Accepted Insurance Provider
We Accept Medicare Advantages - Charlotte, NC 28273 Dentist
In-network with Medicare Advantages Dental, offering a full range of general and family dental services.
Our Areas of Expertise
- In-Network Provider
- Medicare Advantages Dental PPO
- Medicare Advantages DMO
- Trusted Dental Care
Dr. Vaibhav Bajaj, DMD and our team provide compassionate, patient-centred care and are proud members of the American Dental Association.
Typical Medicare Advantages Coverage
Preventive
100% in-networkExams, cleanings, bitewing X-rays
Basic
80% after deductibleFillings, periodontics, extractions
Major
50% after deductibleCrowns, dentures, oral surgery
Annual Maximum
$1,500–$2,500On most PPO plans
Waiting periods: None for PPO preventive; DMO may have restrictions
Coverage varies by specific employer plan. We verify your individual benefits before treatment.
Verify your Medicare Advantages benefits online →Medicare Advantages - Good to Know
- Medicare Advantages PPO and Medicare Advantages DMO follow different rules; PPO lets you see any dentist while the DMO assigns you a primary office and requires referrals for specialists
- On a DMO plan, your primary-dentist selection must point to our office before the visit or the claim can stall; tell us up front and we'll help you switch it
- Medicare Advantages Dental Access is a discount card, not insurance, with no claims and no annual maximum; we'll flag it if that's what you have
- In-network PPO visits apply Medicare Advantages's negotiated rates, typically 15 to 45 percent under standard fees
- Most Medicare Advantages tiers reset with no carryover, so we track your remaining maximum and help you time larger treatment
How to Get the Most from Your Medicare Advantages Plan
With Medicare Advantages, the first question is always which kind of plan you have, because PPO and DMO behave like two different products. On an Medicare Advantages Dental PPO you can see any dentist, and staying in-network usually applies Medicare Advantages's negotiated rates, which generally run 15 to 45 percent under standard fees. The DMO is where people get caught out. It asks you to name a primary care dentist, care is coordinated through that office, and seeing a specialist usually means a referral first. We can serve as your primary office on either plan, but if you're on the DMO, tell us up front so we can make sure your selection on file points here before your visit, otherwise the claim can stall. Don't confuse either of these with the Medicare Advantages Dental Access discount card, which isn't insurance at all; it just gives a reduced cash fee with no claims or annual maximum. For crowns, implants, or anything in the major tier, we send Medicare Advantages a pre-determination before we start so you get your actual out-of-pocket in writing rather than a guess. Medicare Advantages plans typically reset with no carryover on most tiers, so unused benefits you've already paid premiums for don't come back. We track your remaining maximum and help you time treatment around it. We verify your individual benefits before any work begins.
What Medicare Advantages members should know
With Medicare Advantages, sort out whether you're on the PPO or the DMO before you book, because the two don't share rules. A PPO plan is the flexible one: no primary-dentist requirement, no referral to see a specialist, and benefits paid against an annual maximum and deductible. A DMO is more restrictive. You're assigned to one dental office, that office coordinates your care, and copays are often fixed per procedure rather than a percentage, which can actually make budgeting easier once you know the schedule. The catch is that the DMO only pays when you're seen at your assigned office, so if your card lists a different practice, we'll help you switch your primary selection to us, usually effective the first of the following month. A separate point of confusion is Medicare Advantages Dental Access. It looks like coverage but isn't; there's no claim and no annual cap, just a lower set-fee you pay directly. We'll tell you which of these you're holding when we verify, and we'll explain how it changes your estimate before treatment. Coverage and copay schedules vary by employer, so we always confirm your specific plan first.
Maximize Your Medicare Advantages Benefits
We bill Medicare Advantages directly and handle the claims and pre-treatment estimates ourselves, so you can focus on the dentistry instead of the paperwork. If something about your plan is unclear, we confirm it before your visit whether you're in for a cleaning, cosmetic work, or a bigger restorative case.
- Direct billing to insurance
- Family dental care for all ages covered
- Pre-treatment estimates provided
- Preventive cleanings often 100% covered
Family & Preventive Services Typically Covered
Most Medicare Advantages plans cover preventive family dental care at 80-100%. Cosmetic procedures like teeth whitening and veneers are typically not covered but may qualify for FSA/HSA funds.
Preventive Care
Basic Care
Major Care
* Coverage varies by specific plan. We will verify your individual benefits prior to treatment.
Common Questions About Medicare Advantages
Is Medicare Advantages accepted at Steele Creek Smiles?
Yes. Steele Creek Smiles is an in-network Medicare Advantages dental provider in Charlotte, NC, and we accept Medicare Advantages Dental PPO and Medicare Advantages DMO plans. Coverage varies by your specific employer plan, so we verify your individual benefits before any treatment begins. Call (704) 587-1010 to confirm your coverage.
