Many basic procedures considered routine or essential to maintaining oral health—such as specialized prosthodontic evaluations or cosmetic dentistry treatments—are often excluded from dental insurance coverage entirely.

However, prioritizing your oral health is an investment in your well-being and confidence. Whether it’s expertly crafted dentures, dental implants, or aesthetic improvements to your smile, Diaz Prosthodontics is dedicated to helping you achieve and maintain your desired results.

You may receive communications from your insurance provider stating that the fees at Diaz Prosthodontics exceed what they consider “usual and customary.” Here’s what you need to know:

• Insurance companies determine “usual and customary” fees by surveying a geographic area and taking 80% to 90% of the average. These surveys frequently include discount clinics, which can significantly lower the average fee used by insurance providers.
• Our dental care at Diaz Prosthodontics prioritizes precision, advanced training and imaging, industry leading products and materials paried with individualized treatment plans, which surpass the basic standards embraced by insurance algorithms. These differences in level of care are not acknowledged by insurance fee calculations.

When you choose us, you opt for expert care delivered by a dedicated Prosthodontist and Dental Specialist with years of experience and a commitment to achieving the best outcomes for your smile.

Many dental insurance plans advertise coverage percentages such as “up to 80%” or “up to 100%” for certain procedures. However, this can often be misleading to patients because:

• Plan fee schedule allowances, annual maximums, and coverage limitations vary widely between policies.
• From our experience, most plans cover only 35% to 65% of major procedures, such as dentures or cosmetic restorations, since coverage is based on predetermined maximum fee allowances at the insurer’s discretion.

We believe in transparency regarding the cost of care and are happy to explain how your benefits may apply to recommended procedures. At Diaz Prosthodontics, patient care—not insurance restrictions—drives our treatment recommendations.

Many basic procedures considered routine or essential to maintaining oral health—such as specialized prosthodontic evaluations or cosmetic dentistry treatments—are often excluded from dental insurance coverage entirely.

However, prioritizing your oral health is an investment in your well-being and confidence. Whether it’s expertly crafted dentures, dental implants, or aesthetic improvements to your smile, Diaz Prosthodontics is dedicated to helping you achieve and maintain your desired results.