We Accept PPO & Indemnity Insurance
Yes — we accept all PPO and indemnity dental insurance plans as an out-of-network provider. You are welcome to use your benefits here. We will handle all claims paperwork and submit electronically on your behalf to help you maximize your reimbursement.
Here’s how it works: you pay at the time of service, we provide you with everything your insurance company needs, and your reimbursement is sent directly to you — typically according to your plan’s out-of-network benefits.
The reason we participate as an out-of-network provider — rather than a contracted in-network provider — is that insurance contracts often require dentists to limit fees, restrict materials, and follow coverage-driven treatment guidelines rather than clinical ones. Remaining independent allows Dr. Makuta to recommend only what is best for your health, with no insurance company dictating your care.
Fee-For-Service Dentistry
- We participate as an out-of-network provider - not an in-network provider
- We are not bound by insurance fee schedules or coverage limitations
- Payment is due at the time services are rendered
- We submit dental insurance claims electronically on your behalf
What Is an Unrestricted Dental Provider?
As an unrestricted dental provider:
- We are not limited by insurance frequency restrictions
- We are not required to downgrade materials to meet coverage allowances
- We are not obligated to follow insurance-driven treatment guidelines
- We are free to practice dentistry at the highest standard of care
Insurance companies define what is “covered.”
We define what is clinically appropriate.
For our Encino patients, this ensures care is based on health, function, and aesthetics — not policy limitations.
How We Handle Your Insurance
We make the process as straightforward as possible. After each
appointment, we:
- Submit your claim electronically to your insurance company
- Provide complete clinical documentation to support your claim
- Give you everything you need to maximize your out-of-network reimbursement
In-Network vs. Unrestricted Care
In-Network Dentistry
- Insurance company sets the fee
- Treatment may be limited by coverage rules
- Materials and labs may be chosen based on reimbursement
- Doctor is contractually bound to insurance guidelines
- Care may be influenced by frequency limitations
Unrestricted Fee-For-Service Dentistry
- Doctor sets fees based on quality and expertise
- Treatment is based on diagnosis and long-term health
- Premium materials and laboratories are selected
- No insurance interference in clinical decisions
- Care is individualized and comprehensive
Financial Transparency
- Comprehensive treatment planning
- Clear and transparent fee presentation
We believe clarity and professionalism are essential components of premium dental care in Encino.
Frequently Asked Questions About Dental Insurance
- Yes. We accept all PPO and indemnity insurance plans as an out-of-network provider. We handle claims submission on your behalf — you pay at the time of service, and your insurance reimburses you directly based on your out-of-network benefits.
- It means we are not bound by insurance fee schedules or treatment limitations. Our recommendations are based solely on clinical diagnosis and long-term oral health.
- Most insurance plans provide out-of-network benefits. Reimbursement is typically sent directly to the patient according to their individual policy.
- Insurance contracts often limit fees, materials, and treatment frequency. Remaining independent allows us to maintain a higher standard of care.
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