Delta Dental Insurance Coverage for Wisdom Teeth Removal and Oral Surgery

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Delta Dental insurance coverage for wisdom teeth removal and oral surgery is a crucial aspect of their plans. Delta Dental typically covers a portion of the costs associated with wisdom teeth removal and oral surgery, with the exact percentage covered varying by plan.

Delta Dental's coverage for oral surgery, including wisdom teeth removal, is usually around 50% of the procedure's cost. This means that as a policyholder, you can expect to pay around 50% of the total bill.

Some Delta Dental plans may have a higher or lower coverage percentage, so it's essential to review your specific policy to understand the details. This way, you can plan accordingly and avoid any unexpected expenses.

Cost and Coverage

The cost of removing wisdom teeth with Delta Dental insurance depends on the severity of the impaction. The more severe the impaction, the higher the price.

Delta Dental has categorized third molars into four types of impaction: fully erupted, soft tissue impacted, partial bony impacted, and full bony impacted. The average cost for extracting a wisdom tooth with Delta Dental coverage is as follows:

Most Delta Dental plans have an 80% coverage for wisdom teeth removal, leaving a 20% copay for the patient. However, some plans may offer more or less coverage, depending on the specific contract.

To determine your coverage for oral surgery under Delta Dental, review your plan details and speak with your dental provider. They will need to submit a treatment plan to Delta Dental for approval before any procedures are done.

Types of Impaction

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Delta dental insurance has categorized third molars into four types of impaction based on their severity.

The types of impaction are defined by their level of eruption and bony involvement. Delta dental uses codes D7210 to D7240 to categorize these impactions.

Here are the types of impaction and their corresponding codes:

  • D7210 - fully erupted wisdom tooth
  • D7220 - soft tissue impacted wisdom tooth
  • D7230 - partial bony impacted wisdom tooth
  • D7240 - full bony impacted wisdom tooth

A partial bony impacted wisdom tooth is characterized by being more than 50% still stuck in the bone and gums, with an estimated average cost of $100 with 80% insurance coverage.

Soft Tissue Impacted

A soft tissue impacted wisdom tooth is a relatively common condition where the tooth is almost fully erupted, but a small piece of gum still covers it, allowing you to see about 90% or more of the tooth sticking out.

This type of impaction can be removed relatively easily, and with 80% coverage through Delta Dental, the average cost is $75.

In some cases, a soft tissue impacted wisdom tooth may require additional treatment to ensure proper healing and prevent future complications.

Full Bony Impacted

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A full bony impacted wisdom tooth is a more serious case of impaction, where more than 50% of the tooth is still stuck in the bone and gums. This type of impaction requires a more complex surgical procedure.

The average cost of removing a full bony impacted wisdom tooth with Delta Dental is $125, assuming you have 80% insurance coverage. This cost can vary depending on the severity of the impaction.

Delta Dental has categorized full bony impacted wisdom teeth as D7240. This classification helps determine the level of coverage and the estimated average cost of the procedure.

A tooth doesn't have to be completely submerged in the bone to qualify as a full impaction. It's enough that more than 50% of it is not visible to the naked eye.

Wisdom Teeth Removal

Wisdom teeth removal is a common procedure that can help prevent oral health issues. Over 50% of impacted wisdom teeth extractions are covered by Delta Dental.

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Not everyone needs to have their wisdom teeth removed, but it's common for many people to have one or more removed to prevent complications like gum disease and cavities. Wisdom teeth do not always need to be removed, but it's often easier to care for your oral health without them.

Removing wisdom teeth can also help prevent jaw damage and bone loss. By covering wisdom tooth extraction, Delta Dental is helping patients save money and improve their quality of life.

Types of Oral Surgery

Delta Dental covers a wide range of oral surgeries, making it easier for patients to receive the care they need. Over 50% of impacted wisdom teeth extractions are covered by Delta Dental.

Wisdom tooth extraction is a common procedure covered by Delta Dental. This surgery can save patients a significant amount of money.

Jaw misalignment surgery is another type of oral surgery covered by Delta Dental. This procedure is designed to correct any misalignment in the jaw, which can cause issues with chewing, speaking, and overall oral health.

Correcting jaw misalignment can improve a patient's quality of life by addressing underlying oral health issues. By covering this type of surgery, Delta Dental is helping patients achieve better oral health.

Be Wise About Your

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Having your wisdom teeth removed can be a relief for your oral health. It's a common procedure that can help reduce your risk for many oral health issues, from cavities and tooth decay to bone loss and gum disease.

Wisdom teeth don't always need to be removed, but it's often necessary to avoid complications. Some people have healthy wisdom teeth that never cause any issues.

Impacted wisdom teeth can lead to jaw damage and bone loss, making removal a good idea. Your dentist can help determine if your wisdom teeth require removal.

Removing wisdom teeth makes it easier to care for your oral health and prevent problems like gum disease and cavities.

