Navigating dental insurance can feel overwhelming, but understanding your coverage options shouldn’t prevent you from receiving the quality dental care you deserve. Many families in the Denver metro area discover they have more coverage options than they initially realized, whether through traditional insurance plans, flexible spending accounts, or alternative payment solutions. The key lies in finding a dental practice that works with you to maximize your benefits and provides transparent information about costs and coverage.
At Sopris Smiles, we believe financial considerations should never stand between you and optimal oral health. Our experienced team navigates insurance complexities daily, helping patients understand their benefits while offering multiple payment solutions for every budget. We’re proud to be in-network with most major dental insurance providers and have developed comprehensive in-house wellness plans that provide exceptional value for families without traditional insurance coverage.
Dental insurance operates differently from medical insurance, with most plans following a 100-80-50 coverage structure for preventive, basic, and major services, respectively. This means your insurance typically covers all preventive care like cleanings and exams, 80% of basic procedures such as fillings, and 50% of major treatments including crowns and bridges. Understanding these coverage levels helps you plan your dental care strategically throughout the year.
Most dental plans also include an annual maximum benefit, usually ranging from $1,000 to $2,000 per person. This represents the total amount your insurance will pay toward your dental care within a calendar year. Our team helps you maximize these benefits by scheduling treatments strategically and providing detailed treatment plans that outline your expected costs. We also remind patients when their benefits are about to expire, ensuring you don’t lose valuable coverage at year’s end.
Our insurance coordinators handle the complexities of claim submission and pre-authorization, allowing you to focus on your treatment rather than paperwork. We submit claims electronically for faster processing and work directly with your insurance company to verify coverage levels before treatment begins. This proactive approach eliminates surprises and helps you make informed decisions about your dental care.
Sopris Smiles maintains relationships with numerous insurance providers to serve our diverse patient community. We’re in-network with most major PPO insurance policies and work with many more on an out-of-network basis when we can still help maximize your benefits. Our partnerships with these providers mean:
Our team stays current with insurance policy changes and network updates to ensure we’re providing accurate information about your coverage. We also maintain relationships with insurance representatives who can help resolve claim issues quickly, advocating for our patients when coverage questions arise.
Recognizing that traditional insurance doesn’t work for everyone, we’ve created comprehensive wellness plans that provide predictable costs and substantial savings on dental care. These membership plans eliminate the hassles of insurance while ensuring you receive the preventive care essential for maintaining oral health. Each plan includes specific services bundled at a significant discount, plus 20% savings on additional treatments throughout the year.
Our adult plans cater to different oral health needs. The Hampden plan serves new patients without gum disease, including comprehensive exams, cleanings, x-rays, and fluoride treatments for $585 annually. Patients managing gum disease benefit from The Broadway plan at $725, which includes three periodontal maintenance cleanings to help control their condition. The Downing and Franklin plans provide tailored options for new and returning patients based on their specific oral health status.
For families, our Locals Wellness Plans make children’s dental care affordable and accessible. We offer complimentary coverage for children under two when a family member enrolls in an adult plan. The Pirate’s Cove plan for ages 3-5 costs just $305 annually, while Belleview Park for children 6-12 is $375. Each pediatric plan includes bi-annual exams, cleanings, fluoride treatments, and necessary x-rays, ensuring young smiles stay healthy without breaking the family budget.
Beyond insurance and wellness plans, we offer several payment solutions to make dental care accessible. CareCredit and Cherry financing provide convenient monthly payment options for larger treatments, often with promotional periods featuring no interest when paid within specified timeframes. These healthcare credit options allow you to proceed with necessary treatment immediately while spreading costs over time.
We accept various payment methods including cash, checks, and all major credit cards. For patients with Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA), dental care represents an excellent use of these pre-tax healthcare dollars. Our team can provide detailed receipts and documentation needed for HSA/FSA reimbursement or tax purposes.
At Sopris Smiles, we combine advanced dental technology with compassionate care while ensuring treatment remains financially accessible. Our transparent approach to insurance and pricing, combined with multiple payment options, means you’ll never have to delay necessary dental care due to cost concerns.
Dr. Golnaz Samimifar and our dedicated team work with you to find the right financial solution for your situation, whether maximizing insurance benefits, enrolling in a wellness plan, or arranging payment terms that fit your budget. Contact us today at (303) 761-2999 or visit our contact form to discuss your insurance coverage and learn how we can help you achieve optimal oral health.
We’re conveniently located in Englewood, CO, serving both Englewood and Cherry Hills communities in the charming Marks complex. Our office offers free, dedicated parking in an abundant on-site lot, ensuring a stress-free arrival for every visit. Located just off Hampden Ave (US-285) with quick access to Broadway, Lincoln, I-25, and C-470, we’re perfectly positioned for easy access from all parts of the Denver metro area. Whether you’re driving or taking public transit, getting to your appointment has never been more convenient.
Sopris Smiles is thrilled to welcome the patients of Dr. Gregory Bevans
