The Wisdom Tooth Clinic Miami
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What you will actually pay

Oral surgery can bill to your medical plan or your dental plan. For an impacted third molar it is most often medical where there is documented pathology, and dental otherwise — many medical plans exclude routine extraction outright. We check both before you book and tell you which is expected to be primary, what your deductible and coinsurance are, and what the estimated out-of-pocket range is. We do not publish prices, because a price on a page is not your price.

Check my coverage(305) 432-6719

Carrier and member ID. No account, no card, and nothing shared with anyone but your insurer. Usually under ten seconds.

Why we check medical as well as dental

Most practices check one. Checking both is the difference between an estimate against a plan with a small annual maximum and one against a deductible you may already have met.

Usually a medical claim

  • Impacted third molars, particularly lower ones
  • Biopsy of a lesion or cyst, and the pathology report
  • Facial and dental trauma
  • Bone grafting following pathology or trauma
  • Surgery related to a jaw joint or a jaw fracture

Usually a dental claim

  • Erupted teeth removed for decay or crowding
  • Implant placement and the restoration that follows
  • Socket preservation after a routine extraction
  • Sedation billed alongside a dental surgical code

These are patterns, not rules

Which plan responds depends on your specific policy and on the clinical findings. That is exactly why we run a real eligibility check against your own plan rather than telling you what usually happens.

How the check works

Four steps, and you do one of them.

  1. You enter two things

    Your carrier and your member ID. Date of birth confirms the record.

  2. We ask both plans at once

    A real-time eligibility request goes to your medical and dental payers in parallel, not one after the other.

  3. We read the response

    Deductible remaining, annual maximum remaining, coinsurance, and any frequency limitation that applies.

  4. You get a number

    An estimated range against the procedure you are coming in for, with the caveat attached, on screen and by text if you want it.

Questions about coverage

Why do you not publish your prices?
Florida requires that any advertised fee carry a minimum-fee disclaimer, the exact procedure code, and a stated availability window of at least 90 days. More practically, a published range is not your number — it does not know your plan, your deductible, or what the surgeon finds on the radiograph. A real estimate against your own policy is more useful than a range you cannot rely on.
What if you are not in network with my plan?
We will tell you that plainly, give you the self-pay figure for the procedure from our fee schedule, and explain the membership plan and the financing options. We do not editorialise about insurers.
What if the check does not come back?
Payer systems go down. If we cannot get a usable response we will say so rather than guess, book you anyway, and text you the coverage detail as soon as we have it — usually within the hour. We will never quote you a number we cannot source.
Is the estimate what I will actually be billed?
It is an estimate based on what your plan tells us on the day. The final amount is confirmed once the claim is processed, and it can change if the clinical findings change what is done. That caveat goes with the number everywhere it travels, including into the text message.
Do I have to give you my insurance details to see open times?
No. Open times are on the home page and you can book without a coverage check. The check exists so that you know the number before the day, not as a gate.

Payment plans and financing