Use It Before You Lose It!

It is November, which means the end of the year is just around the corner! Do you know what else that means?


As the clock strikes midnight on December 31st, your dental benefits expire and start over again with the new year. Only about 2.8% of people with PPO dental plans reach or exceed their annual maximum. If you are on a flexible spending account, the deadline is the same for those benefits. Don’t let them go to waste, use them while there is still time this year!

To help you get the most of your benefits and maximize your coverage, here are some tips to consider!


Call your insurance carrier or employer for more information!   

No one knows better what’s included in your plan than the people that wrote it for you. They can help discuss your options and tell you what coverage you have left for the year and how to get the most out of your policy.


Find a dentist you trust!

When looking for a provider, make sure you find one that accepts your insurance and can work with your needs and schedule. For a list of insurances that we take click here


Keep your account updated! 

Insurance companies are not always up-to-date on your account and information. Making sure that your account is current allows no room for gaps in coverage and helps avoid waiting for your dental treatment!


Splitting Treatment  

If you need extensive work, split the appointments and work between this year and the new year. Doing this allows you to use up your benefits from this year and have to pay less out of pocket next year. Make sure to discuss this option with your dentist and treatment coordinators to find the best breakdown of costs and treatment.



Every year your benefits will reset and expire. Knowing this will allow you to use your interests throughout the year and help you stay on top of your treatment and avoid losing out on your coverage.


With holiday breaks coming up, it’s a great time to get you and your family in for any end of the year treatment! Give us a call at (801)747-8018 to schedule your appointment. We look forward to seeing you at our clinic!


We’ve Got You Covered!

I don’t know if you have been around here long, but we at The Center of Dental Professionals love to be able to offer our services to everyone! We know that insurance can be tricky to work with sometimes. And often we know that insurance isn’t always available to everyone or offer good dental coverage.

About 74 million Americans do not have dental insurance. That is close to a quarter of our country’s population who does not have access to affordable dental care. Or even dental care at all.

It has been proven that when we meet someone for the first time, one of the first things that we notice about them is their smile/teeth. If someone doesn’t have access to proper dental care, are they setting themselves back in the public world?

We offer a myriad of options to make sure that every person has access to top of the line dental care.


Discount Dental Plan:

Our first option of payment and coverage is a plan that is unique to our office. While the Discount Plan does not take the place of insurance, it helps make the costs manageable for those without insurance.

Each plan comes with two cleanings, fluoride varnish, and x-rays! Our three treatment options offer even more services and treatments.

We created this plan to serve our patients better and aid them in receiving the best dental service!

The first thing I am sure you are asking is, what is the cost?

Adult Annual: $165.00

Adult Monthly: $14.58

Child Annual: $95.00

Child Monthly: $8.75

See I told you that we made it affordable for everyone! Call in at (801)747-8018 to get more information and answers to your questions!



Our office also accommodates those patients that are covered by Medicaid.

“Medicaid is a state/federal program that covers medical expenses for certain groups of people who have limited income and resources.”

Medicaid is an excellent option for assistance if you qualify. Go to the above link to get more information and see if you are eligible for coverage.

We want to see every person with a smile that they feel confident showing off. Because of that, we offer many options to ensure that anyone who wants dental care can have it. If you have any questions about your options, or would like to talk through your financial arrangements with us before you come in to give us a call at (801)-747-8018!


Come join the family! Despite your situations, and your insurance coverage, we want to see you in our waiting room soon! Call the number above for appointment booking and feel free to visit our website to get more information about our office!



How To Familiarize Yourself With Your Dental Insurance

Familiar Dental Insurance

One of the most common problems dental practices run into has to deal with dental insurance. Most often than not, patients don’t understand the policies of their insurance or how their coverage works. What happens when we don’t understand our policy? When we don’t fully comprehend what our benefits, it’s easy for us to assume we are covered or that dental offices should be should know our policies. However, insurance policies all differ and is dependent on the plan we pay or our employer pays, if they provide dental benefits as part of their compensation package. Before visiting the dental office, you want to get familiarized with your policy to fully comprehend what it will cover and what you will have to be responsible.

Tips to Familiarize Yourself with Your Policy

Whether it’s insurance you bought or benefits your employer provides, ask for a copy of your policy. Your policy is your ticket to understanding how your benefits work. There are a couple of things you want to keep in mind, and that’s dental insurance is not medical insurance, they are separate and work differently. Dental insurances don’t cover cosmetic procedures or pre-existing conditions, and they have a 100-80-50 coverage. These are good to keep in mind as we read through our policies. Here’s what you want to look for as you read your policy.

