Dentist - Avon Lake
33399 Walker Rd. Suite D
Avon Lake, OH 44012
(440) 933-2549


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John Pyke Dentistry

Exceptional Dentistry for Exceptional People

 

 

Cosmetic Dentistry - Avon Lake
Welcome! Our office is excited to have been awarded Cleveland Magazine's Top Dentist for seven years in a row!  We've helped patients here for over ten years and continually strive to provide the best dental care on the west side of Cleveland. Dr. Pyke's experience in dentistry is coupled with excellent dental care and genuine concern for his patients. Our experienced team is dedicated to your comfort and prompt attention as well. Our goal is to keep your teeth healthy and your smile bright!

 This web site provides you with an overview of our practice and the field of dentistry. As you navigate the site, you'll find information about our practice philosophy, team members, our Avon Lake office location, insurance policies, and appointment scheduling procedures. Please browse the site at your convenience and feel free to contact us with any questions. You can also request an appointment by clicking here.

You'll find a lot of valuable information on the web site about dental problems, diagnoses and treatments. We believe informed patients are better prepared to make decisions about their health and well being. We encourage you to review this information to help you understand any dental concerns you may have.

 

Dental Insurance - A Few Facts

This is an introduction and overview of dental insurance.  There are many facets to dental insurance, this informative will help you understand the different types of coverage and will help to explain your responsibilities as a patient.

Dental insurance is a misnomer.  It should be considered a benefit, rather than actual insurance.

All dental benefits, whether in-network or out of network, have a yearly maximum and refer to a fee schedule when considering benefit coverage.  The fee schedule they abide by rarely, if ever, coincides with the fees charged by a particular dental provider’s office.

In- network benefits refer to a contract between a dental provider and an insurance company.  If your dentist enters into such a contract he/she must abide by the fees  and treatment dictated by that insurance company.  This does not mean the patient will not have a co-pay.  When a patient opts to have treatment, other than regular cleanings, there is always a co-pay due at the time of service.  You, as a patient, and your dentist will determine the best course of treatment.  However, deviating from your contracted fees and treatment could possibly mean an increase in your out of pocket expenses.  Your dental benefits will NEVER cover all dental services at 100%.

With out-of-network benefits there is no contract between the dentist and the insurance company.  This means you, the patient, are responsible for all charges not covered by your particular insurance plan and as with in-network benefits, you will always have a co-pay at the time of service.  In most cases out-of-network benefits allow the provider to dictate standard and quality of care for their patients rather than the insurance company.

All dental plans have exclusions and possibly waiting periods for treatment.  It is very important for you to be informed prior to making an appointment with your chosen provider regarding these waiting periods.

Generally all insurance (in/out of network) plans have a yearly deductible (individual and/or family) which must be met prior to any reimbursement for any treatment by your provider. 

Dental benefits offered through your employer or purchased personally can be beneficial.  It is the patient’s responsibility to know and understand their particular benefit coverage plan.  Making educated decisions regarding your oral and overall health care is necessary for you to achieve the quality of care you deserve.

 

John Pyke, DDS
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