Cigna Dentist in West Hollywood, CA — PPO & DHMO Accepted
West Hollywood Smile Dental accepts both Cigna Dental PPO (DPPO) and Cigna Dental Care (DHMO) plans — in fact, Cigna DHMO is the only HMO plan we accept. Whether your Cigna coverage comes through your employer or an individual plan, Dr. Daniel Matatiaho and our team will verify your benefits and handle all the paperwork. See all accepted dental insurance plans.
Using Your Cigna PPO Benefits at Our Office
Cigna DPPO plans work like most PPOs: preventive care is typically covered at 100%, basic services around 80%, and major services around 50%, with an annual maximum that commonly ranges from $1,000 to $2,500. As an in-network office, our fees are pre-negotiated with Cigna, keeping your coinsurance amounts lower. Exact figures vary by plan — we verify yours before your first visit.
What Cigna Plans Typically Cover Here
Most Cigna 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 Cigna 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.
How Cigna Dental Care (DHMO) Works at Our Office
Cigna DHMO works differently from a PPO — and it has real advantages. Instead of percentages and annual maximums, your plan uses a Patient Charge Schedule: a fixed copay for each procedure, with no deductible and no annual maximum. That means you can get the care you need all year without hitting a coverage cap.
- Step 1: Select West Hollywood Smile Dental as your Network General Dentist with Cigna (we can help you do this over the phone).
- Step 2: Bring or look up your Patient Charge Schedule — it lists your exact copay for every covered procedure.
- Step 3: We coordinate any specialist referrals your plan requires.
If you’re currently on a different HMO plan and want to keep seeing us, switching to Cigna DHMO (or any PPO plan) at your next open enrollment is the simplest path — call us and we’ll walk you through it.
We Handle All the Paperwork
Our front office team works with Cigna 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 Cigna Benefits Today
Call us at (323) 654-1100 or submit our insurance verification form and our insurance coordinator will verify your Cigna 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
Cigna FAQs
Does West Hollywood Smile Dental accept Cigna DHMO?
Yes. Cigna Dental Care (DHMO) is the only HMO plan we accept. You’ll need to select West Hollywood Smile Dental as your Network General Dentist with Cigna — call us at (323) 654-1100 and we’ll help you set that up.
Are you in-network with Cigna Dental PPO?
Yes. We are in-network with Cigna Dental PPO (DPPO) plans. You receive in-network negotiated rates, and we verify your benefits and file all claims for you.
What’s the difference between Cigna PPO and Cigna DHMO at your office?
With Cigna PPO, your plan pays a percentage of each service (typically 100% preventive, 80% basic, 50% major) up to an annual maximum. With Cigna DHMO, you pay a fixed copay per procedure from your Patient Charge Schedule, with no deductible and no annual maximum, but you must have our office selected as your primary dental office.
Does Cigna DHMO have an annual maximum?
No. Cigna Dental Care (DHMO) plans have no annual maximum and no deductible. You pay the fixed copay listed on your plan’s Patient Charge Schedule for each covered procedure.
How do I find out exactly what my Cigna plan covers?
Call us at (323) 654-1100 with your member ID, or submit our insurance verification form. Our insurance coordinator will contact Cigna directly and give you a clear breakdown of your coverage — usually within one business day.