We verify your benefits before treatment, hand you a written estimate and file the claim for you. If you do not have insurance, our membership covers the basics.
Pick your carrier for a sample of how these plans usually treat children, learn the seven terms that decide what you pay, then call your insurer with the list at the bottom. Nobody enjoys this. It takes five minutes once a year.
We are in network with most Idaho plans and we file claims for the rest. If your carrier is not on the list, call us and we will look it up with you.
Every figure that appears is a sample of how these plans commonly treat children in Idaho, not a quote on your plan. Employer groups differ enormously, even inside one carrier, which is why the questions further down matter more than any table.
Sealants commonly covered on permanent molars to age 16. Two cleanings per benefit year.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Fluoride varnish usually covered twice a year to age 16.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Employer groups differ more than any other carrier on this list.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Some plans waive the deductible on preventive visits.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Ask whether your plan carries unused preventive benefit forward.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
No annual maximum in the usual sense. Some treatment needs prior authorisation, which we file.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Many families still receive strong benefits out of network. We file the claim either way.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Military and TRICARE-linked plans have their own rules, so call us with the plan name.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Often generous on frequency limits for children at higher decay risk.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
Without dental insurance, the Little Molars membership covers checkups, cleanings, X-rays and fluoride for a flat fee.
Sample figures for this demo site. Send us a photo of the card and we will verify your real benefits before treatment.
The twelve months your plan counts in. Most reset on 1 January, some on your employer's anniversary date. Nothing unused carries over, which is why December books out.
Plans sort treatment into preventive, basic and major, then pay a different percentage of each. A cleaning is preventive, a filling is basic, a crown is major. The tier a treatment sits in matters more than its price.
How often the plan will pay for the same thing. Two cleanings a year is standard, and some plans count six months to the day rather than twice per calendar year.
The pediatric one parents miss. Sealants and fluoride are often covered only up to a set age, commonly fourteen or sixteen, and sealants only on permanent molars. Place them while they are covered.
New plans often make you wait six to twelve months before basic or major work is paid for. Preventive care is usually available from day one. Ask whether a previous employer's coverage waives it.
A separate pot from the rest of the plan, paid once per person rather than once per year, and often capped by age. Phase one treatment at eight can use up the money you wanted at fourteen.
When a child is on both parents' plans, the birthday rule usually decides who pays first: the parent whose birthday falls earlier in the calendar year, regardless of who is older. Send us both cards.
Or hand it to us. Our coordinators make these calls every day and they are faster at it than you will be. Send the card when you book and we will have the answers before your first visit.
We also file claims for most other PPO plans as an out-of-network provider, and many families still get strong benefits that way.
Carrier list is a sample for this demo site. Coverage, percentages and annual maximums vary by employer plan. Call (208) 555-0144 and we will check your specific plan.
Dental billing confuses everyone. We do the annoying parts so you can focus on your kid.
Text or upload a photo when you book. We verify benefits before you arrive.
You pay only your estimated portion at the visit. We handle the paperwork with your carrier.
If the insurer pays less than estimated, we call you before any balance is sent.
One flat price covers checkups, cleanings, X-rays and fluoride, plus real discounts on treatment. No deductibles, no waiting periods.
Ages 0 to 5
For babies, toddlers and preschoolers building good habits.
$29per child / month
Ages 6 to 12
For big-kid smiles with new molars and loose teeth.
$35per child / month
Ages 13 to 18
For teens juggling braces, sports and senior photos.
$39per child / month
Sample membership pricing for illustration. Membership is not insurance. Compare with insurance.
Treatment should never be delayed because of one big number on one day.
All major cards, plus health savings and flexible spending accounts for treatment.
CareCredit and Sunbit offer 6 to 24 month interest-free plans for qualifying families (sample terms).
For treatment over $800 we can split the balance across three payments with no interest.
Every plan comes with a printed estimate showing your portion before anything is scheduled.
Financing terms shown are samples for illustration and depend on approval. Ask our coordinators for current options.
Ask us anything, including the awkward ones. We would rather talk about cost up front than after treatment.
All parent questionsWe are in network with Delta Dental of Idaho, Blue Cross of Idaho, MetLife, Cigna, Guardian and Idaho Smiles (Medicaid), and we file claims for most other PPO plans.
Our Little Molars Membership covers two checkups, cleanings, X-rays and fluoride each year, plus discounts on treatment, for a flat monthly or yearly fee.
Yes. We offer CareCredit and Sunbit with 0% options for qualifying families, plus in-house plans for larger treatment.
Send us a photo of your card when you book and we will tell you what your plan covers before the first visit.
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