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8700 Menchaca Rd STE 102, Austin, TX 78748

We accept most major insurance plans and handle all the paperwork for you!

Insurance Coverage Made Simple

Best-in-class dental care shouldn’t be complicated or cause financial stress for you and your family. At Grand Oaks Dentistry, we believe everyone deserves access to excellent oral health services, which is why we accept most major insurance plans and handle all the paperwork for you. Most patients pay $0 for their first visit when we take their insurance, and our experienced team works directly with insurance companies to ensure you receive the treatment you need without the hassle.

Dr. Sharma has been serving South Austin families for over 10 years from the same trusted location, building lasting relationships with patients who know they can count on us for comprehensive dental care. We understand that dealing with insurance can be overwhelming, so our dedicated insurance coordinators handle all the details while you focus on your oral health. Whether you’re new to the area or seeking a dentist who thoroughly understands insurance complexities, Grand Oaks Dentistry makes dental care accessible and affordable.

Important Note: We accept most major insurance plans, but are NOT currently accepting Medicaid patients.

grand oaks reception

What to Expect on Your First Visit

Understanding what to expect during your first dental visit can help alleviate anxiety and ensure you’re prepared for the experience. At Grand Oaks Dentistry, we’ve streamlined our new patient process to make your first visit as smooth and affordable as possible. The reality is that 90% of our insured patients pay nothing for their first visit, thanks to the structure of most dental insurance plans.

Most dental insurance plans are designed to encourage preventive care, which is why they typically cover two cleanings per year at 100%. This means your routine exam, cleaning, and necessary X-rays are usually covered entirely, with no out-of-pocket expense to you. During your first visit, our team will verify your insurance benefits before you arrive, provide you with a precise estimate of any out-of-pocket costs, complete your comprehensive exam and cleaning, and explain any additional treatments needed along with their coverage levels.

We believe in transparency from the moment you walk through our doors. Before any treatment begins, you’ll know exactly what your insurance covers and what, if anything, you’ll need to pay. This approach eliminates surprises, allowing you to make informed decisions about your dental care.

If we accept your insurance, your first visit will likely be covered at no out-of-pocket expense.

Insurance Plans We Accept

Grand Oaks Dentistry collaborates with virtually all major PPO insurance plans, enabling patients throughout South Austin to easily access quality dental care. We’ve built relationships with dozens of insurance providers over our 10+ years in practice, ensuring that most of our patients can maximize their benefits when they visit us.

Our comprehensive list of accepted insurance plans includes all major PPO providers: 

  • Aetna
  • Aflac
  • Ameritas
  • Anthem
  • Beam Dental
  • BCBS
  • Cigna
  • Connection Dental
  • DNoA
  • DHA
  • Delta Dental
  • DenteMax
  • Guardian
  • Humana
  • Maverest
  • MetLife
  • Principal
  • Sun Life
  • UnitedHealthcare
  • UNUM
  • Zelis Network

Beyond these major carriers, we also accept and file claims for dozens of additional insurance providers, ensuring our patients receive maximum coverage for their dental care.

Even if your insurance isn’t listed, we partner with multiple providers and may still accept your coverage. Our insurance coordinators can verify your coverage and benefits within 24 hours of your appointment, ensuring you know exactly what to expect before you arrive.

Don’t see your insurance listed? Contact us—we likely work with your plan.

Understanding Your Dental Insurance

In-Network vs. Out-of-Network

One of the most common questions patients have about dental insurance is understanding the difference between in-network and out-of-network providers. Grand Oaks Dentistry operates as a Fee-for-Service practice, which means we prioritize your oral health over insurance company restrictions while still working with your insurance to maximize your benefits.

Operating as a fee-for-service practice provides several important benefits for our patients. We’re not restricted by insurance company treatment limitations, which means Dr. Sharma can recommend the best treatment for your specific needs without worrying about what an insurance company considers “necessary.” You have access to the latest dental technologies and techniques, and we provide the highest quality care without interference from insurance companies in treatment decisions.

How Your Coverage Works:

  • In-Network PPO plans: You receive maximum benefits with predictable co-pays
  • Out-of-Network: You still receive substantial benefits, and we file all claims for you
  • Most first visits are 100% covered regardless of network status

What Does “Fee-for-Service” Mean?

Fee-for-service dental practice means we prioritize your oral health over insurance company restrictions and administrative hurdles. Unlike dental offices that participate in heavily discounted insurance plans, we maintain our independence to provide the highest quality care possible. This approach enables us to spend more time with each patient, utilize the best materials and techniques available, and offer treatment recommendations tailored to your specific oral health needs.

When you visit a fee-for-service practice like Grand Oaks Dentistry, you’ll receive comprehensive treatment recommendations based on your individual needs, access to advanced procedures and materials that some insurance-restricted offices might not offer, longer appointment times for thorough care and patient education, and direct communication with Dr. Sharma about your treatment options and progress.

