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Dental Insurance & Financing

Understanding dental insurance can feel overwhelming—but we’re here to help. Below is a list of the dental insurance plans we currently accept. Our team is happy to verify benefits and explain coverage before your visit.

Accepted Dental Insurance Plans 

We accept a wide range of dental insurance plans to help make care accessible for families. Below is our Insurance List for 2025 (subject to change), including plans our orthodontist is also contracted with. Coverage and network participation vary by plan, so we’re always happy to verify benefits and answer questions before your visit.

PPO Plans

  • Cigna

  • Delta Dental

  • DHA / Sun Life (Dental Health Alliance)

  • Florida Combined Life

    • (Includes Blue Dental Choice & Co-Payment Plans — often referred to as Florida Blue or Blue Cross Blue Shield)

  • Guardian

    • (Including plans that may umbrella under The Guardian)

  • Humana

  • MetLife

  • Network Access Arrangement Plan under United Concordia

  • United Concordia

  • UnitedHealthcare (Not state plans or Medicaid)

    • Orthodontic coverage may apply only if the plan falls under the DHA umbrella

HMO Plans

Humana / CompBenefits

  • Some plans require a plan code to determine eligibility

MetLife (formerly Safeguard)

  • Some plans require a plan code to determine eligibility

  • Age limitation: We cannot see patients 8 years or older under this plan

Sun Life (formerly Assurant)

  • 25% Off Plan

  • Parent pays 75% of our usual and customary fees

Financing Options

We believe cost should never be a barrier to your child’s dental or orthodontic care. For families who prefer to spread treatment costs over time, we offer flexible financing through CareCredit®.

CareCredit® is a healthcare credit card designed to help cover out-of-pocket expenses not paid by insurance. Qualified families can choose from a variety of monthly payment options, making it easier to budget for both pediatric dental and orthodontic treatment. The application process is quick, and approval decisions are often immediate.

Our team is happy to walk you through available financing options, explain estimated costs, and assist with the application process so you can focus on your child’s care with confidence.

Understanding Dental Insurance for Kids

Dental insurance for children can be confusing—especially when plans change, benefits vary, and orthodontic coverage is involved. Our goal is to help parents understand how kids’ dental insurance works so there are no surprises.

How Does Dental Insurance Work for Children?

Most pediatric dental insurance plans are designed to support preventive care, such as exams, cleanings, X-rays, and fluoride treatments. These services are often covered at a higher percentage than restorative or orthodontic care.

 

Coverage depends on:

  • Your specific insurance plan and employer group

  • Whether the provider is in-network

  • Your child’s age

  • Annual maximums, deductibles, and waiting periods

Because every plan is different, benefits can vary even within the same insurance company.

 

Does My Child’s Dental Insurance Cover Orthodontics?

Some dental plans include orthodontic benefits, but many do not—or they may include lifetime maximums, age limits, or specific network requirements. Orthodontic coverage is often handled separately from routine pediatric dental care.

 

Our team can help:

  • Check whether orthodontic benefits are included

  • Explain lifetime maximums and age restrictions

  • Confirm if orthodontic care is in-network under your plan

 

Why Insurance Verification Matters

Dental insurance details change frequently, and plan names alone don’t guarantee coverage. That’s why we recommend verifying benefits before your child’s appointment.

 

We’re happy to help you understand:

  • What services are covered

  • What portion insurance may pay

  • What to expect for out-of-pocket costs

 

No Insurance? You Still Have Options

If your child does not have dental insurance, we offer affordable self-pay options and flexible financing to make care accessible. Our team can walk you through available options and help you choose what works best for your family.

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Have Questions? We are here to help!

Our team is committed to making pediatric dentistry and orthodontics simple, understandable, and stress-free for parents. If you’re looking for guidance, need clarification, or want to talk through your child’s care, we’re just a message away.

Complete this form and a member of our team will contact you shortly.

Feel free to give us a call at (904)373-5120

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Contact Info

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Phone:  (904)373-5120

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Office Location:

480 Town Plaza Ave., Suite 110

Ponte Vedra, FL 32081

Ponte Vedra Pediatric Dentistry & Orthodontics proudly serves families in Nocatee, Ponte Vedra, St. Augustine, Jacksonville, and North Florida with comprehensive pediatric dentistry and orthodontic care for children and teens. Our locally owned, UF-trained doctors provide trusted preventive visits, restorative treatment, braces, clear aligners, and early orthodontics in a warm, child-focused environment. If you’re searching for a pediatric dentist near me or an experienced orthodontist for your child, our team is dedicated to delivering gentle, family-centered care without corporate influence.

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