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Blog on Children's Dental Health Care
Community forum discussion for individuals and families on dental care, oral hygiene, and other related health issues for babies, infants, toddlers, and children of all ages.

Baby Dental, PPO Dental Plans Balance Billing

Wednesday, Jul. 29th 2015 8:08 AM

Balance billing is when a dental office bills an enrollee for the amounts above the PPO payment and the enrollee’s coinsurance, If the dentist is within the PPO plan network of providers balance billing would generally be a violation of their contract with the PPO provider since the dentist within the PPO network agree to accept the PPO provider contracted fees and not the bill above that amount.

However it is important to note with most PPO plans you are able to go to dentist that are not in the plan network. Therefore if you choice to go to a Non-contracted dentist (out of network provider) they are under no such obligation to limit the amount of their fees.

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