             ☐ Deductible – what you have to pay if any before your benefits start to cover.

             ☐ Covered Services Lists – a table which lists both the service and amount of dollars the plan covers (it will allow you to determine the difference you will be accountable for paying if the dentist fee is greater than the fixed amount).  

             ☐ Annual Limitations – there are yearly maximums to how much coverage you will be given in the year whether it is cost or amounts of procedures (it can help contain cost and maximize benefits).   

             ☐ Preferred Network – some dental insurances only cover services provided by dentists in their preferred network (you want to ensure whether this applies to you; otherwise you will have to pay out-of-pocket).

We want to be aware of all four key elements above to ensure we minimize the costs of treatment and to make the most of our insurance. Reviewing our policy and highlighting key points will not only allow us to pinpoint the details we miss but will enable us to address it if our insurance isn’t willing to pay for it.

In a case where we might in to file a dental claim, we need to get into contact with our insurance to know how to submit one and get notifications on the status of our claim. Some dental practices, not all, offer to file dental claims as a service; however, they are not responsible nor required to do. We need to acknowledge dental offices are not required to submit claims for us but provide us with the necessary documents to file one to get it reviewed soon.

At The Center of Dental Professionals, we can assist you in filing a claim or even submit the dental claim for you, but we do ask our patients to be aware of the status of their claim process. Contact us for any questions, feel free to call us at 801-505-7125 or if you looking to see if we accept your dental insurance go to our INSURANCE PAGE to see if your insurance is listed.

Take Advantage of Your Dental Insurance Before It Resets

Dental benefits reset

The last month of the year is here! Only giving us a few weeks to use our dental benefits before they reset for the new year. Dental insurance is not like medical insurance; if you aren’t taking advantage of your benefits, you run the risk of losing your annual maximum for next year. Therefore if you have dental insurance, take advantage of the coverage you pay for to maintain a healthy smile and mouth.

Maximize Benefits

You still have a couple of weeks to maximize your insurance, but you first want to verify with your insurance policy when your benefits reset since some dental insurances may earlier dates. If you’re going to maximize your benefits, here are some of the useful tips you can try.

  • Review policy
  • Update information
  • Visiting a preferred dentist
  • Get annual check-up
  • Split treatment

Prepping for Next Year

If you don’t use your benefits, they expire and reset for the coming year. What does that mean? It means you’re starting from square one. Some dental insurances can adjust your annual maximum based on the amount of coverage you used last year which is why you want to use your benefits. For the coming year, here’s what you need to know about your dental benefits to get the most out of them next year.

  • Reset Annual Maximum – depending on the coverage used this year, it can affect the amount you get next year. You want to ensure you use the most of your annual maximum to keep it.
  • Pay Deductible – a deductible is a sum of money you pay out-of-pocket before your insurance pays for any services. They reset too; and depending on your policy, if you do not meet your deductible, you will continue to pay out-of-pocket. The earlier you start to use your benefits, the quicker you meet your deductible, and the less you pay for treatment.   
  • Fees Increase – fees increase to accommodate for the material and living cost meaning your co-pay will rise, but it’s better than having to pay for the full cost of treatment.
  • Doesn’t Cover Pre Existing Conditions – dental insurances can be particular about what it covers, and if you already have a pre-existing condition, you are more likely going to have to pay out-of-pocket.
  • “100-80-50” Coverage – 100-80-50 is the percentage coverage describing our dental insurance. 100% coverage usually goes to preventative and diagnostic care (excellent for annual check-ups), 80% – 70% on basic procedures, and 50% or less significant treatments. The percentage of coverage is dependent on the plan you or employer purchase.

As you prep for the coming year, you can start getting ready to use your benefits. The first of January leaves you open to begin being proactive in your oral health and start taking practicing good oral habits.

Other Options

What if you don’t have dental insurance? Most people opt out of visiting a dentist because they don’t have coverage or can’t afford to pay for treatment. We get it; it can be off-putting to have to need dental treatment but not be able to afford it.

At The Center of Dental Professionals, we have a Dental Discount Program designed to save you money and get the dental care you deserve. Our program is exclusive to our offices only and is a cheaper alternative to insurance. If you want to know about dental insurance, check out Our In-House Dental Discount Program post.    

