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Blog on Children's Dental Health Care
Community forum discussion for individuals and families on dental care, oral hygiene, and other related health issues for babies, infants, toddlers, and children of all ages.

Dental Insurance Coverages and Dental Claims 

Apr. 23rd 2024

Question: I have a dental PPO plan I got through my job. I need help understanding how my dental insurance states my coverages are one thing, but the numbers do not add up when a claim is filed. For example, I had a large filling and a crown not long ago. The filling coverages were to be at 80% paid. Which it was, so that was fine. However, the crown I got cost $1000.00, and my plan said that it paid out 50% of the cost of a crown. Straight forward math right, I should only have to pay $500.00, which was my co-payment of 50%. I then got the billing from the dental office stating the insurance company only paid $450.00, so my cost is $550.00. It is only $50.00 more, but this happens quite often. What should I do about this? 

Answer: In general, PPO plans to pay out a percentage of 80% for essential services such as fillings and 50% for major services such as crowns. But it does not just stop there. Usually, they will state that the percentage paid out is up to UCR (Usual, Customary, and Reasonable). Therefore, if the dentist you are going to is above the UCR rate for the company, you will have an additional charge. Also, some PPO plans will have two sets of coverage, one for network dentists and another for outside-network dentists. Outside-network dentists usually will have fewer benefits than inside-network providers. As to why you are paying more, I could not say which is the case for you. That will be something you should call your plan’s member services for. They can review your benefits and directly answer what is affecting your cost on claims. However, here is a tip you may want to keep in mind. Before starting any dental services, have your dental office submit to your insurance company as a quote only. That way, you will know the actual cost of dental care without worrying about additional expenses.

Posted by Carol | in Baby Dental Insurance, Baby Help | Comments Off on Dental Insurance Coverages and Dental Claims 

Baby Dental – Insurance for Dentures in California. 

Apr. 19th 2024

Question: I am 52 and have been fighting for years to keep my teeth. After years of having major dental services dealing with dental pain all the time and not counting the expense, I am tired of it all. I am considering pulling the teeth I have left and getting complete dentures. The dentist I am going to now does not want to pull my teeth, saying they do not need to be pulled and I should continue having dental care for them. Sure, once they’re pulled and I get dentures, there will be no more dental bills. I am looking for a dental insurance plan to let me have dentures if that is what I want and not say it is elective and not cover them. Please advise. 

Answer: I suggest reviewing dental discount plans. You would want the flexibility that a dental discount plan gives you. With a dental discount plan, your dental services will be up to you and the dentist within the plan. The company does not state what you can or can not have done. 

You get discounted savings for all your dental needs when the services are rendered. If you want dentures, you pay only the discounted cost for them as listed on the fee schedule. You would need to find a dentist in the plan willing to pull out teeth that may not have to be pulled. So make phone calls and ensure you have a dentist in the plan to work with you and your needs.

Also, here is something to think about. Even if you have complete dentures, you must see a dentist regularly for check-ups to ensure that your gums and mouth are healthy. Dentists can also evaluate the fit and function of your dentures and make any necessary adjustments. Additionally, regular dental check-ups can help detect potential oral health issues before they become more serious problems.

Posted by Carol | in Baby Dental Insurance, Baby Help | Comments Off on Baby Dental – Insurance for Dentures in California. 

Baby Dental on Dental Insurance For Healthy Families 

Apr. 17th 2024

Your family oral health care is essential to maintain as your oral health has direct links to your overall health wellness. Therefore, a few ways to keep your and your family’s oral health are good at-home oral health care habits and seeing your dentist regularly. Studies also show that families that have dental insurance in place are more likely to see their family dentist regularly. In addition, dental insurance helps keep your family’s dental care costs lower and more affordable.

Regarding dental insurance for healthy families, it’s important to look for preventive care plans, such as regular cleanings, x-rays, and check-ups. Additionally, plans that cover orthodontia and basic and major restorative services can be beneficial for families with children who may need braces or other dental work. 

It’s also important to consider the network of providers available under a plan and any waiting periods or deductibles that may apply. By carefully evaluating the options and choosing a plan that meets your family’s needs, you can ensure everyone has access to the dental care they need to maintain good oral health.

You can call our member service line at 310-534-3444. Our team of experts can explain each plan’s various options and benefits and help you select the one that best fits your needs and budget.

Posted by Carol | in Baby Dental Insurance, Baby Help | Comments Off on Baby Dental on Dental Insurance For Healthy Families 

Baby Dental on How to Have Healthy Teeth and Gums 

Apr. 15th 2024

It is essential to understand that your dental health starts at home.