Insurance and Costs

Delta Dental insurance provides comprehensive coverage for oral surgery needs, including wisdom teeth removal. This means you can rest assured that your procedure will be taken care of, allowing you to focus on a speedy recovery.

The cost of removing wisdom teeth with Delta Dental depends on the severity of the impaction. The more severe the impaction, the greater the price will be. The less impacted the teeth are, the less it will cost.

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Delta Dental has categorized the third molars into four types of impaction: fully erupted, soft tissue impacted, partial bony impacted, and full bony impacted. The estimated average cost of extracting a wisdom tooth with Delta Dental would be $50 for a fully erupted tooth, $75 for a soft tissue impacted tooth, $100 for a partial bony impacted tooth, and $125 for a full bony impacted tooth.

If you have 80% insurance coverage, your out-of-pocket expenses will be 20% of the estimated average cost. This means that for a partial bony impacted tooth, you would pay $20 out of pocket.

Delta Dental has a large network of providers, giving you a wide range of options to choose from when it comes to your oral surgery needs. In addition, Delta Dental offers coverage for out-of-pocket costs associated with oral surgery, which can be a significant financial burden for many patients.

Most dental insurances have an annual deductible, which must be paid prior to benefits being disbursed. The most common deductible seen from Delta Dental patients is $50, but it can range from as low as $25 to as high as $100, depending on your insurance plan.

To determine your coverage for oral surgery under Delta Dental, start by reviewing your plan details and speaking with your dental provider. The pre-authorization process is important to understand, as your provider will need to submit a treatment plan to Delta Dental for approval before any procedures are done.

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Here's a breakdown of the estimated average costs for wisdom teeth removal with Delta Dental:

Keep in mind that these costs are estimates and may vary depending on your specific situation and insurance plan.

When to Consider Removal

If you're wondering when to consider removal of your wisdom teeth, it's essential to know that they don't always need to be removed. However, if you experience any of the following symptoms, it may be necessary: pain, inflammation, or swelling, repeated irritation or infection, damage to your gums or teeth due to overcrowding, gum disease or gingivitis, cysts, or signs of tooth decay.

Your dentist may also recommend removal as a preventive measure before any symptoms appear. This is a common practice, especially if you have a history of oral health issues.

Here are some common reasons why your wisdom teeth may need to be removed:

  • Pain, inflammation, or swelling
  • Repeated irritation or infection
  • Damage to your gums or teeth due to overcrowding
  • The presence of gum disease or gingivitis
  • Cysts (fluid-filled sacs)
  • Signs of tooth decay
  • Tooth decay in adjacent teeth that is difficult to treat

Do I Need to Have My Wisdom Teeth Removed? Potential Complications

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Wisdom teeth don't always need to be removed, and some people have healthy wisdom teeth that never cause any issue.

Many people have one or more of their wisdom teeth removed, which can help with oral health and avoid complications.

It's common for wisdom teeth to not erupt properly or become impacted, leading to issues like gum disease, cavities, tooth decay, bone loss, and jaw damage.

Speak with your dentist to determine if your wisdom teeth require removal.

At What Age?

Wisdom teeth can be removed at any age after they develop, but the procedure is most common between the ages of 17 and 22.

Removing wisdom teeth at this age is often less complicated and requires less recovery because the roots have not yet fully formed.

This makes sense, as younger patients tend to heal faster and have fewer complications after surgery.

The procedure is typically less complicated, which means less pain and discomfort for the patient.

When to See a Dentist

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You should see a dentist if you experience any symptoms near or around your wisdom teeth, such as pain, inflammation, or swelling, or if you notice repeated irritation or infection. This can be a sign that your wisdom teeth are causing oral health issues.

If you're experiencing damage to your gums or teeth due to overcrowding, you should also visit a dentist. Gum disease or gingivitis, cysts, or signs of tooth decay are also reasons to seek dental care.

In some cases, your dentist may recommend the removal of wisdom teeth as a preventive measure before any symptoms appear. This can help prevent more serious problems from developing.

Here are some symptoms that require immediate attention after wisdom teeth removal:

• Severe pain, which can be a sign of dry socket

• Fever of 102 Fahrenheit or above

• Difficulty breathing or swallowing

• Swelling that continues to worsen over time

• Pus coming from your surgical area, which is a sign of infection

It's essential to follow up with your dentist as recommended, even if you don't have any stitches. This will help ensure that your oral health is on track and that any potential issues are caught early.

Frequently Asked Questions

How much does wisdom teeth removal cost with general anesthesia?

Cost of wisdom teeth removal with general anesthesia: $780-$1000, plus insurance excess, after hospital cover is applied

Vanessa Schmidt

Lead Writer

Vanessa Schmidt is a seasoned writer with a passion for crafting informative and engaging content. With a keen eye for detail and a knack for research, she has established herself as a trusted voice in the world of personal finance. Her expertise has led to the creation of articles on a wide range of topics, including Wells Fargo credit card information, where she provides readers with valuable insights and practical advice.

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