Cost of Crown with Insurance

A crown is a dental procedure where a “cap” is placed over a tooth to restore its shape, size, and strength. Crowns are often used to cover a tooth that has a large filling, is cracked, or is severely decayed. While the cost of a crown can vary depending on factors such as the dentist’s experience, location, and the type of material used, having dental insurance can help offset some of the costs. In this article, we’ll explore the cost of crowns with insurance and answer some frequently asked questions on the topic.

What is a Dental Crown?

A dental crown, also known as a “tooth cap,” is a type of dental restoration that is placed over a damaged or decayed tooth. The crown is designed to protect the tooth from further damage, improve its appearance, and restore its functionality. Crowns can be made from a variety of materials, including porcelain, ceramic, metal, or a combination of materials.

The process of getting a crown typically involves two or more visits to the dentist. During the first visit, the dentist will examine the damaged tooth and prepare it for the crown. This may involve removing some of the enamel to make room for the crown or building up the tooth if it has been severely damaged. The dentist will then take an impression of the prepared tooth and send it to a dental lab to create the crown.

While waiting for the permanent crown to be made, the dentist will place a temporary crown on the prepared tooth to protect it. Once the permanent crown is ready, the dentist will remove the temporary crown and cement the permanent crown in place.

How Much Does a Crown Cost with Insurance?

The cost of a crown can vary depending on several factors, including the dentist’s experience, location, and the type of material used. According to the American Dental Association (ADA), the average cost of a crown in the United States is between $800 and $1,500. However, the cost can be higher or lower depending on the individual case.

If you have dental insurance, the cost of a crown may be partially or fully covered, depending on your plan. Most dental insurance plans cover a portion of the cost of a crown, typically between 50% and 80%. However, the exact amount of coverage will depend on your individual plan and the specific procedures covered under that plan. Before getting a crown, it is important to check with your dental insurance provider to determine your coverage and any out-of-pocket costs you may be responsible for.

What Factors Affect the Cost of a Crown?

The cost of a crown can vary depending on several factors, including:

FAQs

Is a crown a cosmetic or medical procedure?

While a crown can improve the appearance of a tooth, it is primarily considered a medical procedure to restore a damaged or decayed tooth.

Does insurance cover the cost of a crown replacement?

The coverage for a crown replacement will depend on your dental insurance plan. Most plans will cover the replacement of a crown if it was damaged due to an accident or if it has worn down over time. However, if the crown needs to be replaced due to cosmetic reasons, it may not be covered.

How long does a crown last?

The lifespan of a crown depends on several factors, including the type of material used, the location of the tooth, and how well the crown is cared for. On average, a crown can last between 5 and 15 years, but with proper care, it can last longer.

Can a crown be removed?

Yes, a crown can be removed by a dentist, but it typically requires drilling off the crown and removing any cement that is holding it in place.

Can a crown be paid for through a payment plan?

Many dentists offer payment plans or financing options for crowns and other dental procedures. It is important to discuss any payment options with your dentist before getting a crown.

Conclusion

A dental crown can be an important procedure for restoring the appearance and functionality of a damaged or decayed tooth. While the cost of a crown can vary depending on several factors, having dental insurance can help offset some of the costs. It is important to check with your dental insurance provider to determine your coverage and any out-of-pocket costs you may be responsible for.