Why doesn’t my dentist participate in-network with my dental benefit plan?

Dr. Sheila Dobee

Family, Cosmetic and Implant Dentist

Date : 08/05/2020

Oftentimes the fees offered to a dentist for participating in-network with these plans is much lower than what the dentist needs to charge in order to manage costs and maintain a superior level of service and standard of care. The main reason certain dentists may still choose to participate in such plans is so they can get a steady flow of patients being referred to them from the insurance companies which helps them keep their schedule booked. Some plans also require that the network dentist observe restrictions to treatments they can offer and many dentists are not comfortable with the insurance company influencing the standard of patient care.