At Hardy Pediatric Dentistry & Orthodontics, we understand that navigating dental insurance can be challenging for parents. That’s why we make it simple by accepting a wide range of PPO dental insurance plans to ensure your child receives the quality dental care they need without financial stress. As your trusted Erie pediatric dentist, we work with most major insurance providers to maximize your benefits and minimize your out-of-pocket expenses.
Our team is dedicated to helping you understand your coverage options and making dental care affordable for your family. We’ll verify your benefits before treatment and explain what’s covered so there are no surprises. Your child’s smile is our priority, and we’re committed to making quality dental care accessible for families throughout Erie and surrounding communities.
Top Dental PPO Insurance Plans We Accept
We proudly partner with numerous dental PPO insurance providers to serve our Erie families better. Our extensive network includes:
| Insurance Provider | Plan Type | Common Coverage |
| Aetna | Dental PPO | Preventive care, basic restorations |
| Assurant | Dental PPO | Cleanings, x-rays, fillings |
| DHA | Dental PPO | Preventive and basic services |
| Sunlife | Dental PPO | Routine exams, emergency care |
| Cigna | Dental PPO | Cleanings, sealants, fluoride treatments |
| Connection | Dental PPO | Preventive and diagnostic services |
| GEHA | Dental PPO | Preventive care, minor restorations |
| Guardian | Dental PPO | Exams, cleanings, and basic treatments |
| Humana | Dental PPO | Preventive care, basic dental services |
| Metlife | Dental PPO | Cleanings, x-rays, minor restorations |
| Principal | Dental PPO | Preventive and basic dental care |
| United Concordia | Dental PPO | Cleanings, fillings, and basic services |
| United Healthcare | Dental PPO | Preventive and diagnostic treatments |
| Delta PPO and Premier | Dental PPO | Comprehensive coverage options |
Our office works with these trusted insurance providers because we believe every child deserves access to quality dental care. We’ll help maximize your benefits to ensure your child receives necessary treatments while keeping costs manageable for your family.
How We Help You Maximize Your Dental Benefits
When it comes to dental insurance for your child, understanding your coverage shouldn’t be complicated. At Hardy Pediatric Dentistry & Orthodontics, we go beyond simply accepting your insurance – we help you make the most of it.
Our dedicated insurance coordinators work directly with your provider to verify coverage before treatment begins. We’ll submit all necessary claims on your behalf and follow up to ensure timely payment. This hands-on approach means less paperwork for you and more clarity about what’s covered.
We believe in transparency with dental costs, which is why we provide detailed treatment plans that include estimated insurance coverage and any potential out-of-pocket expenses. This information helps you make informed decisions about your child’s dental care without financial surprises.
For families with specific budget concerns, we can prioritize treatments and schedule them strategically to maximize annual benefits. Our team can also help you understand how to time certain procedures to take advantage of remaining benefits before they reset.
What Pediatric Dental Procedures Are Covered By My Insurance?
Understanding what pediatric dental procedures your insurance covers can help you plan for your child’s oral health needs. While coverage varies by plan, most PPO dental insurance plans we accept typically cover these essential services:
Preventive Care Coverage
Most dental PPO plans prioritize preventive care with higher coverage percentages (often 80-100%) for services that help maintain healthy smiles and prevent future problems. These typically include:
- Regular dental check-ups and cleanings (usually covered at 100%)
- Dental x-rays to monitor development and detect problems early
- Dental sealants to protect vulnerable molars from decay
- Fluoride treatments to strengthen enamel and prevent cavities
- Oral hygiene instruction and nutritional counseling
These preventive services are crucial for establishing good oral health habits early and preventing more serious dental issues down the road.
Restorative Treatment Coverage
When dental problems arise, most PPO plans provide coverage for basic restorative treatments, typically at 70-80% coverage. Common restorative procedures include:
- Tooth-colored fillings for cavity repair
- Pulp therapy (baby root canals) for infected primary teeth
- Stainless steel crowns to restore severely damaged teeth
- Space maintainers when primary teeth are lost prematurely
- Emergency dental care for injuries or severe toothaches
Coverage percentages for these services vary based on your specific plan and whether you’ve met your deductible.
Specialized Pediatric Services Coverage
Some dental plans also provide partial coverage for specialized pediatric dental services, though coverage percentages may be lower (typically 50-70%). These can include:
- Frenectomy procedures for lip ties and tongue ties
- Laser dentistry treatments that eliminate the need for shots or drills
- Behavior management techniques for anxious children
- Sedation dentistry options for complex procedures
- Orthodontic evaluation and early intervention
For families considering orthodontic treatment, it’s important to note that many plans have separate orthodontic benefits with different coverage structures, including lifetime maximums and waiting periods.
Finding a Children’s Dentist That Takes PPO Insurance Near Me in Erie, CO
Looking for a kids’ dentist in Erie that accepts your dental PPO insurance doesn’t have to be difficult. Hardy Pediatric Dentistry & Orthodontics makes it easy for families to access quality dental care with convenient insurance options.
Our office is conveniently located at 3200 Village Vista Dr., Suite 110, in Erie, CO – easily accessible from neighboring communities including Lafayette, Louisville, Broomfield, and Longmont. We’ve designed our practice specifically for children, with a welcoming environment that helps young patients feel comfortable and excited about dental visits.
As a top-rated pediatric dental practice in Erie, we combine insurance accessibility with specialized pediatric dental expertise. Dr. Namrata Hardy is a board-certified pediatric dentist with extensive training in treating children of all ages, from infants to teenagers. Her gentle approach and specialized knowledge make our practice the preferred choice for families throughout Boulder County.
