Dental insurance:

We strongly feel our patients deserve the best possible dental care.  Dentistry is a service. 

We do not believe that it is in either of our best interest to compromise the recommended treatment, in order to accommodate an insurance company or a dental plan benefits.  The type of treatment you need and receive from us is based upon our professional judgment and not on whether you are covered by a dental plan.  The treatment fees are based on the plan selected and the time it takes to provide you with the necessary dental care. In an effort to maintain high quality care, we use the highest quality materials and supplies available in the marketplace. 

• We thoroughly evaluate our laboratories and support services prior to using them. 

• Once chosen, these establishments have to maintain the standards in order to continue to be our service providers. 

• We have an excellent staff of qualified professionals, and we take the time necessary to provide for quality treatment. 

• Although we always look for value but we don’t compromise quality.    Our patients recognize our effort –  our practice has grown and continues to grow through referrals from our patients.

We hope this adequately describes our values. There is enough diversity in today’s dental marketplace for everyone to find a practice whose values they share and we hope you are one of them.

Is Dr. Fotoohi among the providers in my insurance network?   We are out-of-network with all insurances. However most of our patients do have dental insurance & your insurance will still contribute to the cost of your treatment, and our office staff will help you achieve your maximum benefit.   Insurance companies rarely differentiate between fees charged by clinics, general dentists and those charged by specialists – most specialists are not considered providers, therefore remain out-of-network.  

Regardless, there’s no insurance paper work for you!   We are happy to submit your claims electronically to expedite your direct payment from your insurance company for procedures that are covered by your insurance provider company.  Please keep us informed of any changes to your insurance plan.  most insurance companies will respond within four to six weeks. 

Please note:  payment is due at the time of service. You are responsible for the fees charged by our office, no matter what your insurance coverage may be.

Will insurance pay for my treatment?  The amount your plan pays is determined solely by how much your employer paid for the plan.  The less your employer paid for the insurance, the less you’ll receive. Your insurance company will cover most procedures, at least to some degree. Most companies have a yearly maximum allowable benefit, and some companies disallow certain procedures.  Based on the type of treatment the benefits vary.  The insurance company pays a percentage of the expense depending on the type of service provided – but do not specify plan fee schedule allowance!  However, when an insurance company says that they cover 100% of a certain service; they mean a 100% of the fee arbitrarily developed by the insurance company, and not the actual fee charged by the dentist.  Your reimbursement will not be 100%, in spite of the insurance company claiming to cover 100% of that type of treatment.  

A pre-estimate authorization often is the best way to determine the extent your insurance company will cover your treatment.  Our staff will gladly assist with any of your insurance questions.

We are here to help!   no question is too small for you to ask.  

 Please call 301-652-5666.