Insurance, payment, and what to expect.
A short guide for new and returning families. The short version: the Canadian Dental Care Plan is accepted, full payment is required once the procedure is complete, and we can help with your insurance claims in a few different ways depending on what fits.
The short version.
Help with your claims
We may submit the claims on your behalf, call your insurance provider about coverage limits, or hand you the paperwork so you can handle it yourself.
Canadian Dental Care Plan
The CDCP is accepted. Coverage depends on adjusted household income; details below.
Payment in full at completion
Regardless of insurance coverage, payment in full is required once the procedure is complete.
Patient information in detail
Dental insurance
We may do this by submitting the claims on your behalf, calling your insurance provider to find out more about your coverage limits, or providing you with all the paperwork so you can handle the insurance claims with ease.
Insurance carriers do not release information to third parties (including dental clinics) even if we have informed and signed consent.
It would be helpful for you to know your insurance coverage information before coming in as this will help speed along your child's treatment plans.
Payment and financing
It is also important to note that regardless of the insurance coverage, we do require payment in full once the procedure is complete.
We may provide financing options depending on your individual situation. Please speak with us directly if you have financial concerns regarding your child's treatment and we will work with you to ensure the best possible outcome.
Canadian Dental Care Plan (CDCP)
The Canadian Dental Care Plan is accepted at Durham Kids Dentistry. Coverage is income-based; the plan covers the following percentage of eligible oral health care service costs depending on the family's adjusted household income.
- Under $70,000100%
- $70,000 to $79,99960%
- $80,000 to $89,99940%
CDCP-covered services include:
- Preventive care such as cleanings, fluoride treatments, and sealants
- Diagnostic services like examinations and x-rays
- Fillings and more complex procedures like root canal treatments and dentures
- Periodontal services that address gum health with treatments like deep scaling
- Oral surgery services including extractions and surgical interventions
- Limited orthodontic services, available under strict medical criteria
Important caveats from the CDCP coverage page:
- Preauthorization may be required for certain services.
- Members may need to cover additional costs directly.
- CDCP sets specific fee schedules for covered services.
New patient form
Before your child's first visit, please complete our New Patient Form. The office will review every form and may try to contact you before the appointment to confirm some of your answers.
Prefer to ask first? Call (905) 579-0709 or send a request through our contact form.
Privacy of your child's information
Our clinic is dedicated to the protection of our patients' and their parents information. See our privacy policy for the full text.
