MetLife Dental Provider in Hillsboro, OR – East Wind Dental Care
East Wind Dental Care proudly accepts MetLife dental insurance, helping patients in Hillsboro maximize their benefits while receiving top-quality dental care. As a trusted MetLife provider, we make using your dental insurance simple and stress-free.
What’s Covered by MetLife Dental Insurance?
MetLife dental plans typically provide three tiers of coverage:
- Diagnostic & Preventive Services (100% Coverage): Oral examinations (twice yearly), prophylaxis cleanings, fluoride treatments for children, bitewing X-rays, panoramic X-rays, oral cancer screenings, sealants for children and adolescents
- Basic Restorative Services (80% Coverage): Amalgam and composite fillings, simple tooth extractions, non-surgical periodontal treatment (scaling and root planing), emergency dental care, recement crowns or bridges
- Major Restorative Services (50% Coverage): Crowns (all types), bridges (fixed and removable), complete and partial dentures, root canal therapy, surgical extractions, periodontal surgery, dental implants (if covered)
Coverage percentages and benefits vary by specific MetLife plan (PDP, PDP Plus, DHMO). We’ll verify your exact coverage before treatment.
How to Maximize Your MetLife Dental Benefits
- Schedule Two Cleanings Per Year: MetLife covers two preventive visits annually at 100% with no deductible. Regular visits prevent costly problems.
- Understand Your Plan Type: MetLife offers PDP (Preferred Dentist Program), PDP Plus, and DHMO plans. Knowing your plan helps you maximize coverage.
- Know Your Annual Maximum: Most MetLife PPO plans have an annual maximum (typically $1,500-$2,000). Monitor your usage throughout the year.
- Use It or Lose It: Dental benefits don’t roll over to the next calendar year. Schedule needed treatment before December 31st.
- Request Pre-Estimates for Major Work: For crowns, bridges, or implants, we can submit pre-treatment estimates to MetLife, so you know costs upfront.
- Meet Your Deductible Early: If you need extensive work, scheduling it early in the year helps you maximize remaining benefits.
- Split Treatment Across Years: If you’re approaching your annual maximum, consider scheduling remaining treatment in the new benefit year.
- Stay In-Network: As a MetLife provider, we offer contracted rates that reduce your out-of-pocket expenses.
Common Procedures and MetLife Coverage
| Procedure | MetLife PDP Coverage | Your Cost |
|---|---|---|
| Comprehensive Exam | 100% | $0 |
| Prophylaxis Cleaning | 100% | $0 |
| Fluoride Treatment (children) | 100% | $0 |
| Bitewing X-rays | 100% | $0 |
| Composite Filling | 80% | 20% + deductible |
| Root Canal Treatment | 50% | 50% + deductible |
| Porcelain Crown | 50% | 50% + deductible |
| Fixed Bridge (3 units) | 50% | 50% + deductible |
| Complete Denture | 50% | 50% + deductible |
Tips for MetLife Dental Patients
- Verify Benefits Before Your Visit: Call (503) 648-8971, and we’ll check your MetLife coverage, deductible status, and remaining benefits.
- Bring Your MetLife Card: Always bring your dental insurance card and photo ID to every appointment.
- Understand Frequency Limits: Some procedures have frequency limitations (e.g., cleanings every six months). We’ll help you stay within covered timeframes.
- Ask About Payment Options: If treatment exceeds your coverage, we offer flexible payment plans and CareCredit financing.
- Review Your EOB: After treatment, review your Explanation of Benefits from MetLife to ensure accurate claim processing.
- Schedule Regular Preventive Care: Preventive visits catch problems early, saving you from expensive major procedures.
- Coordinate with Other Benefits: Some dental procedures may be covered under medical insurance (e.g., accident-related injuries). We can help coordinate benefits.
What to Bring to Your Appointment
- MetLife dental insurance card with member ID and group number
- Valid photo identification
- List of current medications and supplements
- Medical history updates, including allergies and health conditions
- Payment method for copays, deductibles, or non-covered services
- Previous dental records (if transferring from another office)
Frequently Asked Questions About MetLife Dental
Q: Does East Wind Dental Care accept MetLife dental insurance?
A: Yes! We are a participating provider with MetLife and accept PDP, PDP Plus, and DHMO plans.
Q: How many cleanings does MetLife cover per year?
A: Most MetLife plans cover two routine cleanings per calendar year at 100% with no deductible.
Q: What is the typical deductible for MetLife plans?
A: Deductibles commonly range from $50-$100 per person per year. Preventive services are typically deductible-free.
Q: Does MetLife cover dental implants?
A: Coverage varies by plan. Many MetLife plans offer 50% coverage for implants, but some exclude them. We’ll verify your specific benefits.
Q: Will you file my MetLife claim?
A: Yes! We file all claims electronically and handle all insurance paperwork on your behalf.
Q: How quickly does MetLife process claims?
A: Electronic claims typically process within 10-15 business days. You’ll receive an EOB showing claim details.
Q: What if my treatment costs exceed my annual maximum?
A: We offer flexible payment plans and accept CareCredit to make dental care affordable beyond insurance coverage.
Q: Can I see specialists with MetLife insurance?
A: Most MetLife PPO plans don’t require specialist referrals. We can coordinate specialist care when needed.
Schedule with Your MetLife Benefits Today
Your smile is one of your most valuable assets, and your MetLife benefits make quality dental care affordable. At East Wind Dental Care, we’re dedicated to helping you maximize your insurance while providing exceptional, personalized dental treatment.
Don’t let your benefits go unused! Call (503) 648-8971 or book online to schedule your appointment today.
East Wind Dental Care – Your trusted MetLife dental provider in Hillsboro, Oregon.
Contact Us Today
Have questions or ready to schedule? Contact East Wind Dental Care in Hillsboro, OR.
Written by Dr. Merat Ostovar, DDS
Doctor of Dental Surgery | 15+ Years Experience
Aloha Modern Dentistry | Beaverton, Oregon
Last updated: November 28, 2025