Little Penguin Pediatric Dentistry

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DENTAL INSURANCE INFORMATION – PROSPER, TX

Seamless Care from a Friendly & Helpful Team

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At Little Penguin Pediatric Dentistry, we understand how stressful it can be bringing your child into a new environment. That’s why we designed our dental practice with them in mind! Our penguins and 10-foot prize wall will help them feel excited about visiting the dentist, and our patient and friendly team will soothe any nerves that you may have as a parent! We look forward to meeting you and your little one, and please don’t hesitate to call us if you have any questions or concerns in the meantime.

How Dental Insurance Works

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Dental insurance works mostly in the same way as other forms of coverage, as you’ll make monthly payments to receive certain benefits. That said, you’ll want to consider a few things with your plan, such as:

Most dental insurance plans offer 80-100% coverage for preventive services, so having your child visit their dentist every six months for checkups and cleanings is the best way to make the most of your benefits. Not only are these appointments more cost-effective, but they will also help your little one avoid more serious oral health issues in the long run.

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What is the Difference Between Dental & Medical Insurance?

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While they’re similar, dental insurance mainly prioritizes covering the cost of preventive care, such as checkups, teeth cleanings, dental X-rays, and fluoride treatments. Providers want to assist in avoiding more costly services, like tooth extractions, gum disease therapy, and root canal treatment, as doing so will help minimize their expenses. If you don’t use all of your annual maximum, then any remaining funds will simply go back to your insurer.

With medical insurance, you can expect your company to step in mostly to help cover surgeries, X-rays, hospital stays, and so forth. In other words, medical insurance mostly helps after a problem occurs, such as a broken bone, while dental insurance helps prevent major issues from starting in the first place.

In-Network vs. Out-of-Network

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You may have come across some differences in your premium, deductible, and annual maximum while reviewing your plan. When it comes to “in-network” and “out-of-network” providers, you can be sure to see variations in benefits and prices when taking your child to a dentist who is part of your network.

In-Network Coverage

Our team at Little Penguin Pediatric Dentistry is in-network with a wide range of insurance providers, including:

We also welcome all other PPO dental insurance plans so that your child can receive the effective dental care they deserve while working within your budget.

Out-of-Network Coverage

Visiting a dentist outside of your dental insurance company’s network might lead you to pay higher fees for dental care. Still, our team will be more than happy to help file claims for you so that you can expect a smoother process while allowing your little one to get their pearly whites taken care of.

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