Delta Dental & Root Canal Coverage — Sunnyvale Endodontist

Delta Dental is the most common dental insurance in Silicon Valley — many tech companies (Apple, Google, Meta, Salesforce) offer Delta Dental PPO or Delta Dental Premier. Even though Silicon Valley Endodontics is out-of-network, Delta Dental PPO plans typically reimburse 50–80% of the specialist fee for endodontic treatment.

How It Works

When you visit our office, we verify your Delta Dental benefits before treatment, give you a written estimate of your out-of-pocket cost, perform treatment, and submit the claim electronically on your behalf. Delta Dental sends payment directly to you (or to our office if you assign benefits), and we apply it to your balance. Most Delta Dental PPO claims are processed within 2–3 weeks.

Typical Coverage

Delta Dental PPO plans typically cover endodontic treatment (root canals, retreatment, apicoectomy) under the 'Major' category at 50–80% of the allowed amount.

Tips for Delta Dental Patients

• Check whether your plan is Delta Dental PPO (not DeltaCare HMO — HMO plans do not cover out-of-network specialists)
• Ask your HR department if your plan has an annual maximum — most Delta Dental plans cap at $1,500–$2,500 per year
• You can use your Delta Dental benefits the same day — no waiting period for endodontic treatment on most PPO plans

Frequently Asked Questions

Does Delta Dental cover root canals at an out-of-network specialist?

Yes. Delta Dental PPO covers root canals at out-of-network specialists. Your out-of-pocket cost is the difference between our fee and Delta Dental's allowed amount (which is typically 50–80% of the specialist fee in the Bay Area). We file the claim for you.

Does Delta Dental cover apicoectomy (endodontic microsurgery)?

Yes. Apicoectomy is covered under Delta Dental PPO plans as a Major service, typically at the same percentage as root canal treatment.

Silicon Valley Endodontics & Microsurgery · 1565 Hollenbeck Ave, Suite 106, Sunnyvale, CA 94087 · (669) 234-2354