We understand that finding a provider who accepts your specific insurance plan is just one factor in choosing the right dentist for your child. That’s why we invite you to schedule a complimentary insurance verification appointment where we can check your coverage details and answer any questions about maximizing your benefits.
Why Choose Hardy Pediatric Dentistry & Orthodontics for Your Child’s Dental Care
At Hardy Pediatric Dentistry & Orthodontics, we offer more than just convenient insurance options – we provide specialized pediatric dental care from board-certified experts who understand children’s unique needs.
Dr. Namrata Hardy (known affectionately as Dr. Nam) is a Diplomate of the American Board of Pediatric Dentistry who completed additional years of specialized training beyond dental school. Her expertise in treating children from infancy through adolescence ensures your child receives age-appropriate care in a comfortable, positive environment.
Our practice proudly offers innovative treatments like laser dentistry, which allows us to perform many procedures without shots or drills. Dr. Nam is one of the few dentists in Colorado offering this advanced technology, making dental visits more comfortable for young patients. This drill-free, shot-free approach significantly reduces anxiety and creates positive dental experiences.
For families needing both pediatric dental care and orthodontic treatment, our unique practice brings both specialties under one roof. Dr. T.C. Hardy, a board-certified orthodontist, works alongside Dr. Nam to provide comprehensive care for growing smiles. This collaborative approach ensures seamless coordination between preventive dental care and orthodontic treatment when needed.
No Insurance? We’ve Got You Covered
Don’t have dental insurance for your child? We believe every child deserves quality dental care, which is why we offer solutions for families without traditional insurance coverage.
Our in-house membership plans provide affordable access to essential dental services with predictable costs. These plans include preventive care like cleanings and exams, plus discounts on other treatments your child might need. For families managing care for multiple children, our membership options can be more economical than traditional insurance.
We also offer flexible payment plans that allow you to spread treatment costs over time, making necessary dental care more budget-friendly. Our team works with each family individually to find financial solutions that fit their specific needs.
For families facing temporary insurance gaps or transitioning between plans, we can help schedule non-urgent treatments strategically to align with upcoming coverage. This proactive approach helps you manage costs while ensuring your child receives timely care.
Frequently Asked Questions About Pediatric Dental Insurance
How do I know if my child’s specific dental procedure is covered under my PPO plan?
Insurance coverage varies significantly between providers and even between different plans from the same provider. While preventive services like cleanings and exams are typically covered at 80-100%, coverage for restorative treatments like fillings or crowns usually ranges from 50-80%. The best way to determine your specific coverage is to call our office at (720) 764-6158. Our insurance coordinators can verify your benefits and provide a breakdown of what’s covered for your child’s specific treatment plan. We’ll check coverage details before treatment begins so you’ll know exactly what to expect.
Does dental insurance cover orthodontic treatment for my child?
Many dental PPO plans include some orthodontic coverage for children, but these benefits often have different structures than regular dental coverage. Orthodontic benefits typically have lifetime maximums (often $1,000-$2,000) rather than annual maximums. Some plans cover a percentage (usually around 50%) while others provide a flat dollar amount. Additionally, orthodontic coverage may have waiting periods before benefits become available. Our team can help you understand your plan’s orthodontic benefits and maximize them for treatments like braces, clear aligners like Invisalign Teen, or early intervention orthodontics.
What’s the difference between Delta Dental PPO and Delta Dental Premier plans?
Both Delta Dental PPO and Premier are preferred provider networks, but they function differently. Delta Dental PPO typically offers lower out-of-pocket costs but has a smaller network of dentists. Delta Dental Premier has a larger network but may have slightly higher co-payments. At Hardy Pediatric Dentistry & Orthodontics, we participate in both networks, giving Delta Dental members maximum flexibility. The good news is that we can help you navigate both plan types to minimize your costs while maximizing benefits for your child’s care.
How often will insurance cover my child’s dental cleanings and check-ups?
Most dental PPO plans cover preventive services like cleanings and check-ups twice per year (every six months). However, some plans may allow additional preventive visits for children with higher risk factors for dental problems, such as those with orthodontic appliances or certain medical conditions. During your child’s visit, Dr. Nam will recommend the appropriate cleaning frequency based on their individual needs, and our team will verify if your insurance will cover these recommended visits.
What if my child needs emergency dental care? Will my insurance cover it?
Most dental PPO plans provide coverage for emergency dental services, though coverage percentages vary by plan. In true dental emergencies, our first priority is always addressing your child’s pain and immediate dental needs. We can typically work with your insurance provider to determine coverage for emergency services after treatment has been provided. If your child experiences a dental emergency, call our office immediately at (720) 764-6158, and we’ll guide you through the next steps while helping you understand any potential insurance coverage for the necessary treatment.
Experience Expert Pediatric Dental Care in Erie, Colorado
At Hardy Pediatric Dentistry & Orthodontics, we make it easy for families throughout Erie and surrounding communities to access specialized pediatric dental care with convenient insurance options. Our team is committed to creating positive dental experiences for children while helping parents navigate the financial aspects of dental care.
Your child’s healthy smile begins with finding the right dental home – one that combines pediatric expertise, advanced technology, and family-friendly insurance solutions. We’re proud to be that dental home for so many Erie families.
📍 Visit Us: 3200 Village Vista Dr., Suite 110, Erie, CO 80516
📞 Call: (720) 764-6158
📩 Or Request an Appointment Online Today
Our friendly team is ready to verify your insurance benefits and help your child begin their journey to a lifetime of healthy smiles.