Insurance

We are in network with majority of major insurance companies. Often, the plan name you see is not the same as the insurance carrier. If you don't find your insurance plan name, simply call us at (647) 955-6061 and our team can assist you. 

Dental insurance works similarly to your medical insurance, with the main difference that the Insurance provider is responsible for “First Money Out”, meaning they cover up to a “Maximum Allowable” amount in a given benefit period (usually a year) and the patient is responsible for any amount over that limit. Dental insurance plans typically cover services based on ranges or categories: Preventive, Basic, and Major. As an example, most plan coverages provide 100% coverage for Preventive services, 80% coverage on Basic, and 50% for Major. This breakout is plan-specific and you will need to consult your personal benefits to understand your coverage. What is not covered by your insurance is the patient’s responsibility.

Typically, dental insurance covers all types of dental care ranging from exams and cleanings (typically 2x / year), basic dental care (fillings, crowns, etc.) to oral surgeery and orthodontics. Insurances categorize each type of care into Preventive, Basic, and Major services and each is covered at a determined percentage, leaving the remainng balance to the patient (typical breakouts are 100% / 80% / 50% for the coverage percents). Orthodontics are unique and typically have rules around age, who on your plan is allowed to use, and how much is offered (i.e. there is a lifetime max versus and annual amount).

In most cases, two exams and cleanings in a calendar year.

$199

The answer is it depends. Some plans include implants but many don't. At Don River Dental, we can find your specific coverage once you complete a free implant consultation. 

In most cases, yes. Orthodontics are unique and typically have rules around age, who on your plan is allowed to use, and how much is offered (i.e. there is a lifetime max versus and annual amount). At Don River Dental,  we can find your specific coverage once you complete a free smile design consultation.