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What Does Wisdom Teeth Removal Cost? Will My Insurance Cover It?

What Does Wisdom Teeth Removal Cost? Will My Insurance Cover It?

Wisdom teeth, also known as third molars, typically emerge in late adolescence or early adulthood. While these teeth can be valuable assets when healthy and properly aligned, they often pose problems that necessitate their removal.

Wisdom teeth removal is a common dental procedure, but one concern that often arises is the cost associated with it. In this article, we’ll explore the factors influencing the cost of wisdom teeth removal and discuss the role of insurance in covering these expenses.

Factors affect Wisdom Teeth Removal Costs:

Because of the different types of impacted wisdom teeth, it is impossible to give you a realistic estimate of what your surgery will cost until we have examined you and reviewed your x-rays. Still here are some other factors that affect the cost of Wisdom teeth removal in Sunnyvale.

Number of Teeth Being Removed

The cost of wisdom teeth removal can vary depending on how many teeth need to be extracted. The more teeth that require extraction, the higher the overall cost.

Type of Anesthesia Used

The method of anesthesia chosen for the procedure can affect costs. Options range from local anesthesia to general anesthesia, with the latter being more expensive due to the involvement of an anesthesiologist.

Complexity of the Extraction

The complexity of the extraction is a significant factor. If the wisdom teeth are impacted or require surgical intervention, the cost may be higher than a straightforward extraction.

Location and Provider

Geographic location plays a role in the cost of dental procedures. Urban areas tend to have higher costs than rural areas. Additionally, the choice of the dental provider, whether it’s an oral surgeon or a general dentist, can influence the overall cost.

Insurance Coverage for Wisdom Teeth Removal

Dental insurance policies vary, and coverage for wisdom teeth removal depends on the specific terms of the policy. Here are some points to consider:

Pre-authorization and Coverage Limits

Before undergoing wisdom teeth removal, it’s essential to check with your insurance provider regarding pre-authorization requirements and coverage limits. Some policies may have limitations on the amount covered or the specific procedures included.

In-Network vs. Out-of-Network Providers

Insurance plans often have networks of preferred providers. Visiting an in-network oral surgeon or dentist may result in lower out-of-pocket costs compared to going to an out-of-network provider.

Medical Necessity

Insurance coverage may be influenced by the medical necessity of the procedure. If the extraction is deemed medically necessary rather than elective, it is more likely to be covered by insurance.

Co-payments and Deductibles

Patients should be aware of their insurance plan’s co-payment requirements and deductibles. These out-of-pocket expenses can impact the overall cost of the procedure.

Our Treatment Coordinator at Sunnyvale Dental Care Office is very knowledgeable and are at your service to answer all your insurance questions. Please remember to bring your insurance information with you to your appointment with Sunnyvale dentist Dr. Gupta so that we can give you an educated estimate about the cost of wisdom tooth extraction or any other procedure associated with it, like sedation or bone grafting procedure. We can also help you file immediately for reimbursement.

While the cost of wisdom teeth removal can vary based on several factors, including the number of teeth, anesthesia type, and provider, it’s crucial to understand the potential impact of insurance coverage. Patients should proactively communicate with their insurance providers, check policy details, and, if necessary, seek pre-authorization to ensure a clear understanding of the financial aspects of the procedure. Ultimately, being well-informed about both the costs and insurance coverage can help individuals make informed decisions about their oral health and financial well-being.

Call Sunnyvale Dentist Dr. Bhawna Gupta at 408-720-0900 to know more about Wisdom Teeth.

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