A pre-treatment estimate (also called a predetermination) gives you a clear picture of what your dental insurance will cover — and what you’ll need to pay out of pocket.
It’s a smart move before starting major procedures like crowns, root canals, or implants.
Here’s what the process looks like:
📄 1. Your Dentist Submits a Claim to Your Insurer
The clinic sends:
- Procedure codes
- Cost estimates
- Any necessary X-rays or notes
This is submitted electronically or by mail to your insurance provider.
⏳ 2. You Wait for a Response
Insurers usually reply within 5–10 business days, depending on your provider. They’ll send an explanation of what they’ll cover — and what portion (if any) you’ll be responsible for.
💰 3. Plan Your Treatment Accordingly
Once you know what’s covered:
- You can schedule the procedure with confidence
- Explore payment options for any uncovered costs
- Adjust the treatment plan if needed
✅ Pro Tip
Get a pre-treatment estimate before the year ends if your plan is about to renew — you may still have unused coverage to apply toward the procedure.
Want Us to Submit One for You?
We’ll handle the paperwork and walk you through the results, so you can make the right decision for your care and your budget.