Dental EOB at CityCare Dental

Dental insurance often feels confusing for patients. Insurance terms often leave patients unsure what they actually owe. This page walks you through how dental billing and EOBs work at Family First Dental.
Whether you are new to our office or reviewing a recent statement, this guide can help. For personalized help, contact our billing team or visit our Financial & Insurance Options page.
How Dental Coverage Works in City

Dental insurance is designed to reduce out-of-pocket costs while encouraging preventive care. Coverage is often divided into categories based on treatment type:

Routine checkups and cleanings are usually covered in full.

Basic dental work often receives partial coverage of around 70–80%.

Crowns and other major treatments usually receive the lowest coverage level.

Many plans follow a 100–80–50 coverage model.

Explore our dental treatments to better understand your care options.
Dental Billing Terms You Should Know

Deductible: The amount you pay before insurance starts sharing costs.

Copay / Coinsurance: The patient portion owed for covered services.

Allowed Amount / Negotiated Fee: The contracted rate agreed upon by in-network providers.

Annual Maximum: The total amount your plan will pay per year.

Non-Covered Services: Treatments excluded by your policy.
Dental Insurance Example for Procedure_Type

The following example is for illustration only. 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 insurance statement will reflect these line items.
Understanding Your Dental EOB

The dental office submits billing to your insurer.

Your insurance processes the claim and sends you an EOB.

The document outlines insurance and patient responsibilities.

An EOB is not a bill.
FAQs About Dental Billing at Elite Dental Care

Why is there a difference between the dentist’s charge and the allowed amount?
The allowed amount is set by the insurer.

Does preventive care really cost nothing?
Many plans cover preventive services at 100%.

What happens when I reach my annual maximum?
Additional services are paid out of pocket.

Why are some services not covered?
Coverage depends on plan rules and limitations.

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

Options When Dental Bills Are Higher

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

Request a pre-treatment estimate for major procedures.

Ask about payment plans or financing options.

Timing care may help maximize benefits.

Why Patients Choose Our Dental Office

Commitment to clear communication and preventive care.

Serving City and surrounding areas.

Experienced in handling dental insurance claims.

Visit our Google reviews to learn more info more.

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