Accepting New Patients
Finding a pediatric dentist who accepts your insurance can feel overwhelming, especially when you’re preparing for your child’s first dental visit. You’re probably wondering which insurance plans are accepted, what costs to expect, and whether the process will be straightforward. At Silicon Beach Pediatric Dental, we accept 97% of PPO insurance plans and have streamlined the insurance process to eliminate confusion for busy parents.
Dr. Ray Klein and Dr. Hayley Botwin understand that insurance questions are among parents’ top concerns when choosing a pediatric dentist. We’ve designed our practice to make insurance verification simple while maximizing your family’s benefits. Our dedicated insurance coordinator works full-time handling coverage details, claims processing, and benefit optimization so you can focus on your child’s dental health rather than paperwork.
We’re in-network with most PPO insurance plans but don’t participate in HMO, DMO, Denti-Cal, or EPO plans. Here are the insurance companies we work with:
Aetna
Ameritas
Anthem Blue Cross
Beam
Blue Cross Blue Shield
Blue Shield
Cigna
Delta Dental
Guardian (please call for details)
Health Net
Humana
Lincoln Financial
MetLife
Mutual of Omaha
Principal
Sunlife/Assurant
The Standard
United Concordia
United Healthcare
Unum
Dealing with dental insurance doesn’t have to be complicated. Our insurance coordinator handles up to 40 insurance verifications daily, working behind the scenes to maximize your benefits and minimize your costs. They contact your insurance company before your child’s appointment to verify coverage, explain your benefits, and provide clear cost estimates.
We also specialize in finding coverage you might not know exists. Many parents come to our office prepared to pay cash, only to discover they have dental benefits embedded in their medical plans through ACA provisions requiring pediatric dental coverage. When we find these hidden benefits, families are thrilled we went the extra mile to save them money.
PPO plans typically cover preventive services like dental exams and cleanings at 100% with no out-of-pocket cost. Basic services like dental fillings are often covered at 70-80%, while major procedures may be covered at 50%. According to the American Dental Association, understanding your specific policy details helps families budget effectively for dental care.
Your plan may also include an annual maximum—the total amount your insurance pays per calendar year. Our team explains these details in plain language so you understand exactly what to expect before treatment begins.
Before your appointment, simply send us a copy of your insurance card. We’ll handle the verification process and contact you if we have questions about your coverage. Many families discover their preventive visits are fully covered, making regular dental care affordable.
We submit claims directly to your insurance company and follow up on any processing delays. You’ll receive clear explanations of charges and coverage so there are no billing surprises later.
Insurance plans can vary significantly, even from the same insurance company. Your specific policy determines what’s covered and at what percentage. Many PPO plans cover preventive services like cleanings and exams at 100%, basic services like fillings at 70-80%, and major services at 50%. Your plan may also have an annual maximum, which is the total amount your insurance will pay in a calendar year.
Our insurance coordinator can explain your deductible, coinsurance, and annual maximum in plain language. We want you to feel informed about your coverage and confident about your child’s care.
We also welcome families who prefer to pay without using insurance. Our straightforward fee structure makes it easy to budget for your child’s dental care, and we’re happy to discuss payment options during your consultation.
If you’re not sure whether we accept your insurance or want to know more about your specific benefits, we’re here to help.
Insurance questions are one of the most common things parents ask us, and we’re used to walking families through the details. Ideally, we can verify coverage ahead of time and avoid any delays when you arrive at the office.
At Silicon Beach Pediatric Dental, we handle insurance details so you can focus on what matters: your child’s dental health. Our team is experienced in working with PPO plans and is dedicated to making the process as straightforward as possible. Dr. Ray Klein and Dr. Hayley Botwin believe prevention is the best approach to keeping your child’s smile healthy. We serve families in Culver City, Playa Vista, Marina del Rey, Venice, and the surrounding areas.
Ready to schedule your child’s first visit? Contact us today, and we’ll handle your insurance verification and answer any questions you have.
*Not all plans. Please call if you have questions.
**Call us for specific information about your Guardian plan
Mon-Fri: 9am – 5pm
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