Dental Explanation of Benefits at CityCare Dental

Dental insurance often feels confusing for patients. Insurance terms often leave patients unsure what they actually owe. This guide explains how your dental billing breakdown of benefits and dental Explanation of Benefits (EOB) work after your visit at Family First Dental.
This information is helpful for new patients, existing patients reviewing a recent bill, and anyone comparing dental plans. If you need individual assistance, our billing team is happy to help.
How Dental Coverage Works in City

Most dental plans aim to lower patient costs and emphasize preventive treatment. Most insurance plans use a tiered coverage system:

Routine checkups and cleanings are usually covered in full.

Basic dental work often receives partial coverage of around 70–80%.

Crowns and other major treatments usually receive the lowest coverage level.

Many plans follow a 100–80–50 coverage model.

Explore our dental treatments to better understand your care options.
Common Dental Insurance Terms Explained

Deductible: The portion you must pay before coverage applies.

Copay / Coinsurance: The patient portion owed for covered services.

Allowed Amount / Negotiated Fee: The amount used by your plan to calculate benefits.

Annual Maximum: The yearly cap on insurance benefits.

Non-Covered Services: Procedures not covered under your plan.
Dental Insurance Example for Procedure_Type

This sample is for educational purposes. Your real costs depend on your policy details.
| Item | Example Amount |
| ------------------------------ | -------------------------- |
| Dentist’s standard fee | Base_Fee |
| Plan’s allowed amount | Allowed_Fee |
| Deductible applied | Deductible_Amount |
| Plan payment (Coverage_%%) | Plan_Payment |
| Patient responsibility | Patient_Responsibility |

Your dental Explanation of Benefits will list similar details.
Dental EOB Explained Simply

After your visit, a claim is submitted to your dental insurance.

The insurer reviews the claim and issues an EOB.

The EOB shows procedures, allowed amounts, payments, and your portion.

This document is informational only.
FAQs About Dental Billing at Bright Smile Dental

Why is there a difference between the dentist’s charge and the allowed amount?
Plans calculate benefits using negotiated rates.

Does preventive care really cost nothing?
Preventive visits usually require no payment when in network.

What happens when I reach my annual maximum?
You may be responsible for full costs get more info afterward.

Why are some services not covered?
Some procedures are not included under specific policies.

Who should I contact if I disagree with my EOB?
Start by contacting the billing team at Family First Dental.

What to Do if Costs Are Higher Than Expected

Out-of-pocket expenses can increase depending on plan rules. Speaking with our office in advance can help avoid surprises.

Obtain benefit estimates when available.

Explore third-party financing if needed.

Plan treatments around your benefit year when appropriate.

Why Patients Choose Our Dental Office

Years of experience helping patients understand benefits.

Serving City and surrounding areas.

Works with a wide range of insurers.

Read what our patients say to learn more.