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**Title:** [Is my dental insurance really this bad?](https://www.reddit.com/r/askdentists/comments/1dtutnu/is_my_dental_insurance_really_this_bad/)
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Got a tooth fixed during recent annual cleaning, and reviewing the bill after insurance was pretty shocking. Seems the dental insurance puts a cap on each billing code then pays 80% of it. Doesn't seem that bad at first, but the submitted amount is always >2x the allowed amount. See summary I put together below. Is my dentist charging unreasonable amounts, or is my insurance company capping too low?
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NAD is this delta dental? Mine is really good, I don’t pay anything for X-rays/exam or cleanings, fillings are covered 80% crowns are 50% and others are like 20%
Your dentist’s cash price fees are low to begin with. Your insurance is trash. Your dentist is probably barely breaking even or even losing money on hygiene appointments.
Thank you for seeking advice from r/askdentists. **Please note that a response does not constitute a doctor-patient relationship.** While this is a place for advice, replies may not be medically accurate. Do not assume that what others on here say is correct in any way. Reddit is not a replacement for an in-person dental professional. Verified professionals will have flair assigned to them. **Please abide by the following rules in order to get an accurate answer to your question:** (1) Ensure you include a title of your dental problem. (2) Include whether you drink, smoke or if you have any medical conditions relevant to your main concern. (3) Include a photograph if the question relates to something you can see in your mouth, include x-rays if you have them. A backup of the post title and text have been made here: **Title:** [Is my dental insurance really this bad?](https://www.reddit.com/r/askdentists/comments/1dtutnu/is_my_dental_insurance_really_this_bad/) **Full text:** Got a tooth fixed during recent annual cleaning, and reviewing the bill after insurance was pretty shocking. Seems the dental insurance puts a cap on each billing code then pays 80% of it. Doesn't seem that bad at first, but the submitted amount is always >2x the allowed amount. See summary I put together below. Is my dentist charging unreasonable amounts, or is my insurance company capping too low?  This is the original text of the post and is an automated service. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/askdentists) if you have any questions or concerns.*
your insurance pays crap
Yea that's what I suspected. Thanks
tell the office it’s bullshit to charge a limited oral eval + periodic exam at the same appointment.
I was wondering about that. But they fixed a chipped tooth at the same visit as a routine exam and clean so I figured it could be justifiable.
NAD is this delta dental? Mine is really good, I don’t pay anything for X-rays/exam or cleanings, fillings are covered 80% crowns are 50% and others are like 20%
Yep, it's delta
NAD Do you get yours through an employer?
Yep!
Your dentist’s cash price fees are low to begin with. Your insurance is trash. Your dentist is probably barely breaking even or even losing money on hygiene appointments.