We accept most PPO insurance plans regardless of network status.

We are In-Network with insurance carriers: Delta Dental PPO, Premera PPO, Regence PPO, and Cigna PPO. The benefit of being in-network is that coinsurance payment for in-network plans is billed at a lower “member rate.”  Routine cleanings and preventative care are typically 90-100% covered by most PPO plans, regardless of network status. Check with your individual plan to review in-network vs. out-of-network co-insurance amounts for restorative and other non-preventative services.

We are unable to accept/process claims for the following plan types: Delta Care, Willamette Dental, Dentegra, and all HMO plans. Patients with these plans are required to provide payment in full on the date of service and seek reimbursement directly from their carrier. Additionally, we cannot electronically submit MetLife claims that do not include the subscriber’s social security number as the member ID. *Please inquire at checkout or with the Office Manager regarding MetLife claim submission specifics*

We are proud to accept Washington State Medicaid insurance (Apple Health/Molina) for new patients under ten years old. A referral from the King County Access to Baby and Child Dentistry program is REQUIRED for all Washington State Medicaid new patients (including siblings of current patients). Please get in touch with ABCD@kingcounty.gov or call (206)363-8750 for more information. *Washington State Medicaid insurance is accepted as a Primary insurance plan only and is not accepted for secondary insurance. *

The patient must provide accurate personal plan information, specifically your Member ID number and Group number, before treatment.

Please remember that your insurance policy is a contract between you and your insurance company. We are not a party to that contract. We, at no time, guarantee what insurance will or will not cover each claim. It is the responsibility of the patient to be familiar with your benefits. Dental insurance is not designed to cover 100% of your dental healthcare needs. Upon request, at least a week in advance of your appointment, we will assist in estimating the portion of the cost due for our services. Any estimate given by this office is considered a guideline until the final insurance is received and the patient’s account is reconciled. The office cannot guarantee the actual payment by your insurance company. For services that have been predetermined, the amount the insurance company may pay may be subject to maximums, deductibles, limitations, and non-payment due to employment status.

Claim Submission:

As a courtesy, we will submit all insurance claims electronically on your behalf. We are unable to submit claims for you via mail or fax. Regardless of insurance claim status, the patient is still responsible for the charges for treatment rendered.  Any claims we cannot process after 30 days from the treatment date will be billed to the patient. After 30 days, patients become responsible for remitting payments to GKD in full and receiving reimbursement directly from their insurance carrier. If you would like to submit your own claim, please pay in full at checkout, and we will provide a statement that lists the days’ procedures for you to submit your own claim.