Understanding Your Insurance and Your Bill Statement

Having dental insurance can make obtaining quality dental care more affordable. 

At Western New York Dental Group, our treatment recommendations will always be based on the options for your specific condition. We will submit claims to your insurance company and advocate on your behalf, but ultimately expenses that your insurance company does not cover will be your responsibility.

Facts About Dental Insurance You Should Know

  • Many dental plans are based on a contract between an employer and the insurance company. They agree on the amount that the plan pays and what procedures are covered. If you have a dental care need that is not covered by your plan, you are responsible for that cost.  Because your dental office is not part of that contract with the insurance company, any information we have about a dental plan’s benefits comes from the general information the insurance company has provided about that plan (through a web portal, speaking to an insurance representative, or by way of a limited, faxed benefit summary).
  • A dental plan may not cover treatment for conditions that existed before you enrolled in that specific plan (such as treatment in progress). Even if your plan does not pay for certain procedures, you may still need that treatment to keep your mouth healthy. Your dentist will base your treatment plan on what you need, which won’t always align to what your insurance will pay for.  
  • Dental insurance rarely covers 100% of the services provided. Check your plan(s) for details regarding your dental benefit.
  • When we recommend a treatment plan, our team will be happy to provide you with an estimate of what your insurance will likely pay for the procedures. Although we cannot guarantee the amount of insurance payment, we will always submit claims to your insurance company. We will estimate your portion based on the general information that your insurance company provides for that plan. Just like with your medical coverage, you are ultimately responsible for any uncovered portion of the fee for treatment.

At Western New York Dental Group, our main goal is to partner with you to achieve a higher standard of oral health. We certainly understand that the insurance business is very complex and this complexity can lead to frustration. Our team wants to help you receive the maximum benefit that you are entitled to under your insurance plan by filing claims as a service to you. We would be happy to submit a pre-treatment estimate to your dental insurance provider.  

To view a sample explanation of your bill statement with visuals click here.  These statements are sent out on a monthly to keep you informed of your account.

If you have any questions please call your local Western New York Dental Group Office

Your insurance policy is a contract between you and your insurance company. If our office is able to accept your insurance company’s assignment, it does not absolve the patient of responsibility for the charges in full for treatment rendered.  Any estimate provided by our office is considered a guideline until the final insurance payment, if any, is received and the patient’s account has been reconciled.  Our office can make no guarantee of the insurance payment as estimated. The agreed upon payment plan for the patient’s estimated portion must be kept current or the assignment will be cancelled and the full amount will become due and payable. Claims are submitted promptly after treatment is rendered.  If a claim is not paid by the patient’s insurance company by the 61st day after treatment is rendered, the total outstanding account balance will be billed to the patient. Our administrative staff prides itself on helping our patients maximize their benefits. We are always available to answer any question you may have regarding our services. We strive to give each of our patients the optimum treatment plan and level of care available; therefore, we base your dental treatment on what is best for your health and do not let insurance coverage dictate your dental care. Any treatment which is not covered (in part or in full) by your insurance plan will be your financial responsibility. We will be glad to help you set up financial arrangements for any outstanding balance on your account.  This courtesy discounts including senior citizen discounts will not be combined with any other discount or adjustment. If you have any questions about our financial options please contact us.  View our locations or contact page to find the office that is most convenient for you.  We will be happy to go over your options in more detail!

Our Dental Offices Near You

Western New York Dental Group Holland

9 North Main Street Holland NY 14080 (716) 537-2211

Western New York Dental Group Hamburg

5907 South Park Avenue Hamburg NY 14075 (716) 646-3912

Western New York Dental Group Blasdell

3860 McKinley Parkway Suite 200 Blasdell NY 14219 (716) 649-1307

Western New York Dental Group Orchard Park

3326 Southwestern Blvd Orchard Park NY 14127 (716) 677-4255
Fax (716) 677-4358
Orthodontics (716) 343-0847
Pediatrics 716-209-3331

Western New York Dental Group West Seneca

800 Harlem Road Suite 400 West Seneca NY 14224 716-824-5857

Western New York Dental Group Depew

6350 Transit Road Depew NY 14043 Main (716) 206-0718
Fax (716) 206-0728
Orthodontics (716) 343-0847

Western New York Dental Group Buffalo Main St

2121 Main St Suite 310 Buffalo NY 14214 (716) 832-3108

Western New York Dental Group Buffalo Delaware Ave

2290 Delaware Ave Suite 300 Buffalo NY 14216 (716) 885-1905

Western New York Dental Group Henrietta: Jefferson Road

1300 Jefferson Road Suite 300 Rochester NY 14623 (585) 625-1250

Western New York Dental Group Williamsville - Youngs Rd

1020 Youngs Road Suite 100, Youngs Center Williamsville NY 14221 716-636-1600
716-636-2595
Pediatrics 716-209-3331

Western New York Dental Group Brighton: West Henrietta Road

2024 W. Henrietta Road Suite 5J Rochester NY 14623 (585) 292-1270

Western New York Dental Group Hopkins (formerly Dr.Steven Stern)

867 Hopkins Road Williamsville NY 14221 (716) 688-9639
Fax (716) 688-9698

Western New York Dental Group Getzville

2430 N Forest Rd Suite 200 Getzville NY 14068 (716) 636-8686
Orthodontics (716) 343-0847

Western New York Dental Group Penfield

43 Willow Pond Way Suites 107 & 112 Penfield NY 14526 585-421-8168

Western New York Dental Group Gates

2300 Buffalo Road Building 400 Rochester NY 14624 585-426-3020


Western New York Dental Group Tonawanda

88 Niagara Street Tonawanda NY 14150 (716) 343-6711

Western New York Dental Group Greece

1524 Ridge Road West Stoneridge Plaza Rochester NY 14615 Main (585) 865-2200

Orthodontics (585) 510-6353

Western New York Dental Group Webster

980 Ridge Road Webster NY 14580 Main (585) 667-1000

Western New York Dental Group Greece (Long Pond)

1100 Long Pond Road Suite 115 Rochester NY 14626 585-225-7790

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What Our Patients Say

  • What a team! From the reception staff to the hygienists to the doctors, everyone is warm welcoming and outstanding customer service. Building is clean and organized. They don't shame you but instead educate you on dental health. All in all, the best dentist office I have ever gone to and I won't be changing any time soon!

    Elizabeth K.

    NY

  • I'll make it short and sweet. The staff has been absolutely phenomenal, they're always quick to get me in, and I've never had a better experience anywhere else. They have two concerns, my comfort (both physical and mental) and my teeth, and it's in that order. Don't go anywhere else, if you do you're missing out

    Joshua K.

    NY

  • Love this office! Very friendly, professional Staff. My kids love the waiting area. Excellent care!

    Holly N.

    NY

  • Out of all the dentists that take my insurance, they were the only who would get me in within 24 hours for an emergency. All the rest said 3 weeks to month. I have dental anxiety but not the traditional fear of pain and needles kind. The kind that stems from over 30 years of having dental problems and no dentist ever listening to me and taking me seriously. So, I've given up. But, already in just one visit, WNY Dental has been different. I don't expect a miracle, and even if in the end, It's ....

    Amy L.

    NY

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