Our Simple Insurance Process

Dealing with dental insurance shouldn’t be complicated or stressful. At Grand Oaks Dentistry, we’ve developed a three-step process that eliminates the hassle of insurance paperwork and ensures you always know what to expect financially. Our experienced team handles all the insurance details, so you can focus on your oral health instead of worrying about claims, pre-authorizations, and benefit verification.

This streamlined approach, refined over our 10+ years of practice, is designed to provide complete transparency while minimizing your administrative burden. We’ve found that patients appreciate knowing exactly what their insurance covers and what they’ll need to pay before any treatment begins, which is why we make benefit verification and cost estimation a priority.

Step 1: Schedule and Verify

When you book your appointment online or call (737) 258-5813, we’ll ask for your insurance information. If you provide your insurance details 24 hours before your visit, we can verify your coverage and benefits immediately, ensuring there are no surprises when you arrive for your appointment.

Step 2: Transparent Estimates

Before any treatment begins, you’ll receive clear pre-treatment estimates showing your out-of-pocket costs. We explain what your insurance does and doesn’t cover, so you can make informed decisions about your dental care without worrying about unexpected expenses.

Step 3: We Handle Everything

Our experienced team files all insurance claims on your behalf and follows up to ensure timely payment. You focus on your health while we manage all the paperwork, phone calls, and follow-up required to maximize your insurance benefits.

Most patients are verified and ready to go within 24 hours of providing their insurance information.

Maximizing Your Insurance Benefits

Annual Maximums

Understanding your insurance plan’s annual maximum is crucial for planning your dental care and maximizing the value of your benefits. Most insurance plans provide $1,000 to $2,000 in annual benefits, and these benefits don’t roll over from year to year. This means that any unused benefits are forfeited on December 31st, making it essential to plan your dental care strategically throughout the year.

Our team helps patients maximize their insurance benefits by scheduling treatments strategically and providing clear information about benefit usage. We can help you plan major treatments across benefit years when possible, ensuring you get the most value from your insurance investment.

Here’s how to make the most of your annual benefits:

  • Use your benefits before December 31st, as they don’t roll over
  • Schedule cleanings every 6 months to maximize preventive coverage
  • Plan major treatments across benefit years when possible
  • Ask about pre-authorization for expensive procedures

Covered Services Typically Include:

Most dental insurance plans follow a similar structure for coverage levels, though specific details can vary between plans. Understanding these typical coverage levels helps you plan your dental care and budget for any out-of-pocket expenses.

  • Preventive care: Cleanings, exams, X-rays (usually 100% covered)
  • Basic procedures: Fillings, extractions (usually 70-80% covered)
  • Major procedures: Crowns, bridges, dentures (usually 50% covered)

We’ll help you plan your treatment to maximize your insurance benefits and minimize your out-of-pocket costs.

What We Don't Accept

To maintain our high standards of care and ensure we can provide the best possible treatment for our patients, Grand Oaks Dentistry has made the decision not to accept certain types of insurance plans. This policy enables us to focus on delivering quality care rather than adhering to the restrictions and limitations associated with heavily discounted insurance programs.

We believe in transparent, quality care, which is why we work exclusively with PPO plans that allow Dr. Sharma to provide the best treatment for your needs without restrictions on materials, techniques, or appointment time. This approach ensures every patient receives the same high level of care regardless of their insurance plan.

We do not accept:

  • Medicaid or Medicare
  • Heavily discounted insurance plans
  • HMO plans that restrict treatment options

Questions About Your Coverage?

Insurance questions are common, and our dedicated insurance coordinators are here to help you understand your benefits and make the most of your coverage. We believe that informed patients make better decisions about their oral health, which is why we take the time to clearly explain your benefits and answer any questions you may have.

Our insurance team handles dozens of different insurance plans every day, so they’re familiar with the specific details of most major providers. Whether you’re wondering about coverage levels, pre-authorization requirements, or how to maximize your annual benefits, our team can provide the answers you need.

Call us at (737) 258-5813 and we’ll verify your benefits and answer all your insurance questions.

Ready to Use Your Insurance Benefits?

Dr. Sharma and our experienced team have been proudly serving South Austin families for over 10 years, building a reputation for quality care and exceptional patient service. We combine state-of-the-art technology with personalized care to help you achieve optimal oral health. Our comprehensive insurance acceptance makes it easy for patients throughout the area to access the care they need.

Most patients pay $0 for their first visit when we process their insurance, and our team handles all the paperwork, verifies your benefits, and provides transparent cost estimates, allowing you to focus on your health instead of insurance hassles. Whether you’re due for a routine cleaning or need more extensive treatment, Grand Oaks Dentistry makes quality dental care accessible and affordable.

Contact us today at (737) 258-5813 or complete our online contact form to verify your insurance coverage and schedule your appointment.

Need help with financing? Explore our flexible payment options, featuring plans starting at just $100 per month.