East Wind Dental Care: Your Moda Health Dental Provider in Hillsboro
Welcome to East Wind Dental Care, a trusted Moda Health dental provider serving Hillsboro and the greater Portland area. We accept Moda Health dental insurance and are committed to helping you get the most out of your benefits while providing exceptional dental care.
What’s Covered by Moda Health Dental?
Moda Health dental plans typically offer comprehensive coverage across three service categories:
- Preventive Services (100% Coverage): Routine dental exams, professional cleanings (twice yearly), bitewing X-rays, fluoride treatments for children under 19, and sealants for molars
- Basic Restorative Services (80% Coverage): Fillings (amalgam and composite), simple extractions, periodontal scaling and root planing, emergency palliative treatment
- Major Restorative Services (50% Coverage): Crowns, bridges, complete and partial dentures, root canal therapy, surgical extractions, periodontal surgery
Coverage levels may vary depending on your specific Moda Health plan. Our team will verify your exact benefits before any treatment.
How to Maximize Your Moda Health Dental Benefits
- Take Advantage of Preventive Care: Your two annual cleanings and exams are 100% covered with no deductible. Regular preventive visits help avoid costly procedures later.
- Understand Your Calendar Year Benefits: Moda Health benefits are typically based on a calendar year (January-December). Unused benefits don’t carry over, so use them before December 31st.
- Know Your Annual Maximum: Most Moda plans have an annual maximum benefit (commonly $1,500-$2,000). Track your spending throughout the year.
- Plan Major Treatment Strategically: If you need expensive dental work, consider splitting treatment across two benefit years to maximize coverage.
- Request Pre-Determination: For major procedures, we can submit treatment plans to Moda Health for pre-approval, giving you clear cost expectations.
- Stay In-Network: Choosing an in-network provider like East Wind Dental Care ensures you receive maximum benefits and lower out-of-pocket costs.
Common Procedures and Moda Health Coverage
| Procedure | Typical Moda Coverage | Your Cost |
|---|---|---|
| Comprehensive Exam & Cleaning | 100% | $0 |
| Fluoride Treatment | 100% (under 19) | $0 |
| Composite Filling (1 surface) | 80% | 20% |
| Root Canal (molar) | 50% | 50% |
| Porcelain Crown | 50% | 50% |
| Fixed Bridge (3 units) | 50% | 50% |
| Complete Denture | 50% | 50% |
Tips for Moda Health Patients
- Schedule Early: Don’t wait until symptoms worsen. Early treatment is less invasive and more affordable.
- Verify Benefits Before Major Work: Call our office at (503) 648-8971, and we’ll contact Moda Health to verify your coverage and remaining benefits.
- Bring Your Insurance Card: Always bring your Moda Health insurance card and photo ID to appointments.
- Ask About Waiting Periods: Some Moda plans have waiting periods for major services. We’ll help you understand any limitations.
- Understand Your Deductible: Know whether your deductible applies only to basic and major services or if it’s waived for preventive care.
- Coordinate with Medical Benefits: Some dental procedures related to accidents or medical conditions may be covered under your medical plan.
What to Bring to Your Appointment
- Moda Health insurance card (with subscriber ID and group number)
- Valid photo identification
- List of current medications and supplements
- Any recent dental or medical records if transferring from another provider
- Payment method for copays, deductibles, or non-covered services
Frequently Asked Questions About Moda Health Dental
Q: Does East Wind Dental Care accept Moda Health dental insurance?
A: Yes! We are proud to accept Moda Health dental plans and work with your insurance to maximize your benefits.
Q: How many cleanings does Moda Health cover per year?
A: Most Moda Health plans cover two routine cleanings and exams per calendar year at 100% with no deductible.
Q: What if I need treatment that exceeds my annual maximum?
A: We offer flexible payment plans and accept CareCredit financing to help make dental care affordable beyond your insurance coverage.
Q: Will you file my Moda Health claim?
A: Absolutely! We file all insurance claims electronically on your behalf and handle all communication with Moda Health.
Q: How long does it take for Moda Health to process claims?
A: Most electronic claims are processed within 10-14 business days. You’ll receive an Explanation of Benefits (EOB) from Moda Health.
Q: Can I see a specialist with my Moda Health plan?
A: Most Moda dental plans don’t require referrals for specialists. We can help coordinate specialist care when needed.
Schedule with Your Moda Health Benefits Today
Your dental health is an investment in your overall well-being. At East Wind Dental Care, we make it easy to use your Moda Health dental benefits. Our experienced team will verify your coverage, maximize your benefits, and provide transparent pricing for all services.
Ready to schedule? Call (503) 648-8971 or book your appointment online today.
East Wind Dental Care – Your trusted Moda Health 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