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Tooth-Colored Fillings
When your explanation of benefits (EOB) indicates that treatment costs exceeded "usual and customary" rates, this doesn't necessarily mean that West Augusta Dental Associates is charging too much for your care.
Understanding Dental Insurance Coverage
Insurance companies establish their own "usual, customary, and reasonable" (UCR) fee schedules based on internal data collection and analysis. These rates are often significantly lower than the actual market rates in the Augusta, GA, area. Each insurance company sets different UCR rates, and they rarely disclose how these figures are calculated or update them regularly to reflect current economic conditions.
As an out-of-network provider, we set our fees based on several important factors: the actual costs of providing quality care, using premium materials, maintaining advanced technology, ensuring appropriate appointment lengths, and fairly compensating our skilled team. Our fees reflect the high standard of care we're committed to providing rather than being limited by insurance company determinations.
Many dental practices in our region charge similar fees for the same high-quality services. The difference you're seeing is often the gap between what insurance companies are willing to pay and the actual cost of providing excellent dental care in today's market.
We're Here for You at West Augusta Dental Associates!
We're always transparent about our fees and work hard to help you maximize your insurance benefits. If you have questions about your EOB or our fee structure, please contact our Augusta dental office at (706) 738-8070. We're happy to review your specific situation.