Dental EOB at Elite Dental Care

Understanding dental insurance can feel overwhelming. Words such as deductible, coinsurance, and annual limits can be confusing. This page walks you through how dental billing and EOBs work at Healthy Teeth Dental.
This guide is ideal for new patients, returning patients checking a bill, or those evaluating dental insurance options. 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. Many plans follow a standard coverage structure:

Preventive services like exams and cleanings are often covered at 100%.

Fillings and basic procedures are typically covered at a moderate percentage.

Major dental services tend to be covered at approximately 50%.

A common structure is 100–80–50 for preventive, basic, and major care.

Learn more about our services to better understand your care options.
Dental Billing Terms You Should Know

Deductible: The portion you must pay before coverage applies.

Copay / Coinsurance: A flat fee or percentage you pay after the deductible.

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 here plan.
Dental Insurance Example for Procedure_Type

These numbers are examples and not exact quotes. Final amounts vary by insurance plan.
| 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 EOB will show similar information.
Understanding Your Dental EOB

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

You then receive an Explanation of Benefits.

The document outlines insurance and patient responsibilities.

An EOB is not a bill.
Dental Insurance Questions Patients Ask

Why is there a difference between the dentist’s charge and the allowed amount?
Insurance plans set contracted fee limits.

Does preventive care really cost nothing?
Routine care is often fully covered.

What happens when I reach my annual maximum?
Insurance stops paying once the maximum is reached.

Why are some services not covered?
Plans may exclude or limit certain treatments.

Who should I contact if I disagree with my EOB?
Our office can help review your claim.

Managing Unexpected Dental Costs

Unexpected balances sometimes occur. We encourage patients to contact us before treatment when possible.

Ask for insurance estimates before larger treatments.

Discuss flexible payment solutions.

Strategic scheduling can reduce costs.

Why City Patients Trust Premier Dental Clinic

Experienced dental team focused on patient education.

Convenient location and flexible hours in City.

Acceptance of many major dental insurance plans.

See our patient reviews to learn more.