Call or Email Today: 801-764-9444 / [email protected] / 440 W 800 N Orem, UT 84057
Call or Email Today: 801-764-9444 / [email protected] / 440 W 800 N Orem, UT 84057

Many people do not understand how dental insurance works and as a result, do not take advantage of it. The following will be the first in a series of articles designed to help you understand the ins and outs of dental insurance so you can effectively use it as a tool to improve your oral health.

Receptionist Receiving Card From Patient In Dentist Clinic

  1. You are paying for your dental coverage. Whether you have a private plan or an insurance plan that comes from your employer, you are paying for it. Many people simply see insurance as an elective benefit that comes as part of their job, but whether directly or indirectly, it comes out of your paycheck.
  2. Your insurance company works for you. Many believe that dental insurance is simply a contract between their dentist and their insurance company but this is not the case. You are the insurance company’s customer, and as such, you are their boss. They are responsible to you for how well they cover your dental needs.
  3. Your dental office works for you too. You are a patient and customer of our dental office and we too are responsible to you for how well we educate you about your mouth, diagnose your dental conditions, and take care of your teeth through various dental procedures.
  4. We don’t work for your insurance company and they don’t work for us. This fact has several important implications:
    • We can’t tell you how much your insurance will pay for a procedure. Because we see so many patients and have a history of dealing with your insurance company, we can make a pretty good estimate Similarly, we can’t be exactly sure how much of your benefit is left, but we are pretty good at planning around estimates.
    • We can’t tell you why insurance companies make the decisions they make. Sometimes we feel they do not act ethically, or in our patients’ best interest though and we let them know about it. We can also give you contact information so you can get answers for yourself.
    • As a service to you, we will bill your insurance company, but you are ultimately responsible for your insurance claim.
  5. You should call your insurance company. Before going to the dentist, you can call your insurance company and find out lots of important information. Ask them how much benefit you have left, whether you have any waiting periods, and how much they pay for preventive, basic, or major work. Ask them if they cover a particular procedure that you need.
  6. Talk to your dental office as well. We can help you plan your treatment to maximize your coverage and help you avoid going over your benefit maximum. We can help you get a predetermination from your insurance company. We can explain costs, benefits, and risks of treatment options.
  7. If you are not satisfied, don’t remain silent. Unfortunately, we have found that insurance companies frequently try to do everything possible to avoid paying for dental treatment that you need. You would be surprised to find out what goes on behind the scenes and how often they attempt to cut corners on their contract with you. It can go a long way when you, as their customer, demand answers and accountability from them. Although we always try to fight their bad decisions on your behalf, it is much more effective when they hear it from you.

Nicolas K. Young, DMD

About the author

I can't wait to meet you! I'm Dr. Nick Young and I've been here at Canyon Gate Dental since 2010. I initially joined Dr. Payne as an associate dentist and was so impressed with this great office and amazing patient family that I wanted join the team for good. I became an official partner of the practice at the end of 2012 and I love my job. As a general dentist, I enjoy all specialties of dentistry, but I like emergency dentistry in particular. It's so satisfying to help people look and feel great and also help them get out of pain. I'm from Provo and attended Brigham Young University for my undergraduate degree and the University of Louisville for dental school. I've been married for 9 years to my beautiful wife, Heather, and we have two young children. My favorite thing to do is be a daddy and rough house with my kids, but I also enjoy playing golf, watching football and basketball (Go Cougs!), and going on dates with my wife.

Contact Information

Phone: (801) 764-9444

Email: [email protected]

440 W. 800 N
Orem, UT 84057

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Office Hours

Sunday: Closed
Monday: 9:00 am – 5:00 pm
Tuesday: 8:00 am – 6:00 pm
Wednesday: 8:00 pm – 7:00 pm
Thursday: 8:00 am – 3:00 pm
Friday: 8:00 am – 4:30 pm
Saturday: 8:00 am – 12:00 pm*

*Only on select Saturdays each month