When choosing a dental healthcare provider, many factors go into your decision-making: Where did the dentist gain his/her education? Does the dentist have a good reputation in the community? Is the office close by? And, last but not least, do they take my dental insurance?
We have been conditioned by insurance companies to believe that we can only see clinicians that participate with our insurance, otherwise known as “in-network providers.”
Our team is highly skilled at maximizing the benefits of every patient’s dental insurance plan as a way to help cover the costs of dental care. Your treatment costs will be discussed thoroughly before any treatment begins, and you are invited to share your questions and concerns with us at any time.
However, is it Dental “Insurance” or Dental “Assistance”?
It’s not news that employers have reacted to the rising costs of healthcare benefits by shopping carefully for the policies that they offer their employees. Benefits are down while restrictions and exclusions are up. Our patients share their resulting frustration with us every day. Adding to the frustration is the fact that dental benefits are often represented as being comparable to other types of insurance. “Insurance,” by definition, is protection against unpredictable or catastrophic loss.
But most dental benefit plans specifically exclude extraordinary needs.
The benefits offered are not only predictable but expected, such as routine exams, X-rays, healthy cleanings, etc. Further, policies that offer a benefit for other common services, such as crowns and treatment for gum disease, provide them at a much lower percentage of the actual cost of providing that care and with a low dollar limit per year. Your dental benefit plan can be an excellent maintenance assistance program that will help you protect your investment in your dental health, and we’re happy you have that assistance!
Another common misrepresentation is that dental “insurance” covers all of the things that you need.
We believe this can be a danger to your health because it implies that you don’t need it if it isn’t covered.

Insurance companies are in business to make money. This is no secret, and it’s not bad or wrong. Their responsibility to their shareholders is to provide the benefits they can while still creating profit within the investment you or your employer has chosen to make in dental health. You cannot count on a dental benefit plan to determine your needs. It’s our responsibility to advise you regarding your health. The fact is, even those with excellent dental health still need to make an investment.
We invest in what we value. Home improvement, education, and vacations are all examples of things we pay for, by choice, because we value them. We don’t presume to know where dental health fits in your value system. That’s for you to decide. It’s important for us that you know we think you’re worth the investment, and we’ll work with your benefit plan to see that you receive the maximum benefits in assisting you with maintaining your health.
We work with and welcome ANY questions about your dental benefit plan.
While we are not contracted with any dental insurance carriers, we file all patient claims as a professional courtesy. We are known as a fee-for-service office.
What is Fee-For-Service Dentistry?
When you hear the words “fee-for-service dentistry,” it may sound like a deterrent. Does it mean cash only? Does it mean no insurance is accepted? Will it be grossly more expensive?
Here’s the reasoning behind fee-for-service, and how it can benefit the care you receive.
Quality Over Quantity
Many dental patients feel restricted by their dental insurance. They find an increasing number of exclusions, limitations (including frequency of services), downgrades, and waiting periods. They may also suffer because they are unable to select a provider that offers the level of quality care they are looking for. However, many fee-for-service dentists do accept insurance, even if they may not participate as a “preferred provider” in your plan.
Working outside the confines of insurance allows the fee-for-service dentist to charge a fair and fixed fee for the specific procedures they offer rather than have their fees managed and dictated by a third-party insurance provider. Insurance “reimbursement” is often far less than the value of the procedure, clinician’s time, and materials used. Because of this, participating (in-network) providers tend to see many more patients in the same amount of time compared to non-participating (out-of-network) providers to make up for the difference between the actual value of the procedure and what the insurance company will pay. Many of these reimbursements are so low that the quality of materials, results, amenities, and your experience is compromised.
“Going Fee-For-Service allows our office to provide ONE standard of care… the standard we would provide for ourselves and the ones we love.”
– Dr. Angela Rasmussen, DDS
By going fee-for-service, our office can use only the highest-quality laboratories to fabricate your dental restorations and utilize the materials with the best long-term success and aesthetics rather than having to select lower-quality facilities/materials to meet cost restrictions. As a result, patients will be able to receive excellent care that isn’t restricted by an insurance carrier.
More Personal Relationships
In a fee-for-service office, you can expect much more personalized care with the proper attention given to each patient and their needs. When you become a patient at Gentle Dentistry, you become a part of our family and can expect to be treated as such each time you visit. This not only means friendly, familiar faces are always present but also includes your dental team remembering the personal touches that make your visit a pleasant one, like providing your preferences from our comfort menu at every visit.
In fact, where many volume-driven practices have eight to ten patients in the waiting room to see the doctor, our doctors may only see eight to ten patients in their doctor chairs each day. This allows the proper time for a true doctor-patient relationship to be developed. Patients can expect a far more customized experience and, most importantly, feel truly heard.

Payment At The Time Of Service
At our office, we request payment in the following way: Having the patient pay for their services at the time of treatment. The patient will then be reimbursed directly by the insurance company for the services provided. We have highly flexible payment options, including in-house and third party financing <click here for more details> to help offset any cost incurred for the recommended treatment.
Will You Pay Significantly More?
In a fee-for-service office, there will typically be an increased cost compared to an “in-network” provider. However, the discrepancy is nothing compared to what you will see in the medical industry for out-of-network vs. in-network out-of-pocket expenses. It simply means that if there is a difference between our fee and the allowable fee set by your insurance, you are responsible for the difference.
So, does this mean that you will pay more for an out-of-network provider?
You might. However, it is usually not a large amount, contrary to insurance company rhetoric, and it is worth the price for the increase in time and the quality of care provided.
Our fees are based on “Usual and Customary Rates” for our area (based on zip code) and are usually still within or very close to the allowable fees set by a lot of insurance companies. Most patients experience a minimal to modest increase in the out-of-pocket expenses for preventive care and a moderate increase in major treatment costs. Many patients fear that they will pay upwards of 10-20x out-of-pocket compared to an in-network provider, and this is simply not the case.
What Happens Once Insurance Is Filed?
Our office is happy to file insurance claims on our patients’ behalf as a professional courtesy. We will continue to appeal and fight on your behalf for proper benefit reimbursement.
Even though you are paying our office directly, we manage all the paperwork, forms, and documentation needed to seek reimbursement for your plan’s coverage. You will not incur this responsibility.
It’s important to note that insurance claims can take well over 30 days or more to file, process, and have a reimbursement check sent out. Once processed, the payment should be made and mailed directly to your home address. If you don’t receive a check within 30-45 days or the reimbursement appears to be under the anticipated amount, we ask you to save your EOBs (explanation of benefits), and we will help appeal any claim on your behalf.
An Advantage for Patients and Dentists
Fee-for-service dentistry is a deterrent for some patients when seeking out a new dentist, but the truth is that when you want to seek the best care at a competitive fee, going to a fee-for-service dentist provides both you and your dental practice with more freedom regarding what’s possible for your smile. Fair pricing allows our office to select ideal procedures and methodologies rather than those that will “only fit into the insurance plan’s package.”
We invite you to call our office at (813) 734-7102 to discuss your plan.