Advanced Prosthodontics & Implant Esthetics Insurance Information
A Fee-for-Service Prosthodontic Practice Committed to Maximizing Your Benefits
Advanced Prosthodontics & Implant Esthetics is a fee-for-service prosthodontic practice. That means we are not contracted as an in-network provider with any dental insurance company — a deliberate choice that allows Dr. Binns and Dr. Aquino to deliver specialist-level care without insurance-network restrictions on materials, lab quality, or treatment planning. For our patients, this translates to better long-term outcomes, premium materials, and treatment plans built around what your case actually needs rather than what an insurance contract permits.
Being fee-for-service does not mean your insurance is unusable here. We process benefits on behalf of all PPO providers, file claims on your behalf, and work to maximize the out-of-network reimbursement you are entitled to under your 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
What Fee-for-Service Means for Your Prosthodontic Care
A fee-for-service practice operates outside of dental insurance networks. Rather than agreeing to the discounted fee schedules and material restrictions that insurance contracts require, we set our fees based on the actual cost of providing specialist-level prosthodontic care — using the materials, laboratories, and treatment approaches we believe deliver the best long-term results for your case.
For complex prosthodontic procedures like dental implants, full-mouth reconstruction, and advanced cosmetic dentistry, this distinction matters. Specialist training, premium implant systems, and high-quality lab work are investments that often do not fit within in-network insurance constraints. By operating fee-for-service, we are able to offer the same caliber of care a patient would receive at a top academic or specialty referral center — without compromise.
What this means for you in practical terms: you receive treatment recommendations based on clinical need, not insurance reimbursement, and you maintain full access to your PPO out-of-network benefits to help offset the cost.
Out-of-Network PPO Benefits: How We File Claims on Your Behalf
As a fee-for-service practice, we are not contracted as in-network providers with dental insurance companies. However, this does not mean your insurance cannot help cover your care. We process benefits on behalf of all PPO providers and quickly file claims to ensure you receive maximum reimbursement 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
- Verify your specific out-of-network benefits before treatment begins
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.
The Advantages of Choosing an Out-of-Network Specialist
How Your PPO Reimburses You for Specialist Care
Because we operate fee-for-service, every patient benefits from specialist-level care without insurance-network limitations on materials, lab quality, or treatment planning. Being an out-of-network provider gives you access to that 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 have specialized training and extensive experience in prosthodontics, allowing them to treat 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 we will 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 Options for Fee-for-Service Care
Because we are a fee-for-service practice, we offer multiple financing options to make specialist prosthodontic care accessible regardless of your insurance situation. At Advanced Prosthodontics & Implant Esthetics, we believe everyone deserves access to quality dental care, and we have built relationships with the most trusted dental financing partners in the country to support that.
We work with CareCredit, Cherry, and Proceed to provide interest-free and extended-term payment plans for qualified patients. Monthly payments for single tooth implants start at just $150 per month, and our team will help you explore all available options to 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. As a fee-for-service practice, we have built our financing options specifically to support patients paying out of pocket. Many of our patients throughout Southwest Florida choose to finance their treatment through our healthcare lending partners — CareCredit, Cherry, and Proceed — 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.