Maintaining good oral hygiene is essential for having healthy teeth and gums. Here are some tips to help you achieve and maintain healthy teeth and gums:

  1.  Brush your teeth twice a day: Brush your teeth at least twice a day with fluoride toothpaste to remove plaque and prevent cavities.
  2. Floss daily: Flossing helps remove food particles and plaque between your teeth and the gum line.
  3. Mouthwash: Use an antiseptic mouthwash to kill bacteria and freshen your breath.
  4. Limit sugary and acidic foods: Sugary and acidic foods can erode tooth enamel and cause cavities. Limit your intake of these foods and drinks.
  5.  Drink water: Drinking water after meals helps wash away food debris and prevent dry mouth, which can lead to bad breath and tooth decay.
  6. Visit your dentist regularly: Regular dental checkups and cleanings are essential for maintaining healthy teeth and gums. Your dentist can detect and treat any dental problems early on.

By following these tips, you can have healthy teeth and gums and maintain good oral hygiene.

Posted by Carol | in Baby Dental Insurance, Baby Help | Comments Off on Baby Dental on How to Have Healthy Teeth and Gums 

What are some essential tips when reviewing dental insurance plans?

Apr. 13th 2024

When shopping for dental insurance, the best advice is to read each plan’s terms and conditions carefully. The terms and conditions will let you know what is limited or not covered under the plan. Reading each plan is critical to understanding how it works and whether it best fits your dental care needs.

When reviewing dental insurance plans, it’s essential to consider the plan’s cost and what it covers. Some plans may have lower premiums but may not cover specific procedures or may have high deductibles. On the other hand, more expensive plans may offer more comprehensive coverage. It’s essential to weigh the costs and benefits of each plan to find the one that best fits your budget and dental care needs.

Another tip to remember is to check if the plan has a network of preferred providers. If you have a dentist you prefer to visit, it’s essential to ensure they are included in the plan’s network. Going out of network may result in higher out-of-pocket costs.

Lastly, remember to consider the waiting period for specific procedures. Some plans may have a waiting period before particular procedures are covered, so it’s essential to be aware of this when choosing a plan.

Remember, reviewing and comparing dental insurance plans can save money and ensure you receive the dental care you need.

Also, remember our member services are here to help you if you have any questions about the different dental insurance and plan types we have to offer. It is better to call us at 310-534-3444 if you have questions than to buy a plan that may not work out best for your dental health needs.

Posted by Carol | in Baby Dental Care, Baby Help | Comments Off on What are some essential tips when reviewing dental insurance plans?

Baby Dental Early Childhood Cavities Prevention

Apr. 11th 2024

Early Childhood Cavities Prevention: Early Childhood Cavities, which includes Baby Bottle Tooth Decay, is an infectious disease that can be prevented. By ages 12 to 19, 23% of children from low-income families have untreated cavities in their permanent teeth, twice that of children from higher-income households.

Early Childhood Cavities Prevention (ECCP) is a nationwide campaign to increase awareness about the importance of preventive oral health care in infants’ first years.

Baby Bottle Tooth Decay: Preventing dental disease is never too early. Primary (baby) teeth are important because they act as placeholders for permanent teeth and aid in proper speech development, nutrition, and self-esteem. Cavities can occur in children less than a year old.

What is BBTD: BBTD, or Baby Bottle Tooth Decay, is a dental condition that can occur in young children when their teeth are consistently exposed to sugary drinks, such as milk or juice, especially at bedtime. The sugars in these drinks can cause decay and cavities in young children’s teeth, leading to pain, infection, and the need for dental work to repair the damage. It is important to avoid giving sugary drinks to young children at bedtime and encourage them to drink water instead. Additionally, it is important to establish good dental hygiene habits early on, such as brushing and flossing regularly and scheduling regular check-ups with a dentist.

Posted by Carol | in Baby Dental Insurance, Baby Help | Comments Off on Baby Dental Early Childhood Cavities Prevention

Baby Dental Infant Dental Care

Apr. 9th 2024

Dental Care for Infants

Any tips on how to take care of infants’ baby’s teeth? Are there things you should know about and do even before your baby starts teething? How about tips on teething? Does anyone have good tricks to help get a baby through teething?

Reply: There are a few things you can do to prepare for your baby’s first teeth. You can start by wiping your baby’s gums with a clean, damp cloth after feedings to help keep their gums clean. It’s also important to avoid putting your baby to bed with a bottle, as this can cause tooth decay.

