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- 561-733-0004
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- 8188 Jog Rd Unit 104, Boynton Beach
- (561)-733-0004
- Location
For a limited time, enjoy $1000 OFF smile designs (Includes: Exam, X-Rays)
Dental insurance accepted in Boynton Beach — making quality care convenient and affordable for every patient.
Navigating dental insurance shouldn’t add stress to your healthcare decisions. Understanding which plans your dentist accepts and how your benefits apply makes scheduling treatment easier and helps you budget effectively. When you know your coverage details upfront, you can focus on your oral health rather than worrying about unexpected costs.
At Boynton Beach Dental Services, Dr. Eliseo Fiffe and Dr. Katiuska McIntosh work with most major PPO dental insurance plans and Medicare Advantage programs. We handle the administrative details of insurance claims and benefit verification, simplifying the process for you. Our team takes time to explain your coverage, estimate your out-of-pocket costs, and help you make informed decisions about your payment options for dental services that fit both your clinical needs and your budget.
Preferred Provider Organization (PPO) plans offer flexibility in choosing your dental care providers. Unlike HMO plans that restrict you to a specific network, PPO insurance allows you to visit out-of-network dentists while still receiving partial coverage. Our practice participates with many PPO networks, which typically means lower out-of-pocket costs for you.
PPO plans generally cover preventive care, such as cleanings and exams, at higher percentages, often 80-100%. Basic procedures, such as fillings, usually receive 70-80% coverage, while major work like crowns or dental implants may be covered at 50%. These percentages vary by individual plan, and annual maximums typically range from $1,000 to $2,000 per person.
Our practice works with most major PPO insurance carriers, making quality dental care accessible to a broad range of patients. Common plans we accept include:
If you have a PPO plan from a different carrier, contact our office to verify participation. Insurance networks change periodically, and we’re happy to check your specific coverage.
Medicare Advantage plans often include dental benefits not covered by Original Medicare. These plans vary significantly in their dental coverage, with some offering comprehensive benefits and others providing basic preventive care only. If you have a Medicare Advantage plan with dental benefits, our practice may be able to accept your coverage.
Medicare Advantage dental benefits typically cover routine preventive services like the following:
Some plans extend coverage to restorative procedures such as fillings, root canals, and extractions. More comprehensive plans may provide partial coverage for crowns, bridges, or dentures. Understanding your specific plan’s dental benefits helps you maximize your coverage.
Our administrative team verifies Medicare Advantage benefits before treatment begins. We contact your insurance provider directly to confirm coverage details, annual maximums, and any limitations that may apply to your care. This proactive approach prevents billing surprises and allows you to plan your treatment timeline effectively.
Transparency about insurance acceptance helps you make informed decisions about your dental care. Our practice does not participate in Medicaid or HMO dental insurance plans. These programs operate with different reimbursement structures and network requirements that don’t align with our practice model.
If you have Medicaid or an HMO plan, you’ll need to find a participating provider within your network. However, we do offer alternative payment options. Our practice works with CareCredit and HFD financing, allowing patients without compatible insurance to access the care they need through manageable monthly payments.
Fee-for-service and self-pay options remain available for all patients. Some people prefer paying directly for dental care rather than navigating insurance limitations. Others may have insurance but choose to pay out-of-pocket for services not covered by their plan, such as cosmetic dentistry or Invisalign.
Getting the most value from your dental insurance requires strategic planning. Most plans operate on a calendar year, meaning benefits reset on January 1st. Unused annual maximums don’t roll over, so scheduling treatment before year-end helps you utilize benefits you’ve already paid for through premiums.
Preventive care receives the highest coverage under most plans. Taking advantage of your two annual cleanings and exams costs little to nothing out-of-pocket while protecting your oral health. Between visits, the American Dental Association recommends brushing twice daily, flossing once daily, and replacing your toothbrush every three to four months. These regular visits allow early detection of problems when treatment is simpler and less expensive.
Phasing major dental work across calendar years can maximize benefits when procedures exceed your annual maximum. For example, if you need multiple dental implants or extensive restorative work, completing some procedures before year-end and others after January 1st allows you to access benefits from two coverage years.
Before your appointment, our administrative team verifies your insurance coverage and benefits. This process involves contacting your insurance provider to confirm your active status, remaining annual maximum, deductible status, and coverage percentages for planned dental procedures. Having this information upfront eliminates guesswork about your financial responsibility.
During your visit, we discuss treatment recommendations and provide an estimate of your insurance coverage and out-of-pocket costs. This transparency allows you to make informed decisions about proceeding with treatment, exploring alternatives, or considering financing options if needed. We submit claims directly to your insurance company and handle most of the paperwork on your behalf.
Insurance coordination can feel complicated, but our experienced team simplifies the process. We stay current with changing insurance policies and coverage guidelines, ensuring claims are filed correctly the first time. This reduces delays in processing and helps you receive your benefits as quickly as possible.
Dr. Fiffe and Dr. McIntosh bring decades of combined experience to every patient interaction, providing comprehensive dental care regardless of insurance status. Our practice accepts most PPO plans and Medicare Advantage programs with dental benefits. We also offer flexible financing through CareCredit and HFD for patients who need alternative payment options. We believe everyone deserves access to quality dental care and work with you to make treatment affordable.
Whether you need routine preventive care, emergency dental treatment, or advanced procedures, our team handles the insurance details efficiently while you focus on your oral health. We verify coverage, estimate costs, and file claims on your behalf. Our transparent approach to insurance and billing means you always understand your financial responsibility before treatment begins. Contact us today to verify your insurance coverage and schedule your appointment with our experienced dental team.