The professional fees for your anesthesiologist’s services are separate from your dental bill. Our services are available by request through your pediatric dental office. PDAA (Pediatric Dental Anesthesia Associates) are not providers (out of network) with any insurance company and cannot usually accept insurance assignment, BUT your medical insurance may reimburse you directly for part of the anesthesia fee.
You are the customer in this situation and your insurance company will be more responsive to your direct claims. We will gladly help patients who have health insurance receive the maximum benefits provided by your insurance company.
Due to its recent introduction within the medical and dental community, many health plans have not formally completed their review of this mode of care or you may find that your specific health plan may not currently consider office-based anesthesia (OBA) for pediatric patients as a covered benefit for treatment of dental conditions. As more parents, such as you, request coverage for OBA for children’s dental treatment, the reimbursement process will get easier and more health plans will cover this.
This guide provides details on how to find out if your health plan covers office-based anesthesia (OBA) for pediatric patients and for obtaining pre-authorization approval for treatment. It overviews the steps you can follow if you have individual health insurance or group health insurance through your employer.