Insurance

At New Smiles Dental Excellence of Frisco of Frisco, we know that you aren’t necessarily rolling in extra money. If you’ve been avoiding going to the dentist to save money, you’ve given the damage and decay more time to build up. You may be thinking that there’s no way you’ll be able to afford all of the expensive dental procedures that you need, so you just avoid the dentist even longer.

Fortunately for you, New Smiles contracted with all major PPO insurance carriers and a select few DMO Insurances. Please call our office (469)-458-2035 or email us for details. If you already have dental insurance, you’ll probably never pay a penny when you come to see us for regular, preventive procedures.

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Frequently asked questions

Our office may not have a direct contract with your insurance provider, but that doesn't mean we don't accept your insurance. For carriers we do have a contract with, we offer in-network fees. If you are out of network, we use the base price for the service and apply the coverage percentages corresponding to your out-of-network benefits to determine your out-of-pocket costs. We accept major PPO insurances, but we are not contracted with Medicaid, Medicare, or HMO plans.

Dental insurance operates similarly to other employer-provided insurances like Medical and Vision. Typically offered by employers, dental insurance involves monthly premiums, provider restrictions, and varying benefits. Unlike medical insurance, dental insurance has a yearly maximum reimbursement limit set by the provider, while medical insurance covers costs after the individual reaches their out-of-pocket maximum.

Dental insurance operates in a similar way to medical insurance, but with a key difference. The insurance provider covers up to a certain amount in a benefit period, while the patient is responsible for any costs exceeding that limit. It's important to know your plan's maximum allowable amount when considering more expensive treatments. Dental PPO plans typically categorize coverage into preventive, basic, and major services, with varying percentages covered for each. It's important to review your personal benefits to understand your specific coverage. Any costs not covered by insurance are the patient's responsibility.

Dental insurance usually includes a wide range of dental services, such as exams, cleanings, fillings, crowns, oral surgery, and orthodontics. These services are categorized as preventive, basic, and major, with coverage percentages determined for each category (usually 100%, 80%, and 50%). Orthodontic coverage is unique, with specific rules regarding age, covered individuals, and maximum benefits. Typically, orthodontic coverage has a lifetime maximum rather than an annual limit.

A PPO, or preferred provider organization, allows you to see any dentist without needing a referral. However, you can save money by choosing a dentist within the PPO network. This is different from HMO/DHMO plans, which require you to select a primary dentist and only allow you to see other dentists if referred to a specialist. HMO/DHMO plans typically have low costs and minimal copayments for services.

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(469)-458-2035

Insurance

Insurance

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Frequently asked questions

New Patients & Emergency Appointments Welcome!

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Office Hours

Monday: Closed
Tuesday: 9AM – 5PM
Wednesday: 10AM – 6PM
Thursday: 9AM – 5PM
Friday: 9AM – 5PM
Saturday: Open 2 Saturdays a month
Sunday: Closed

Office Details

2875 West Main Street, Suite 102 Frisco, TX 75036

Call Us: (469)-458-2035

Fax Us: 469-458-2036