Insurance
Aetna Dental Dentist NYC — Out-of-Network, We File Your Claims
Centre Dental is a non-participating PPO provider with Aetna Dental. We handle the paperwork and bill Aetna directly so you can focus on your care. Your Aetna PPO plan covers out-of-network providers, and we verify every detail of your benefits before treatment begins.
Coverage Overview
How Your Aetna Plan Works Here
Aetna Dental PPO plans typically cover preventive services (cleanings, exams, X-rays) at 80–100%, basic procedures (fillings, simple extractions) at 50–80%, and major procedures (crowns, bridges, root canals) at 30–50%. Coverage levels and annual maximums vary by employer plan. We verify your exact benefits before any treatment.
Many Aetna Dental PPO plans now include dental implant coverage under major restorative care. Coverage typically ranges from 30–50% of the plan’s allowed amount, subject to your annual maximum and any waiting periods. Some Aetna plans require implants to be medically necessary rather than elective. We confirm your specific implant coverage at no cost.
Typical Coverage Ranges
80–100%
Preventive Care
Cleanings, exams, X-rays
50–80%
Basic Restorative
Fillings, simple extractions
30–50%
Major Restorative
Crowns, bridges, implants
Varies by plan
Orthodontics
Invisalign, aligners
Ranges are general estimates. Your plan may differ.
Billing Process
How We Handle Your Aetna Claims
Schedule your visit by calling (212) 925-7066 or booking online. Have your Aetna member ID ready.
Our team contacts Aetna to verify your plan details, benefit percentages, waiting periods, and remaining annual maximum.
During your consultation, we walk you through the treatment plan and your estimated cost based on verified Aetna benefits.
We complete your treatment and submit the claim to Aetna directly — you do not need to file anything.
Aetna processes your claim and sends reimbursement. Your responsibility is limited to the copay or coinsurance portion.
Same-Day Procedures
One Visit. One Claim. Done.
Centre Dental’s CEREC same-day crown technology means you walk in with a damaged tooth and walk out with a permanent porcelain crown — in one visit. For your Aetna plan, that translates to a single claim submission, one copay, and no need for a temporary crown or a second appointment.
Technology
CEREC Same-Day Crowns
Custom porcelain crowns designed, milled, and placed in a single visit. One claim instead of two.
3D CBCT Imaging
Full 3D scan in seconds for precise diagnosis and treatment planning.
3D-Guided Implant Surgery
Precise implant placement using a custom surgical guide built from your 3D scan.
Common Questions
Aetna FAQ
Does Centre Dental accept Aetna dental insurance?
Centre Dental is a non-participating PPO provider with Aetna. We bill Aetna directly on your behalf. Your Aetna PPO plan provides coverage for out-of-network providers, and we verify your exact benefits and cost estimates before treatment so there are no surprises.
What is the difference between in-network and out-of-network with Aetna?
In-network dentists have agreed to Aetna’s fee schedule. As an out-of-network provider, our fees are not dictated by Aetna’s contracted rates. Your Aetna PPO plan still covers out-of-network care, typically at a slightly lower reimbursement percentage. We clarify the exact difference for your plan before any work begins.
Does Aetna cover dental implants at Centre Dental?
Many Aetna PPO plans include implant coverage under major restorative benefits, typically at 30–50% of the allowed amount. Some plans have waiting periods or require documentation of medical necessity. We verify your specific Aetna implant benefits during your free consultation.
Will Aetna cover same-day CEREC crowns?
Yes. CEREC crowns use the same procedure codes as traditional lab-fabricated crowns. Aetna covers them at the same benefit level. The only difference is that you receive your permanent crown in one visit instead of two.
How do I find out what my Aetna plan covers?
Call us at (212) 925-7066 with your Aetna member ID and group number. We contact Aetna on your behalf, verify your coverage levels, annual maximum, and any plan-specific limitations. We share a written breakdown of your estimated costs before scheduling treatment.
Does Aetna have a waiting period for major dental work?
Some Aetna plans include waiting periods of 6–12 months for major procedures like crowns, implants, or oral surgery. Waiting periods depend on your specific plan and when you enrolled. We verify this information when we check your benefits so you can plan accordingly.
Can I use Aetna dental and Aetna medical benefits together for implants?
In some cases, medical benefits may apply to implant-related procedures — particularly when bone grafting or extractions are medically necessary. We can help coordinate with both your Aetna dental and medical plans to maximize your coverage where applicable.
Does Aetna cover Invisalign treatment?
Some Aetna plans include orthodontic benefits that apply to Invisalign. Coverage varies by plan — many include a separate orthodontic lifetime maximum. We check your Aetna orthodontic benefits before recommending Invisalign so you have a clear picture of your investment.
Coverage information on this page is provided as a general guide. Your actual benefits depend on your specific plan, employer selections, and enrollment date. We verify your exact benefits before treatment. Centre Dental never shares your insurance or health information beyond what is required for claims processing. Your information is protected under HIPAA.
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Verify Your Benefits
Ready to Use Your Benefits?
Call us with your Aetna member ID. We verify your benefits, explain your coverage, and provide a cost estimate — all before your first appointment. No obligation.