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Insurance & benefits

Use Your Dental Benefits Before December 31

Most dental plans reset on January 1. Any unused annual maximum, and in most cases any remaining FSA dollars, do not carry over — you simply lose them.

What Resets on January 1

Dental coverage is not like medical coverage — most of it runs on a calendar year and does not roll forward. Four things typically reset:

Your annual maximum

The cap your plan pays per calendar year — commonly $1,000–$2,000. Whatever you have not used by December 31 is generally gone on January 1.

Your deductible

If you have already met this year's deductible, treatment completed before December 31 is settled against it. In January you start paying it again.

FSA dollars

Flexible Spending Account funds are use-it-or-lose-it in most plans. Some employers allow a small carryover or a short grace period — check your plan documents.

Remaining frequency allowances

Many plans allow a set number of covered cleanings, exams and X-rays per year. Unused visits do not accumulate.

Three Steps Before the Deadline

December fills up quickly, and any treatment involving our on-site lab needs to be scheduled with turnaround time in mind. Earlier in the quarter is easier for everyone.

  1. 1. Find out what is left

    Call us at (949) 360-9700 with your insurance card and we will verify your remaining benefits for you — you do not need to call your carrier yourself.

  2. 2. Book the visit while dates are open

    Treatment has to be completed — not just scheduled — before December 31 to be claimed against this year's maximum. October and November have far more availability than late December.

  3. 3. Plan the balance, if there is one

    If your treatment runs past what your plan covers, we can sequence part of it into January against the new maximum, or set you up with a payment option.

See accepted insurances and payment options

Treatment must be completed on or before December 31 to count against this year's maximum. Our last scheduling week in December fills early — call (949) 360-9700 to check availability.

Check Your Remaining Benefits

Call (949) 360-9700 or request a time below — we will verify what your plan has left before your visit.

Book by phone or online

We're updating our online form. In the meantime the fastest way to get seen is to call us or book on Zocdoc — both reach us the same day.

Hours: Mon–Fri 9:00 AM – 6:00 PM. For an emergency outside these hours, go to your nearest emergency room.

Year-End Benefits FAQs

Almost never. Most dental plans run on a calendar year, and any unused portion of your annual maximum is forfeited on January 1. A small number of plans offer a carryover feature — call us at (949) 360-9700 and we will check yours.

Call our front desk at (949) 360-9700 with your insurance information. We verify remaining benefits for patients as a routine part of scheduling, so you do not have to sit on hold with your carrier.

For it to be billed against this year's maximum, the treatment generally has to be completed and submitted within the plan year. Multi-visit treatment started in December may fall partly into next year's benefit — we will map that out for you before you commit.

It is the total dollar amount your dental plan will pay in a calendar year. Common ranges are $1,000 to $2,000. Once you reach it, you are responsible for costs beyond it until the plan resets.

Dental treatment is generally an eligible expense for both. FSA funds are typically use-it-or-lose-it at year end, while HSA funds usually roll over. Check your specific plan documents, since employer rules vary.

We can often sequence treatment so part of it falls into the new plan year against a fresh maximum, or set you up with one of the financing options on our finance page. Our team will walk you through the numbers before anything is scheduled.

Not if you call now. Covered cleanings and exams do not carry forward, so an unused visit is a benefit you have already paid for through your premiums. December books up first, so earlier is better.

We accept most major PPO dental plans and California's Denti-Cal program. Our finance page has an interactive checker, or you can call (949) 360-9700 and we will verify for you.

Book Your Visit Today

Same-day appointments and consultations available. Our Aliso Viejo team is ready to help.

Same-Day Emergency AppointmentsIn-Network with Major PPO PlansOn-Site Roland CAD/CAM LabPayment Options via CareCredit & Cherry
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