Glendale, Arizona

Dental Insurance & Financing
in Glendale, AZ

SmileScience Dental Spa is in-network with most major PPO dental plans. We verify your benefits before your appointment, file claims on your behalf, and help you understand exactly what your insurance covers -- and what it does not.

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Most PPO Plans Accepted Delta, Cigna, Guardian, MetLife & more
We File Claims for You No paperwork headaches
FSA & HSA Accepted Use your pre-tax funds here

How Dental Insurance
Actually Works

Dental insurance behaves very differently from medical insurance. Understanding how it actually works helps you use it more effectively and avoid surprises at the checkout desk.

Annual Maximum

Most dental plans have an annual maximum benefit of $1,000 to $2,000 per person per calendar year. Unlike medical insurance, this is not a deductible you hit before coverage kicks in -- it is a cap on how much your insurer will pay total. Once you reach the cap, you pay 100% until January 1.

Coverage Tiers

Dental plans typically sort procedures into three tiers: preventive (cleanings, exams, X-rays) covered at 100%; basic restorative (fillings, extractions) covered at 70 to 80%; and major restorative (crowns, bridges, implants) covered at 50%. Cosmetic procedures are usually not covered at all.

Waiting Periods

Many dental plans impose waiting periods of 6 to 12 months before major restorative benefits kick in. This is particularly common for plans purchased on your own rather than through an employer. Preventive care is usually covered immediately.

Insurance Does Not Mean Free

Dental insurance is designed to offset costs, not eliminate them. Even with good coverage, you will nearly always have some out-of-pocket cost for restorative work. That is normal and expected. What we do is make sure you know what that number is before treatment starts.

Deductible

Most plans have an annual deductible of $50 to $100 that you must pay before insurance starts contributing. Preventive care is often exempt from the deductible -- you get cleanings and exams even if you have not met it yet.

Orthodontic Rider

Orthodontic coverage (for Invisalign or braces) is not automatically included in most dental plans. It requires a separate rider, typically with a lifetime maximum of $1,000 to $2,500 per person. Check your benefits summary to confirm whether your plan includes orthodontic coverage.

Accepted Insurance
Networks

We are in-network with most major PPO dental insurance carriers. HMO plans are generally not accepted. Call us to confirm your specific plan before your appointment.

Ameritas Dental PPO
Aetna Dental PPO
Blue Cross Blue Shield (Anthem)
Blue Cross Blue Shield of Illinois
Cigna Dental PPO
Delta Dental PPO / Premier
Guardian Dental PPO
Humana Dental PPO
MetLife PDP Plus
Principal Dental PPO
United Healthcare Dental PPO

Don't see your plan? Call us at (480) 530-3663 -- we work with many additional carriers and can verify your specific coverage before your appointment.

In-Network vs.
Out-of-Network -- What Changes?

In-Network PPOOut-of-Network PPO
Preventive care (cleanings, exams)Typically 100%Often 80 -- 100% of allowed amount
Basic restorative (fillings)70 -- 80% after deductible50 -- 70% of allowed amount
Major restorative (crowns)50% after deductible40 -- 50% of allowed amount
Fee scheduleNegotiated (typically lower)Standard office fees apply
Claim filingWe file on your behalfWe file on your behalf
Overall out-of-pocket costLowerTypically higher

Exact coverage percentages vary by plan. We verify your specific benefits before your appointment so you know your actual out-of-pocket estimate before treatment.

How We Handle Your
Insurance

1

We Verify Your Benefits

Before your appointment, our team calls your insurance carrier to confirm your current benefit levels, annual maximum, deductible status, and what percentage is covered for the specific procedures you need.

2

We Estimate Your Cost

You receive a written treatment plan that shows the full procedure fee, what your insurance is expected to pay, and your estimated out-of-pocket cost. No surprises at checkout. If we are uncertain about coverage, we note that and explain the range.

3

We File on Your Behalf

We submit all claims directly to your insurer. You pay only your estimated patient portion at the time of service. We handle the paperwork, coding, and submission so you do not have to.

4

We Handle Denials

If your insurer denies a claim, we review the reason, gather supporting documentation (X-rays, clinical notes, photographs), and submit an appeal. You will never be left to navigate an insurance dispute on your own.

Predetermination
for Major Work

For larger procedures like crowns, implants, or orthodontic treatment, we can request a predetermination (also called a pre-authorization or pre-estimate) from your insurer before treatment begins. This is not a guarantee of payment, but it gives you the insurer's advance opinion on what they will cover so you can plan financially with confidence.

Predeterminations typically take 2 to 4 weeks. If timing is not urgent, this step can significantly reduce financial uncertainty before a major procedure. For urgent treatment such as tooth pain or infection, we will do our best to provide accurate estimates from our experience with your specific plan.

Ask our team about predetermination if you are considering implants, full-arch treatment, or orthodontic work.

What to Bring
to Your Appointment

Having the right information ready speeds up benefits verification and makes your first visit smoother.

  • Your insurance card (front and back)
  • Subscriber name, member ID, and group number
  • The insurance carrier's phone number for providers (listed on the card)
  • X-rays from your previous dentist (we can request these directly if needed)
  • Photo ID

Not sure what your benefits are? Call us at (480) 530-3663 with your insurance card and we will look up your benefits for you before you even come in.

