Insurance and financial information
At our dental office, we are not in-network with insurance providers, but you can absolutely use your insurance here! In order to best anticipate your financial responsibility, you should contact your medical and/or dental insurance provider directly in advance. When you call your insurance company, please be sure to inform them that you are seeing an out-of-network dental provider. Please note: some insurance companies require pre-authorization, in which case we would need to submit paperwork, including photos, prior to any treatments.
Payment in full is due at the time of service, regardless of insurance coverage.
The procedure codes and prices as of 2026 are as follows
Medical Insurance
- COMPREHENSIVE CONSULTATION, CPT code 99204
- CONE BEAM CT SCAN CPT code 70336
- Tongue tie diagnosis code Q38.1 — CPT medical code 41010 — ADA code 7962
- Lip tie diagnosis code Q38.0 — CPT medical code 40819 — ADA code 7961
- Sleep appliance diagnosis code G47.33 — CPT medical code E0486
- Implant diagnosis code K08.101 — CPT medical code 21248 — ADA code D6010
- TMJ guard diagnosis code M26.60/M26.623 — CPT medical code 21299 — ADA code D7880
Dental Insurance
-
CONSULTATION — ADA code D0140, D0150
- Comprehensive exam — $220
- Limited exam — $180
-
CONE BEAM SCAN — ADA code D0383
- $480
Before You Call
We are out-of-network providers for all dental and medical insurance plans. This means your insurance company may or may not reimburse you, depending on your plan’s out-of-network coverage.
- Our office does not bill insurance directly, but we provide a superbill and all necessary documentation so you can submit your claim.
- Full payment is due at the time of service, regardless of insurance coverage.
When You Call Your Insurance Company
“Hi, my name is [Patient Name], and I’m calling to check if my plan covers treatment with an out-of-network dental provider.”
Practice: Asnan Dental Studios
Provider 1:
Dr. Claudia Santander
NPI: 1801596531
Started at practice: October 1 2022
Provider 2:
Dr. Pedro N. Hernandez
NPI: 1134829450
Started at practice: April 1 2022
Provider 3:
Dr. Yasmin Chebbi
NPI: 1306390778
Started at practice: October 1 2020
Phone: 781 894 0500
TIN: 83-2518918
Status: Out-of-network provider
Questions to Ask Your Insurance Company
- Do I have out-of-network coverage? (If yes, ask how reimbursement is calculated.)
- What percentage of the fee will be reimbursed for out-of-network services?
- What is my deductible, and has it been met?
- Is there an annual maximum or visit limit for this type of service?
- Do you require pre-authorization or pre-determination for these procedure codes?
- What documentation is needed to process a claim (e.g., superbill, photos, narrative)?
- What is the “allowable” or “recognized” amount for these codes?
- Where should I send my claim for reimbursement? Can I submit online?
Appeals and Out-of-Network Exceptions (Medical Insurance)
If your insurance company says they do not cover out-of-network providers, ask about exceptions or appeals based on medical necessity and provider availability.
Ask your insurance company:
- Is there a process to request an out-of-network or gap exception?
- What documentation is needed to request an exception or appeal?
- Can my provider submit a letter of medical necessity?
- If my claim is denied, what is the process for a written appeal?
Many insurance plans offer out-of-network coverage, which means you can still be reimbursed for a portion of your treatment costs, depending on your plan. Typically, this includes coverage for preventive services such as cleanings, exams, and X-rays, as well as partial coverage for procedures like fillings or crowns. We’ll provide you with a detailed, completed claim form to make submitting it to your insurance company easy.
To simplify this process, we will provide you with all the necessary documentation, including a completed claim form and an itemized bill with the required procedure and diagnostic codes. With these materials in hand, you can submit the claim directly to your insurance company.
Many of our patients have found that submitting claims themselves often results in faster processing and better reimbursement outcomes. Insurance companies tend to prioritize claims submitted directly by policyholders. Additionally, this approach allows you to have more control and visibility over the reimbursement process.
Here’s How We Make It Easy for You
- At the time of your visit, we will provide you with a completed claim form and detailed receipt.
- We will also supply simple instructions to guide you through the submission process.
- If you have any questions or need further assistance, our team is here to help.
While reimbursement rates and timelines vary by provider, we’re happy to help answer any questions and guide you through the process.
We understand that insurance processes can sometimes feel overwhelming, but rest assured, we are dedicated to supporting you every step of the way.
We are committed to delivering outstanding dental care and making the financial aspects as smooth as possible.
We look forward to welcoming you to our office!
Financing
We offer financing through Cherry.
Important Notes
- Our office can assist you with itemized receipts and clinical documentation if needed.
- We do not guarantee coverage or reimbursement, as all benefits are determined by your insurance carrier.
- If your plan requires pre-authorization, please notify us before scheduling treatment.
- Full payment is due at the time of service, regardless of insurance coverage.
- We will provide you with a superbill and all the forms necessary to submit for reimbursement from your medical insurance, however we are not able to submit claims on your behalf.