Learn About Maximizing Your Dental Benefits

maximize dental benefits

September is here! Only three more months until the end of the year and for your dental benefits to reset. Don’t let your dental benefits go to waste, use them while you still have them for this year. Dental insurance is not like medical insurance, they pay for partial coverage, and if you’re not using your annual maximum, you run the risk of losing it for next year. If you have dental insurance, use the benefits you’re paying for to get the dental treatment you need now to maintain a healthy, beautiful smile. Learn about seven ways to maximize your dental benefits.

Review Your Policy

Ask your insurance carrier or employer for more information on your dental plan. With more information at hand, you’ll be to understand and determine what your plan covers and what it doesn’t. It helps you to be informed of the procedures your insurance will pay and which you’ll have to pay out-of-pocket. The more information you have on your plan and the better you understand how it works then, you can be financially prepared for the specific dental treatments you need to be covered.

Consider Visiting a Preferred Dentist

As you well know, not all dentist are participating providers with insurances, so we recommend finding a dentist you can trust with your dental care and that’ll take your insurance. One of the ways you can find a dentist is by choosing a preferred provider. What does that mean? It means a dentist who’s contracted and accepts your insurance company fees within your insurance. A preferred dentist can help you save money and time since you won’t find yourself paying more out-of-pocket.   

Ensure Information is Updated and Recorded

Insurance company systems aren’t updated immediately which can lead to coverage gaps due to the untimely processing and system updates. You want to ensure you keep all records of treatment and payments for you and your family to avoid the unnecessary prolonged dental treatment. Being active on your part can help ensure there are fewer delays and problems in proceeding with your treatment.

Use Your Benefits Early

Consider using your benefits early in the year since some insurance companies have limitations on when you’re allowed to visit the dentist such as dental cleanings and exams. Plan to use your dental insurance to make the most of your dental insurance and to save money. Don’t lose out on your benefits, visit your dentist for treatment early on before the end of the year holidays. Towards the end of the year, the dental office gets busy that you run the chance of missing out on completing treatment which results into paying more money next year.

Annual Dental Check-ups

Most dental insurance has coverage for annual dental visits, visits you and your family should be taking advantage of every year. Part of maintaining a healthy smile is visiting the dentist yearly to get a check-up. Sure, you may practice good oral hygiene, but a dentist knows your mouth and teeth better than you. They can spot if you have any dental conditions which need some attending or if there’s a severe problem going on. If your insurance covers dental check-ups, then don’t miss out on dental coverage for you and your family.

Split Treatment

If you’re in need of significant treatment and it’s the end of the year, break your treatment between this year and the new year. Splitting your treatment time will help reduce the amount of money you spend and enable you to maximize your benefits this year and next year. Discuss your treatment options with your dentist and treatment coordinator to find the best financial alternatives you have, use the services your dental office offers.

Don’t Wait Until Last Minute

As we mentioned before, dental benefits expire and reset. Use them throughout the year to get the most out of them and to ensure your annual maximum isn’t cut back. Each insurance policy has their restrictions on how many times you can visit the dentist and what treatments are covered; therefore, we cannot stress enough why you use your benefits as early as possible.

Familiarize yourself with your dental insurance to make the most of your dental experience and treatment. When you’re informed about the coverage and the expenses you will need to pay, it can help them move along the process for treatment and finding other financial alternatives to continue treatment you need. If you want to schedule an appointment at our offices, please fill out this form.

Dental Insurance Denied Claim? What to Do and Know

Dental Claims Denied

Have you gotten a dental treatment done that your insurance has denied covering? Don’t worry; we are here to help. Keep in mind dental practices don’t work for insurance nor are they obliged to send appeals on behalf of patients. Most dental practices offer assistance in sending appeals as a service so if they do, use their services to get your dental claim appealed and processed soon.  

Become familiarized with your policy and coverage will be advantageous everytime you go to your dentist for a routine check-up or treatment procedures. It will help you avoid dental claims being denied and any worry you might have of how your dental benefits work. Below you will find three ways which can help prevent claims being rejected.

Review Information

We highly recommend you review your information at least every year with your employer or insurance company for your records and our own. You always want to verify with your employer or insurance company your information such as group and coverage number and to avoid delays in processes and to get dental claims denied. Most common reasons they deny claims are incomplete and inaccurate claims. When you are filling out a dental claim provide all the information it requires.

