Using Your Insurance

Before you call your dental insurance company, please go over a short list of ASK Dental Clinic’s fee schedule and make a list of the treatments you may need.

Have the following information ready:

  • Insurance company’s name and telephone number:
  • Subscriber’s name:
  • Subscriber’s date of birth:
  • Group (Policy) No:
  • Certification No:
  • Patient’s name:

After collecting general coverage information about your dental benefits, you can further ask your insurance company about fees for certain treatment procedures.

Examples of common procedures and their fees at ASK Dental Clinic and most insurance companies

Example 1: If you have not had a dental exam in over 2 years, we recommend a complete exam, full mouth X-rays, and teeth cleaning:

Description

Procedure Code

Fee at

ASK Dental Clinic

Fee at your Dental Insurance

Adult complete exam

01103

$91.00

 

Full mouth X-ray films

02102

$156.30

 

Panoramic

02601

$70.70

 

4 units scaling

11114

$231.70

 

1 unit polish

11101

$55.00

 

Fluoride treatment

12101

$26.50

 

Total

 

$631.20

 

Fee difference between ASK Dental Clinic and your insurance company:

 

 

 

Example 2. If you regularly visit a dental office and have had teeth cleaning done in the past 6 to 9 months, we recommend a recall exam, limited X-ray films, and teeth cleaning:

Description

Procedure code

Fee at

ASK Dental Clinic

Your Insurance fee

Recall exam

01202

$58.00

 

4 bitewing X-ray films

02144

$62.30

 

2 units scaling

11112

$114.30

 

1 unit polish

11101

$55.00

 

Fluoride treatment

12101

$26.50

 

Total

 

$316.10

 

Fee difference between ASK Dental Clinic and your insurance company:

 

 

 

Example 3. If you notice that you have a specific problem, such as a toothache, new cavity, lost filling, broken tooth, swelling gums, or a loose tooth, you may need a limited exam and at least one periapical (PA) X-ray film. You may also need treatment (such as a filling, root canal treatment, extraction of a tooth, etc). We will present you with a treatment plan and estimated fee after a dentist finishes your exam and makes a diagnosis.

Description

Procedure code

Fee at

ASK Dental Clinic

Your Insurance fee

Limited exam (same fee for specific exam and emergency exam)

01204, or

01201

$58.00

 

1 PA X-ray film

02111

$23.80

 

Total

 

$81.80

 

Fee difference between ASK Dental Clinic and insurance company:

 

 

 

   Office Hours
   Dr. Alvin Kwok
   Mon-Thurs 9-6, Fri/Sat off, Sunday by appointment only

 
   ASK Dental Clinic    Unit 200, 4400-14th Street NW 
   Calgary, AB T2K 1J5
   Phone:  403.210.0883    Email:  asknet@telus.net