Advanced Prosthodontics & Implant Esthetics Insurance Information
Making Quality Specialist Care Accessible
Understanding Your Insurance Benefits for Prosthodontic Treatment
Many patients worry that seeing a specialist means their insurance won’t cover the cost or that the process will be complicated. At Advanced Prosthodontics & Implant Esthetics, we work with you to maximize your dental insurance benefits and make the claims process as straightforward as possible. While we operate as a fee-for-service practice, we’re committed to helping you get the most value from your insurance plan.
Why Choose Advanced Prosthodontics & Implant Esthetics for Dental Implants?
- Two Specialty Prosthodontists
- Treatment Planned & Performed Using X-Navigation
- Relaxing Dental Office w/ Spa-Like Environment
Insurance Information
Working with Your PPO Insurance Plan
Our practice operates on a fee-for-service basis, which means we are not contracted as in-network providers with dental insurance companies. However, this doesn’t mean your insurance can’t help cover your care. We process benefits on behalf of all PPO providers and quickly file claims to ensure you receive maximum savings from your plan.
When you choose a specialist for prosthodontic procedures such as dental implants, full-mouth reconstruction, or advanced cosmetic dentistry, the quality of care and long-term results are worth considering alongside your insurance benefits. Our team works diligently to:
- Submit all necessary claim documentation to your insurance provider
- Maximize your out-of-network benefits
- Provide detailed treatment estimates that outline your expected coverage
- Answer questions about your specific plan’s prosthodontic benefits
Many PPO dental insurance plans cover out-of-network specialists, often reimbursing a percentage of the procedure cost. The exact coverage depends on your individual plan, but our administrative team can help you understand what to expect before you begin treatment.
Out-of-Network Benefits: What You Need to Know
How Out-of-Network Coverage Works
Being an out-of-network provider gives you access to specialist-level prosthodontic care while still utilizing your dental insurance benefits. Most PPO plans include out-of-network coverage, which typically reimburses you directly for a portion of your treatment costs after we submit your claim.
The advantages of out-of-network specialist care include access to advanced training and expertise that general dentists may not provide. Dr. Binns and Dr. Aquino bring specialized prosthodontic education and experience to complex cases involving dental implants, full mouth reconstruction, and cosmetic rehabilitation. This level of specialty care can lead to better long-term outcomes and fewer complications.
Our team will provide you with all the documentation you need to submit to your insurance company or file claims on your behalf. We’ll include detailed procedure codes, diagnostic information, and treatment notes that help your insurance company understand the necessity and complexity of your prosthodontic care. Many patients find that their out-of-network benefits cover a significant portion of their treatment, making specialist care more accessible than they initially expected.
Financing Your Dental Implant Investment
At Advanced Prosthodontics & Implant Esthetics, we believe that everyone deserves access to quality dental care. We offer flexible payment plan options to make dental implants more accessible for our Naples patients, with monthly payments for single tooth implants starting at just $150 per month. We work with multiple financing partners to provide interest-free payment plans for qualified patients, and our team will help you explore all available options and create a payment solution that fits comfortably within your budget.
Note that pricing varies based on individual case complexity, treatment needs, and your unique oral health situation. A comprehensive in-person consultation and examination are required to provide an accurate, personalized treatment plan and quote. During your consultation, we’ll discuss your specific needs and provide transparent pricing information tailored to your case.
Frequently Asked Questions
Many patients have similar questions about how insurance works with our practice and what to expect during the claims process.
Will my insurance cover prosthodontic treatment?
Most PPO dental insurance plans provide some level of coverage for prosthodontic procedures, even when seeing an out-of-network specialist. Coverage varies significantly by plan, but many policies cover a percentage of major procedures, such as dental implants, crowns, bridges, and dentures. We recommend contacting your insurance provider before your appointment to understand your specific benefits for prosthodontic care. Our team can also help you request a pre-treatment estimate from your insurance company to give you a clearer picture of your out-of-pocket costs.
How does the claims-filing process work?
We handle the insurance claims process for you. After your treatment, we’ll submit detailed documentation to your insurance provider, including all necessary procedure codes and supporting information. For out-of-network claims, your insurance company will typically send reimbursement directly to you. We’ll provide you with all the paperwork and documentation you need, and our administrative team is available to answer any questions from your insurance company during the claims review process.
What if I don't have dental insurance?
Not having insurance shouldn’t prevent you from receiving the prosthodontic care you need. We offer multiple financing options designed specifically for patients paying out of pocket. Many of our patients throughout Southwest Florida choose to finance their treatment through our healthcare lending partners, which often provide better terms than traditional credit options. Our team will discuss all available payment solutions with you during your consultation, ensuring you have a clear understanding of costs and payment options before beginning treatment.