Legible Documentations

Legibility is a must! When filling a claim ensure your handwriting is legible to understand. This can include other documentation you might have to provide to process the application. The most common documentation that needs clarification is x-rays and charts! X-rays and charts are difficult to read which is why if these documents are required ensure you send in a form narrating the reason for treatment. Sending documents without a clear interpretation or narration that explains why you need dental treatment.

Beware of Limitations

We always say this, and we mean it for emphasis, review and understand your policies. Always ask for a copy of your plan, dental contract, and a list what your insurance covers. Having all these documentations with you can help you better understand how much the insurance will pay and how much you will have to pay out-of-pocket. Dental policies have many restrictions based on age and frequency.

Age limit restriction can prevent you from getting a dental procedure because of your age often being younger. Frequency limitations usually restrict the number of dental services you’re allowed to exercise in a year. For example, you can have restrictions on how many times you can have cleanings and x-rays. Knowing the specifics of your policy to see what is included and excluded will help you understand what will be denied by your insurance.

Even if you have looked over your dental contracts and coverage and still get a dental treatment denied, we are here to assist you! We will help you with the proper documentation your claim needs and send appeals on your behalf. Our account managers are here to answer questions and concerns you might have. Don’t hesitate to ask our managers.

If you don’t understand why your claim got denied call your insurance to inquire about the reason(s) your claim got rejected and what you might need to get the application processed. Remember the more you’re aware of your insurance, what it covers for your and the eligibility for your family, the smoother the process of getting the dental treatment you need will be.

If you need some assists with appealing a denied claim or require medical documentation along with a narration of why we are more than happy to provide you with the information you need. Please don’t hesitate to call our account managers at 801-505-7125.   

What to Know About Your End of the Year Dental Benefits

End of the Year Dental Benefits

We’re in the middle of the year! It’s fascinating to see how quickly time comes by when we’re in other seasons and how it elongate itself towards the summer. But as you know, once summer is over the end of the year comes quickly along with the festive holidays, giving us little time to think about minor details.

This year we decided to let you know ahead of time to think about your dental insurance, which is dental benefits. Every year your benefits expire and reset so take advantage of them now before the end of the year. Did you know there is an average of 2.5% of people who reach and exceed their annual maximum for their plans? Be part of the percentage who uses what is paid for whether by you or your employer.

I like to think of dental insurances as a cycle of benefits; they repeat themselves yearly. Below find a cycle graph of the five reasons why you should be using your dental benefits now.  

Get a jump start in continuing to use your benefits before the year ends. If you need to see a dentist, contact The Center of Dental Professionals by filling out this form here.   

End of Year Dental Benefits

Your Dental Insurance Explained

Dental Insurance Explained

Dental insurance should cover my dental expenses, right? Think again. Dental insurance is not insurance but benefits. They are not like medical insurances; they are benefits that include some dental expenses, not all expenses. Of course, the amount of coverage you have for the dental services is dependent on the plan you have or that your company has chosen for you.

Verify your policy and insurance first before you call your dentist to ask why you keep receiving a bill denying your dental services or treatment. Below you can find some information as to why your dental insurance is rejecting some of your dental expenses.  

Dental Insurance Explained

5 Things to Know About Dental Insurance

What to Know Dental Insurance

Do you have dental insurance? If yes, how well do you understand your dental insurance policy? Most often than not, patients who have dental insurance have a hard time understanding their dental insurance policy. There are many dental insurance plans and policies to choose from or that you have but may not be familiar with.

So, what do you need to know about dental insurance? We have listed 5 things you need to know about dental insurances when it comes to using it in dental clinics.

#1: Dental insurance is not like medical insurance.

What do we mean? Your dental insurance isn’t insurance but benefits. Dental insurance is not intended to pay a significant portion of your dental expenses but be an aid. Dental insurance provided by an employer usually covers a part of the cost of dental services.

#2: They are typically described as “100-80-50” coverage.

Dental insurances can say they cover 100%, but that is dependent on how much your employer paid for the plan. The less they spend, the less you receive in benefits. Usually, 100% of the coverage goes to preventative and diagnostic care, 80% to 70% on basic procedures and 50% or less on significant treatments. Again this is dependent on the plan an employer has purchased for their employers.

#3: You receive what your employer pays.

If your employer pays less for dental insurance that is what you will get, what they put in. The less the insurance funds, the more you will need to pay for your dental expenses. The fees dental clinics charge are the same for each patient regardless of the dental insurance you have. So, if you have to pay more, look carefully at how much your dental insurance is covering. Also note, most dental insurances will not cover all preventative care which is why getting your dental benefits explained is essential to know what is being included.