Caring for a baby’s teeth is essential to help prevent tooth decay and promote good oral health. Here are some tips on how to take care of infants’ baby’s teeth:

  1. Once the first tooth appears, brush them with a soft-bristled toothbrush and a tiny smear of fluoride toothpaste.
  2. Limit sugary drinks and foods, especially before bedtime. 
  3. Avoid putting your baby to bed with a bottle of milk or juice. This can cause tooth decay. 
  4. Schedule your baby’s first dental visit when the first tooth appears or by the first birthday.

Remember, caring for your baby’s teeth can help establish good oral hygiene habits that will last a lifetime.

Teething can be a difficult time for both babies and parents. Here are some tips to help get a baby through teething:

  1. Offer a clean, chilled teething ring or a cold washcloth to help relieve discomfort and soothe sore gums.
  2. Gently massage your baby’s gums with a clean finger to help ease the pain. 
  3. Provide your baby with safe, age-appropriate toys to chew on. 
  4. Distract your baby with fun activities or games to help take their mind off the discomfort. 
  5. Talk to your pediatrician about over-the-counter pain relief options that are safe for your baby to use during teething.

Remember, every baby is different and may experience teething differently. It’s essential to be patient and understanding and provide your baby with the comfort and care they need.

Posted by Carol | in Baby Help | Comments Off on Baby Dental Infant Dental Care

Baby Dental – What is the average cost of a crown?

Apr. 5th 2024

Question: Are crowns cheaper with dental insurance?

Reply: Short answer Yes. But in some cases, it means planning. Some dental insurance plans have waiting periods, so you should buy them before needing major dental services. 

Average Cost for Crowns in California without Dental Insurance 

  • Porcelain-fused-to-metal crowns can cost around $500-$1,500 or more per tooth.
  • Metal crowns of gold alloy or base metal alloys can cost $600-$2,500 or more per tooth
  • All-porcelain crowns require a higher level of skill and take more time to install than metal or porcelain-fused-to-metal crowns and can cost $800-$3,000 or more per tooth.

Average Cost for Crowns in California with Insurance

  • Generally, dental PPO insurance plans will pay out 50% of the cost of major services (after any waiting periods the plan may have)
  • With HMO dental insurance plans they are fee-based, which means they will have a schedule of Services breaking down the cost for each covered item so that the price will vary. However, in many cases, crowns would still be much cheaper, averaging around $200 – $400, than not having dental insurance.
  • It is important to note that not all dental insurance plans will cover all-porcelain crowns, so make sure you read the plan’s terms and conditions.
Posted by Carol | in Baby Help | Comments Off on Baby Dental – What is the average cost of a crown?

What to expect at the baby’s first dental appointment? – Baby Dental 

Apr. 3rd 2024

Hi, I will be taking my son to his first dental appointment. He is eighteen months old. I have been taking excellent care of his teeth, but I felt it was time to take him to the dentist. I would like to know what his first dental appointment is like. What do they do?

Reply: At your baby’s first dental appointment, the dentist will typically examine your baby’s mouth for any signs of decay and check their gums. The dentist will also ensure that your baby’s teeth are developing correctly and provide advice on how to care for your baby’s gums and teeth at home. Additionally, the dentist may discuss relevant topics such as fluoride and teething with you. Establishing good oral hygiene habits early on is essential, so don’t hesitate to ask any questions you may have.

Posted by Carol | in Baby Help | Comments Off on What to expect at the baby’s first dental appointment? – Baby Dental 

California Dental Health Insurance Plans  

Apr. 1st 2024

Question: A close friend of mine needs dental health care. She does not have dental insurance and only works about 20 hours per week. She said she has tried getting payment plans from different dental offices for dental services she will need but has been turned down each time for poor credit. 

Answer: It’s understandable that your friend is having trouble getting payment plans for dental services due to her poor credit. In such cases, dental insurance can be a great option for affordable dental care. Our dental HMO insurance plans through California Dental or Delta Dental or our dental discount plans through Careington and Aetna can provide her with low-cost dental care. 

However, it’s worth noting that the extent of coverage and the out-of-pocket expenses will depend on the plan she chooses and the dental services she needs. While these plans can help make dental care more affordable, she may still have to budget for her dental care and do as little at a time as she can afford. 

She can call our member service line at 310-534-3444. Our team of experts can explain each plan’s various options and benefits and help her select the one that best fits her needs and budget.

Posted by Carol | in Baby Help | Comments Off on California Dental Health Insurance Plans  


This site does not provide medical or dental care advice. It is simply a forum in which consumers can voice their opinions,
views, and experiences in an effort to help others with similar problems and situations.
Please be sure you consult your doctor first!
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