Is Sedation Dentistry Covered by Insurance?

December 2, 2020

Woman having a procedure at sedation dentist in Carrollton.

Do your palms sweat when it’s time to visit the dentist? Maybe you have an upcoming procedure and you’re worried about pain? No matter the reason, your sedation dentist in Carrollton can help. Sedation dentistry is an excellent option for patients who have dental-related fears or need a complex procedure, but is it covered under your insurance policy? Every plan differs, but here’s how much you can expect to pay to ensure you’re comfortable during your appointment.


Can Sedation Dentistry Help Me?

Sedation dentistry uses medication to help patients reach a peaceful state-of-mind. Different sedatives can be used to cater to your specific needs; however, they all offer exceptional benefits to help those who have unique situations, such as:

  • Dental-related fears and phobias
  • Complex treatment plans
  • Need multiple procedures
  • Strong gag reflex
  • Difficulty keeping the jaw open
  • Difficulty laying in one position

Is Sedation Dentistry Covered Under Insurance?

Unfortunately, most standard dental plans don’t cover sedation despite its benefits. Many insurance policies consider it a luxury or non-essential aspect of treatment because it can increase the cost significantly; however, there are some exceptions.

Your insurance company might help cover the cost if it lowers the overall expense of the dental procedure. If this is the case, your plan can offset the amount you need to pay out-of-pocket, or it can cover it in its entirety.

Cases where this might occur are those that require the treatment to be spaced out or delayed because sedation isn’t used. Your insurance company will likely cover the cost, especially if it involves nitrous oxide or another sedation that isn’t delivered intravenously.

Sedation may also be covered if the patient has a serious medical condition or disability, such as those with autism or cerebral palsy. Your coverage may pay a portion of the cost if the dental treatment is exceptionally complex, like a major oral surgery for extractions or dental implants.

How Much Does Sedation Dentistry Cost?

There isn’t a set fee for sedation dentistry because there are various factors that influence the cost, like the type and amount needed. Your dentist in Carrollton will provide you with an estimate and discuss your payment options, like using your dental insurance. If applicable, they will maximize your dental policy to lower the amount you need to pay. They’ll explain your payment options for any remaining balance, like third-party financing.

Sit Back and Relax

If you need a little extra help to relax during your upcoming dental procedure, don’t avoid your dentist any longer. They’ll help you find the solutions you need to calm your nerves and ensure you’re comfortable using sedation that fits your budget.

About Dr. Marc Dandois

Dr. Dandois earned his dental degree from the University of Texas Health Science Center at Houston. He has completed extensive training in IV and oral conscious sedation. He can help patients conquer their dental fears and get the care they need without any unnecessary pain. Contact our office today to schedule your consultation for sedation dentistry.