Aetna Dentist in West Hollywood, CA
West Hollywood Smile Dental is an in-network provider for Aetna dental PPO plans. Whether you have Aetna coverage through your employer or an individual plan, you can use your full in-network benefits with Dr. Daniel Matatiaho and our team. We welcome new Aetna patients and take care of the entire insurance process for you. See all accepted dental insurance plans.
Using Your Aetna PPO Benefits at Our Office
Most Aetna dental PPO plans follow the standard structure: preventive care covered at 100%, basic services around 80%, and major services around 50% after a small deductible (typically $50, waived for preventive). Annual maximums commonly range from $1,000 to $2,000. Because we’re in-network, your coinsurance is calculated on Aetna’s lower negotiated fees. Exact figures vary by plan — we verify yours before your first visit.
What Aetna Plans Typically Cover Here
Most Aetna PPO plans follow a 100-80-50 structure. Here’s how that maps to our services:
- Covered at or near 100%: dental check-ups, cleanings, exams, and X-rays — usually twice per year with no deductible.
- Covered around 80% (basic): fillings, simple extractions, and many periodontal treatments.
- Covered around 50% (major): crowns, root canal treatment, wisdom teeth removal, and oral surgery.
- Orthodontics: some Aetna plans include an orthodontic benefit that can apply to clear aligner treatment — we’ll check yours.
- Cosmetic treatments: veneers and teeth whitening are typically not covered by insurance, but our In-House Membership Plan members receive discounts on cosmetic procedures.
We Handle All the Paperwork
Our front office team works with Aetna claims every week. We verify your benefits before your visit, file every claim for you, request pre-treatment estimates on larger cases so you know your out-of-pocket cost up front, and track your remaining annual maximum so you can plan treatment around your benefits.
Verify Your Aetna Benefits Today
Call us at (323) 654-1100 or submit our insurance verification form and our insurance coordinator will verify your Aetna benefits — usually within one business day. Prefer to book right away? Schedule your appointment online.
West Hollywood Smile Dental — 8205 Santa Monica Blvd #12, West Hollywood, CA 90046
Aetna FAQs
Is West Hollywood Smile Dental in-network with Aetna?
Yes. We are in-network with Aetna dental PPO plans. We verify your coverage before your first visit and file all claims directly with Aetna.
Does Aetna cover cleanings at 100%?
Most Aetna PPO plans cover preventive care — cleanings, exams, and routine X-rays — at 100% twice per year with no deductible. We confirm your specific plan’s schedule when we verify your benefits.
Does Aetna cover root canal treatment?
Most Aetna PPO plans cover root canal treatment as a basic or major service, typically at 50–80% after your deductible. We’ll request a pre-treatment estimate so you know your exact out-of-pocket cost first.
Can I use my Aetna plan for clear aligners?
Some Aetna plans include an orthodontic benefit (often around 50% up to a lifetime maximum) that can apply to clear aligner treatment. We’ll check whether your plan includes ortho coverage when we verify your benefits.
How do I find out exactly what my Aetna plan covers?
Call us at (323) 654-1100 with your member ID, or submit our insurance verification form. Our insurance coordinator will contact Aetna directly and give you a clear breakdown of your coverage — usually within one business day.