Does Steele Creek Smiles file Medicare Advantages claims directly?
Yes. Our team submits your Medicare Advantages claims directly so you do not have to handle the paperwork yourself. For larger treatments such as crowns, bridges, or implants, we can request a pre-treatment estimate from Medicare Advantages first, so you know your expected out-of-pocket cost before we begin. Coverage varies by plan; we verify your benefits before treatment.
What does Medicare Advantages typically cover at Steele Creek Smiles?
On most Medicare Advantages plans, preventive care is 100% in-network (exams, cleanings, bitewing X-rays); basic procedures are 80% after deductible (fillings, periodontics, extractions); major procedures are 50% after deductible (crowns, dentures, oral surgery). Annual maximums typically run $1,500–$2,500 on most PPO plans. These are typical figures only coverage varies by your specific employer plan, so we verify your individual benefits before treatment. Call (704) 587-1010 for a personalized estimate.
How do I tell if I have an Medicare Advantages PPO or a DMO plan, and why does it matter here?
Your card usually says, often near the plan name, but if it's unclear we can read it with you. It matters because the two work differently. A PPO lets you see us without naming a primary office and only pays when you're seen there, so your selection on file has to point to us before your visit. If you're on the DMO and your card lists another practice, we'll help you switch your primary office, usually effective the first of next month. Call (704) 587-1010 and we'll sort out which plan you have.
I have an Medicare Advantages Dental Access card. Is that the same as Medicare Advantages dental insurance?
No, and the difference is worth knowing before you book. Medicare Advantages Dental Access is a discount program, not an insurance plan. There's no claim to file, no deductible, and no annual maximum; instead you pay a reduced set-fee directly for covered services. Some employers bundle it alongside or instead of true coverage, which is where the confusion starts. If that's what you're holding, we'll explain the discounted fee for your treatment before we begin so there's no surprise. If you also carry an Medicare Advantages PPO or DMO plan, that's separate, and we verify those benefits individually. Call (704) 587-1010 and we'll confirm what you have.
I'm on an Medicare Advantages DMO and need to see a specialist. What's the referral process?
On a DMO, specialist care things like oral surgery, endodontics, or orthodontics generally needs a referral coordinated through your primary dental office first. As long as your primary selection points to us, we handle that referral as part of your treatment plan rather than leaving you to chase it. A few DMO plans have fixed copays for specialty procedures, so we'll check your copay schedule and tell you the expected cost before you go. Coverage and referral rules vary by your specific plan, so we verify your benefits before treatment. Call (704) 587-1010 to get yours checked.
What dental insurance plans does Steele Creek Smiles accept?
Steele Creek Smiles accepts most major PPO dental insurance plans, including Delta Dental, Medicare Advantages, Medicare Advantages, Medicare Advantages, Medicare Advantages, Blue Cross Blue Shield, United Healthcare, United Concordia, Medicare Advantages, and many others. We provide complimentary insurance verification before your first visit so you know exactly what your plan covers and what your estimated copay will be. Our billing team files all claims on your behalf and works to maximize your annual benefits. If you are unsure whether your plan is accepted, simply call (704) 587-1010 or submit your insurance details through our website, and we will confirm your coverage within one business day.
How do I maximize my dental insurance benefits?
To get the most from your dental insurance, schedule both of your covered preventive visits (exams and cleanings) each year, since most plans cover these at 100% with no out-of-pocket cost. Use your remaining annual maximum for any needed treatments before your plan resets, typically on time. If you need a major procedure, consider starting treatment before your annual maximum resets and completing it in the new year to use two years of benefits. Our team at Steele Creek Smiles provides detailed pre-treatment estimates so you know exactly what your plan covers before starting any procedure. We also help coordinate dual insurance for patients with two plans. Call (704) 587-1010 and our benefits coordinator will review your specific plan.
What if my dental insurance doesn't cover a procedure?
If your insurance does not fully cover a recommended treatment, Steele Creek Smiles offers several affordable options. We provide flexible payment plans through CareCredit and Cherry financing with low or zero-interest options. We also offer an in-house membership plan for patients without insurance that covers preventive care and provides discounts on additional treatments.
Does Steele Creek Smiles offer payment plans without insurance?
Yes. We believe cost should never prevent you from receiving quality dental care. Steele Creek Smiles offers interest-free and low-interest financing through CareCredit and Cherry, with flexible monthly payment options. We also have an affordable in-house membership plan that bundles preventive exams, cleanings, and X-rays at a discounted annual fee, plus reduced rates on restorative and cosmetic treatments.