info@clintonfamilydental.com | 9015 Woodyard Rd, Ste 104, Clinton MD 20735
 
 
 
 
 
 
 
 
 
 
Call Us: 301-868-0777
Dr. Sam Hamam
Dr. Jared Lamb
Dr. Rachel Turanchik
 
 
 
 
 
 

Understanding Your Dental Insurance


 

Insurance Providers We Accept

 
  • AETNA PPO
  • AETNA PPO (DENTAL ACCESS-VITAL)/(DENTAL ADM)
  • AETNA PPO (FED GOV'T SUPPLEMENTAL)
  • ASSURANT (EFFECTIVE JANUARY 1ST, 2014)
  • CAREFIRST BC/BS/NCA
  • DELTA DENTAL (PREMIER)
  • DENTA QUEST (CHOICE)
  • DOMINION CHOICE
 
  • HEATING, PIPING, REFRIGERATION (LOCAL 602)
  • HUMANA
  • MET LIFE, PPO
  • PLUMBERS & PIPEFITTERS (LOCAL 5)
  • CIGNA, DTPO
  • WELL POINT (UNICARE)
 
 
We accept all PPO insurance plans. We are also in network providers with various PPO plans. See the list of providers at the bottom of the screen. If you do not have a PPO plan or if you are not sure about the kind of plan you have, please call the office to find out how we can work with your insurance.

What is a maximum?

A maximum is the amount of money that you have available in insurance benefits per year.
 
Child Patient - Dentistry in Clinton, MD
 

What is a deductible?

A deductible is the amount per year that you will have to pay out of pocket, before your insurance covers the remaining costs for the work you are having done. A deductible is something that has to be paid in addition to the amount that you pay per year for your insurance coverage. Sometimes the deductible only applies to certain services. With most dental coverage, a deductible is only applied towards basic and major work, such as filling root-canals or crowns, but not towards preventive work such as x-rays or cleanings.
The following is a list of some of the insurance plans that we participate with. If you do not see your plan listed or if you have any questions about your specific plan, please call our office and we will be happy to help.

Don’t Have Dental Insurance?
The Premium Plus In Office Savings Plan Provides Affordable Dental Coverage For You and Your Family


Terms and Conditions:
 
  • The discounts associated with the In Office Saving Plan are available only through Clinton Family Dental.
  • Monthly membership fees are to be paid for a minimum twelve (12) month period and are non- refundable. Membership will automatically renew on the anniversary date and continue thereafter until cancelled, in writing, with a minimum 30-day notice.
  • Qualified dependents are defined as a husband, wife, and any non-married children living in the household under the age of 22 years old. Any additional dependents after three (3) each will have an additional surcharge of $22 per month per dependent.
  • Fees and plan discounts are subject to change without notice.
  • Missed or broken appointments without 48-hour notice will be charged $75. Missed or broken appointments that have 1 1/2 hour or longer of service, will be charged $150
  • All member co-payments are due at time of service.
  • Membership in the Dental Plan may be terminated for abuse or failure to pay membership fees or properly billed service.
  • In Office Savings Plan is administered solely by the dental office and may be discontinued at the end of any month, with or without notice.
  • Dental Plan benefits are limited to $1500 per each covered family member per membership year.
  • Prophylaxis and fluoride treatments are limited to twice (2) every calendar year. A difficult prophylaxis is subject to Type II periodontal disease treatment charges. Additional prophylaxis is available for $50 per visit.
 
  • By accepting the Plan, an associate will perform a comprehensive oral exam and members agree to follow prescribed maintenance program.
  • All covered are subject to the co-payment percentages as listed in the Schedule of Services and the private fee schedule of Clinton Family Dental.
  • Any dental procedure in progress or performed before a member’s eligibility period is excluded.
  • Any dental expense incurred if the dentist is unable to perform a procedure due to the member’s general health or physical condition is excluded.
  • Replacement of a satisfactory filling is excluded.
  • Replacement for lost or stolen dentures, partials, or bridgework, or appliances is excluded.
  • Any dental procedure not listed as a covered service, including but not limited to, anesthesia, prescription medications, surgery of fractures or dislocations, trauma to the mouth, etc. is excluded.
  • Treatment required due to hospital and medical charges or self-inflicted wounds of any kind are excluded.
  • Treatment to correct congenital, developmental, or medically induced dental disorders is excluded (i.e. TMJ).
  • A surcharge for any customized porcelain and shading, processed by an esthetic quality laboratory and technician may apply.
  • Coordination of In Office Saving Plan benefits with other dental or insurance plans is excluded. Dental Plan benefits for services provided with benefits from another source (i.e. workman’s compensation) are excluded.
 
 
-Available exclusively from Clinton Family Dental
 
How Does it Work ?
The In Office Saving Plan works similar to many dental plans on the market. You pay a monthly membership fee for benefit coverage on your dental expenses. The Plan is designed to help cover preventive services such as cleanings and oral exams. This provides coverage that can be budgeted at an affordable monthly expense while receiving good benefits for your higher cost dental services.
 
Who Administers the Plan?
Clinton Family Dental administers the In Office Savings Plan and works with you, the patient, directly to make all dental service decisions. There is no need to contact a third party for approvals. All questions regarding plan coverage, verifying benefits, changing coverage types, or any other questions should be directed to our team here at Clinton Family Dental.
 
How Do I Use a Specialist?
All dental services covered by the In Office Saving Plan are designed to be done at our office here at Clinton Family Dental. We may refer a patient to a specialist who performs other services that the patient may need, which is not covered by the Plan. Clinton Family Dental has a complete listing of highly recommended specialists.
Why The Program Works.
If asked, most people would agree that decisions about dentistry are best made between the patient and their dentist, without a third-party company’s involvement and restrictions. The In Office Saving Plan is different! It has been designed to provide you and your family with affordable preventive dental coverage that your dentist administers. Not only does the Premium Plus Plan provide outstanding coverage for preventive dentistry, the plan offers excellent coverage for major dental procedures like crowns, root canals, bridges, implants and dentures. Since your In Office Saving Plan is not administered by a third party insurance company, all the decisions regarding your dental treatment will be decided by you and your dentist – Dr. Hamam, Dr. Lamb, or Dr. Turanchik, without the need for claim forms, approvals, deductibles, or waiting periods.