How your benefits get checked, what Virginia Medicaid means here, and what happens when you do not have a plan.
Virginia Medicaid
We accept Virginia Medicaid. What your plan pays for depends on the plan and on your age, so we check yours before you come in.
What that means herePPO plans
We work with most PPO plans. Two people can hand us cards from the same insurer and still have different benefits, so we verify yours with the plan.
How we check itNo coverage
You see the recommendation written down, with the numbers on it, before anything is scheduled. Most treatment can be phased.
How payment worksBefore you book
Most of the unpleasant surprises in dentistry are billing surprises, and they come from someone assuming what a plan covers instead of checking. Here is the order we do it in, and why each part is there.
We take the plan details straight off it. It is a short call, you do not need an appointment to make it, and you are not committing to anything by asking.
The card tells us who your insurer is. It does not tell us what your particular plan pays for, because employers buy different versions of the same product. So we go to the plan directly and have your benefits confirmed.
Coverage only means something once there is something to apply it to. The exam and the X-rays are what change a general benefit into what your own treatment would come to.
What we recommend, what your plan is expected to cover, and what would be left for you. Written down. Nothing gets scheduled until you have seen it.
Virginia Medicaid
Plainly: yes. If you are covered by Virginia Medicaid you can be seen here, and you do not need to call around the county to find that out.
What it pays for is the part worth checking. Virginia sorts dental treatment into categories, each category carries its own rules, and some treatment needs approval before it can go ahead. What you are eligible for can also shift with your age and with your eligibility dates. So we confirm your specific benefit before treatment rather than after, exactly the way we would with any other plan.
A lot of people in Virginia are still working from rules that changed years ago and ruled themselves out on the strength of it. Dr. Abdoun wrote up what changed for adults on Virginia Medicaid in 2021 and why the old assumption is worth testing.
Check it before you come in
Call with the card in front of you and we will tell you what your plan covers, what it does not, and what would be left for you before you decide on treatment.
Call (540) 288-2800PPO plans
That is as far as any web page can honestly take you, and here is why. Coverage differs plan to plan even within the same carrier, because employers buy different versions of the same product. Two patients can hand us cards printed by the same insurer and have genuinely different benefits, different limits and different rules about what needs approving first.
Which is why we verify your benefits directly with your plan instead of guessing from the card. It is a short call, it happens before you book rather than after you are in the chair, and you get a straight answer out of it.
If you would rather understand your own plan before you call, Dr. Abdoun goes through how plans tier what they pay for, and what an annual maximum actually limits.
Check my plan — (540) 288-2800Without a plan
You still get examined first, and you still get the recommendation written down with the numbers on it before anything is scheduled. What you do not get is a figure made up over the phone by someone who has not looked in your mouth yet.
If the total is more than you want to take on all at once, say so at the point you read it rather than going quiet and not booking. Most treatment can be phased: whatever is actively causing trouble gets handled first and the rest is sequenced behind it. Phasing is ordinary dentistry and it involves nobody but you and us. Ask about payment options while we are going through the plan together.
Telling us that cost is the concern is useful information, not an awkward admission. It genuinely changes how we sequence things. For the background on why the number is built the way it is, Dr. Abdoun explains why a cleaning cannot be quoted before the exam.
Talk it through — (540) 288-2800Before you call
Booking a first appointment at the same time? What to bring to the visit →
Next step
Call the office Monday through Friday, 9:00 AM to 5:00 PM with your card in front of you. We check your benefits with your plan and tell you where you stand before you commit to an appointment. There is no online booking on this site — if it is easier, send the contact form and we will call you back.
New here? The first appointment covers your records, the exam and a cleaning in most cases. What your first visit involves →