Most PPO plans cover endodontic treatment even when you visit an out-of-network provider. Here's how to estimate what you'll actually pay out of pocket — in under 60 seconds.
Check your insurance card or call your benefits line.
Select a procedure and insurance type above to see your estimated cost breakdown.
You may be surprised to learn that most dental insurance plans — even PPO plans — allow you to see any licensed dentist, including specialists. Here's how the reimbursement process works.
You visit us for your root canal or other endodontic procedure. We provide the same high-quality care we'd provide to any patient.
After your visit, we submit a claim directly to your insurance on your behalf. We handle the paperwork — you don't need to do anything.
Your insurance company sends payment directly to you — not to us. We can provide any documentation your plan requires.
Understanding a few key concepts helps you know what questions to ask your insurance company.
Insurance companies maintain a fee schedule for each geographic region. If our fees exceed your plan's UCR, you'll be responsible for the difference. This gap exists with all out-of-network providers, not just specialists.
Most dental plans cap the total amount they'll pay per year (typically $1,000–$2,000). If you've already used some of that maximum on other treatment this year, less is available for your root canal. Call your benefits line to check your remaining balance.
PPO plans offer the most flexibility for out-of-network care. HMO/DMO plans typically cover only in-network providers and offer limited or no reimbursement for out-of-network visits. If you have an HMO, we can discuss your options during your consultation.
Some insurance plans allow pre-authorization for specialty procedures. We can submit a pre-treatment estimate to your insurance before your appointment — giving you a firm number to budget around. Ask us about this at your consultation.
A superbill is the detailed receipt and procedure record your insurance company needs to reimburse you. Here's what to expect.
We provide a complete superbill with procedure codes, diagnosis codes, and our National Provider ID — everything needed for your insurer.
Upload the superbill through your insurance portal, mail it in, or call their member services line — they guide you on the fastest method.
Most insurers send payment directly to you within 2–4 weeks. The check is yours — you pay us for treatment, then get reimbursed for the covered portion.
If your plan allows pre-authorization, we can submit a pre-treatment estimate before your visit — so you know the exact reimbursement before committing.
The estimator gives you a reasonable starting point. For a definitive figure, call us with your insurance information ready — we'll verify your exact benefits and tell you exactly what you'll owe.
Contact UsAlready referred by your dentist? Pre-register online to save time at your first visit.