#4: Insurance encourages you to use providers within their network.

Often you will find that insurances have a list of “preferred providers”. What it means is, you will be given a list of providers who have agreed to reduce their fees to what insurances want. In these cases, the dentist on this list has agreed to add restrictions which have been placed by entering into a networking plan of “preferred provider”. When restrictions and reduced fees are agreed upon so are the quality of the work and materials used since most practices will have to keep costs low to meet the agreement between the insurance.

#5: Dentists don’t work for dental insurance companies.

Why is this important to know? Because some patients expect dentists to submit claims for them and figure out insurance issues they may be having trouble with. Yes, although some dental practices offer to send claims to insurances, it does not mean they work for insurance companies. They are just adding value to their patients by helping them submit applications with the necessary documentation. If you receive a notification from the insurance company saying they have not received the documents needed, verify with your dentist with when they submitted the claim and call your insurance before getting mad, again keep in mind dentist, and dental staff does not work of the insurance company.

We recommend before you start using your dental insurance, you get a copy of your dental policy to become more aware of what is being covered and at what percentage it is willing to cover. Remember dental insurance is not insurance, it is dental benefits which help you cover partial expenses of your dental treatment and preventative care. If you have questions of what’s included, we encourage you to ask your insurance company or employer and if you want to know if your dentist will take your insurance to ask them.

Your Dental Insurance Benefits Explained

You have dental insurance, and it should cover your dental procedures, right? Think again. It’s a misconception people, in general, have of dental insurance. Dental insurance benefits, a frequent misunderstanding that can be frustrating for both a dental office and those insured.

So why isn’t it covering your all of the dental procedures you need?

Before we can answer that we need to clarify that medical insurance is very different from dental insurance. Most insurances often referred to it as “dental benefits” than coverage. Typically, included in your dental benefits often depends on the plan you’re in, and usually, it’s only meant to cover part of your expenses.

So when you receive a bill for denied services, or a treatment plan with procedures not covered, here is some information as to why.

Dental insurances are typically described as a “100-80-50” coverage. What does that mean? It means 100% coverage is towards preventive and diagnostic care such as check-ups and cleanings. 80%, although sometimes 70% to 80%, coverage is towards basic procedures such as fillings and 50%, or less, coverage is towards major procedures like crowns, root canals, and bridges.

Dental insurance only covers up to a specific annual limit typically between $1000 – $1500 annually. Every year you are given a yearly limit by your insurance company of what the insurance will cover up to for your dental needs. As you can see, it’s an insufficient number for the year, and you can quickly exceed it if you have extensive treatment to be done. In addition to the percentages of what is covered by your dental insurance, this limited annual coverage is quickly used, leaving you responsible for 100% of the remaining treatment.

There are three variations of dental insurance that have limitations on coverage and where you can go. The HMO, health maintenance organization, which restricts coverage to dental professionals within their limited network. PPO, preferred provider organization, policies charges reduced rates within their network of dentists, which provides you with contracted fees from your dentist. Some PPO’s allow you to see a Dentist outside your network and pay less towards those services.  Indemnity plan, the last of the three, will enable patients to look at any dentists and typically picks up a percentage of the costs.

Dental insurances typically do not cover pre-existing conditions. If you already had an existing dental problem and are hoping your insurance will cover it, think again. Pre-existing conditions are not covered by insurance which means you’ll have to pay for the treatment you need out-of-pocket. An example is a missing tooth that you had before your current dental coverage, most likely, having it replaced with an Implant would not be covered, it would fall under pre-existing.

They have limitations and exclusions to their plans. Some insurances will place restrictions on what they will cover. Not ideal, I know, but they do anyway. These limitations can include how many times you come in for particular procedures. Then there are the exclusions which refer to the dental procedures not covered by dental insurances.

When you take into consideration the annual limit you have, along with restrictions that apply, chances are your dental insurance isn’t going to be paying for all your dental needs. You will. But that doesn’t mean you should avoid getting the dental treatment you need. Besides having your insurance cover a percentage of your dental procedures, you could look into getting a dental discount plan. A dental discount plan can help reduce the cost of procedures and enable you to maintain a healthy smile.

If you have any questions regarding your insurance benefits, please feel free to call us today at 801-747-8018.