessary treatment.
It is important to know that each contract will specify what types of procedures are considered for benefits. Even if a procedure is medically and dentally necessary, it may be excluded from your contract. This does not mean that you do not need the procedure. It simply means that your plan will not consider the procedure for payment. Cosmetic procedures and implants are often excluded from a dental plan.
It is a mistake to let benefits be your sole consideration when determining what to do about your dental condition.
Financing Options
We proudly offer financing through Care Credit. Many flexible payment options are available to help you get the treatments you want or need. The application process is quick and easy.
We proudly offer financing through Cherry. Many flexible payment options are available to help you get the treatments you want or need. The application process is quick and easy.
If you need help with any of these options, just give us a call at: (209) 858-4700
Frequently Asked Insurance Questions
If my plan says that my exams and certain other procedures are covered 100%, why would I have to pay?
That 100% is usually what the insurance carrier allows as payment toward the procedure, not what your dentist or any other dentist in your area may actually charge. For example, say your dentist charges $80 for an examination (not including x-rays), your carrier may allow $60 as the 100% payment for this examination, leaving $20 for you to pay.
How does my insurance carrier come up with its allowed payments?
Many insurance carriers refer to their allowed payments as UCR, which stands for usual, customary, and reasonable. However, usual, customary and reasonable often doesn’t mean exactly what it seems to mean. UCR is actually a listing of payments for all covered procedures negotiated by your employer and the insurance company. This listing is related to the cost of the premiums and where you are located in your city and state. Your employer has likely selected an allowed payment or UCR payment that corresponds to the premium cost they desire. UCR payments could more accurately be called negotiated payments.
Since the payments are negotiated, does this mean that there is always a balance left for me to pay?
If I always have a balance to pay, what good is my insurance?
Even a benefit plan that does not cover a large portion of the cost of needed dentistry pays something. Any amount covered, reduces what you have to pay out of pocket, so it does help!
Why do some benefit plans require me to select a dentist from a list?
Why does my benefit plan only pay toward the least expensive alternative treatment?
I know that my insurance plan doesn’t go into effect until next month. Why won’t my dentist do my treatment today and send the claim in next month?
What should I do if my insurance doesn’t pay for treatment that I think should be covered?
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What our clients are saying
The rest of the staff is amazing, professional, friendly, and very down to earth, easy to talk to and work with. Every step of the process and the reasoning behind the work are well explained, answers all your questions and treats everyone like you are family. They’re very understanding, and if you’re scared or nervous, they’ll make you feel calm with no judgement. You will feel like having a family member helping you through these moments of fear and nervousness because they actually listen and care.
We appreciate you Dr. Tran, Dr. Nguyen, and staff!
Love,
The Balelo family