Insurance Plus Financing:
The Smartest Combination

Insurance and financing are not mutually exclusive. For larger cases, most patients reduce their out-of-pocket cost significantly by stacking both.

Real Example: A $1,800 Crown

Full Cost

$1,800

Crown procedure

Insurance Pays

$850

50% after deductible

FSA / HSA

$300

Pre-tax dollars

=

You Finance

$54/mo

$650 / 12 months, 0%

Our treatment coordinators run this analysis for every patient with a significant balance. You never have to figure it out on your own -- we do it before treatment begins.

See All Financing Options

Dental Insurance Glossary

A type of dental plan where you get the best rates when seeing in-network providers but can still use out-of-network providers. Most major dental plans are PPO plans. SmileScience is in-network with most major PPO carriers.
A dental plan that requires you to see only dentists within a closed provider network. HMO plans often have lower premiums but significantly less flexibility. SmileScience generally does not participate in HMO dental networks.
The total dollar amount your dental insurance will pay per person per calendar year. Most plans cap at $1,000 to $2,000. Once the annual maximum is reached, you pay 100% of remaining costs until January 1.
The amount you pay out-of-pocket before insurance begins contributing. Typical dental deductibles are $50 to $100 per year. Preventive care (cleanings, exams) is usually exempt from the deductible.
A voluntary process where your dentist submits a proposed treatment plan to your insurer before treatment begins. The insurer reviews and issues an advance estimate of what they will cover. Not a guarantee, but it gives you financial clarity before major work.
A pre-tax account funded through payroll deductions used to pay for eligible healthcare expenses including most dental procedures. FSA funds typically expire at year-end (use-it-or-lose-it). SmileScience accepts FSA debit cards directly.
A pre-tax savings account available to patients enrolled in a high-deductible health plan (HDHP). Unlike FSAs, HSA funds roll over year to year. SmileScience accepts HSA debit cards directly.
A process that determines payment responsibility when a patient has more than one dental insurance plan. The primary plan pays first; the secondary plan may cover some or all of the remaining balance.

Frequently Asked Questions

In-network means SmileScience has a contract with your insurer to accept agreed-upon fee schedules, which typically results in lower out-of-pocket costs for you. Out-of-network means we do not have a direct contract with your plan -- your insurer may still pay a portion of the bill, but your costs are generally higher. We can estimate both scenarios before your appointment.

We generally do not accept HMO dental plans. HMO plans require you to use only providers within the HMO network and typically limit specialist access. PPO plans give you more flexibility to choose your provider. If you are unsure which type of plan you have, look at your insurance card or call us -- we can help you identify your plan type.

Preventive care (cleanings, exams, X-rays) is typically covered at 100% by most PPO plans. Basic restorative work like fillings is usually covered at 70 to 80% after your deductible. Major restorative work like crowns is commonly covered at 50%. Cosmetic procedures are generally not covered. There is also an annual maximum of $1,000 to $2,000 that caps how much your insurer pays in total per year.

Your deductible is the amount you pay out-of-pocket before your insurance starts contributing to costs. Most dental plans have a deductible of $50 to $100 per year. Preventive care like cleanings is often exempt from the deductible, so you receive those benefits regardless. The deductible typically resets on January 1 each year.

We handle appeals on your behalf. Common denial reasons include frequency limitations (a second cleaning scheduled too early in the benefit year), missing documentation, or a procedure coded differently than the insurer expected. We submit clinical notes, photographs, and X-rays to support the appeal. If the denial is upheld after appeal, we will explain your options including financing the remaining balance.

Yes. Flexible Spending Accounts and Health Savings Accounts can be used for most dental services including cleanings, fillings, crowns, implants, Invisalign, and more. We accept FSA and HSA debit cards directly. If you have FSA funds expiring at year end, contact us early -- we can often schedule eligible treatment before the use-it-or-lose-it deadline.

We do not currently accept AHCCCS (Arizona's Medicaid program). If cost is a concern, our in-house dental membership plan offers preventive care for a flat monthly fee and meaningful discounts on other treatment without requiring insurance. Call us to discuss what options make sense for your situation.

Some plans do cover implants, often at the major restorative rate of 50%, though coverage varies widely by plan. Many older plans classify implants as cosmetic and do not cover them. We verify implant coverage specifically when preparing estimates for implant consultations. Even with coverage, the annual maximum often limits how much the plan will contribute in a single year, which is why many implant patients use a combination of insurance, FSA/HSA, and financing.

No. SmileScience is 100% owned by Dr. Dawson and Dr. Turke -- two practicing dentists who see patients here every day. There are no outside investors and no management company directing clinical decisions. Treatment recommendations come from the doctors, not from production quotas or investor returns.

No Insurance? You Still Have Options.

Dental insurance is one way to pay for care -- not the only way. Our in-house membership plan and four financing partners give uninsured patients access to the same quality care without monthly insurance premiums.

Our Membership Plan Financing Options

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Questions About Your Coverage?

Our team can verify your benefits and estimate your out-of-pocket cost before you come in. Give us a call or book online -- no obligation, no pressure.