Medicare & PPO medical plans

We bill medical insurance for qualifying full-arch cases.

Routine dental implants are not a Medicare benefit. But when tooth loss comes from a medical cause, parts of full-arch treatment may be billable to Medicare or a PPO medical plan. Our office verifies your benefits before your visit and handles the claim.

  • Medicare-enrolled provider, led by an Oral & Maxillofacial Pathologist
  • Benefits verified before you come in, so you decide on real numbers
  • The medical case file is built by our team, not left to you
Check if your case may qualify Call (585) 394-5910
No guesswork

How the medical-billing path works

  1. Tell us about your situation Three short questions below, and which medical plan you have. No plan numbers yet.
  2. We verify your benefits before your visit Our team contacts your plan, confirms what it allows for medical procedures of the jaw, and calls you with what we found. Plainly, and before you commit to anything.
  3. Your evaluation builds the case Dr. Germain Jean-Charles examines you with 3D imaging. If your case qualifies, our team prepares the medical documentation and files the claim. You leave with an itemized plan that shows what the plan is expected to pay and what remains.
Two minutes

Check whether your case may qualify

Answer honestly. Your answers go straight to our patient care team, who will call you back.

Which medical plan do you have?
Was your tooth loss caused by an accident or injury?
Has a doctor or dentist told you about a cyst, tumor, infection, or bone loss in your jaw?
Do you have trouble eating, swallowing, or opening your mouth because of your teeth?

This is not a claim or an application. It tells our team how to prepare for your call. Whether treatment is billable to your plan is determined after your clinical evaluation and benefits verification.

Why this office

A medical specialist builds a medical case.

Dr. Germain Jean-Charles is an Oral & Maxillofacial Pathologist, a Fellow of the American Academy of Oral & Maxillofacial Pathology, and an Assistant Professor at the University of Rochester's Eastman Institute for Oral Health. Diseases of the jaw are his specialty. That is the training a medical plan expects behind a claim for jaw reconstruction.

Meet Dr. Charles

Straight answers

Medical insurance and implants, honestly

Does Medicare cover dental implants?
Not as a dental benefit. Medicare does not pay for routine dental work, including routine implants. In specific medical situations — tooth and bone loss caused by injury, jaw disease, infection, or treatment for cancer — parts of full-arch reconstruction may be billable to Medicare or to a PPO medical plan as a medical procedure. Whether your case qualifies depends on the medical cause and on your plan, and we verify it before you commit.
What kinds of situations may qualify?
Cases where the problem is medical, not just dental: tooth loss from an accident or injury; a cyst, tumor, or bone disease of the jaw; infection or abscess of the jaw; severe bone loss that makes eating or swallowing difficult; and bone loss following cancer treatment or radiation. A clinical evaluation determines this — the screener on this page only tells our team how to prepare.
What does “we verify your benefits” actually mean?
Before your visit, our team contacts your plan, confirms it is active, and asks what it allows for medical procedures of the jaw — deductibles, out-of-pocket limits, and whether prior authorization is required. We call you with what we found in plain language. You decide on real numbers, not hopeful ones.
Why does the specialist matter for a medical claim?
A medical plan expects a medical case: a diagnosis, documentation, and a treating provider whose training matches the claim. Dr. Germain Jean-Charles is an Oral & Maxillofacial Pathologist, a Fellow of the American Academy of Oral & Maxillofacial Pathology, and a Medicare-enrolled provider. Diseases of the jaw are his specialty, and our team prepares the documentation the plan asks for.
What if my plan pays nothing?
Then you will know that before treatment, not after. Many patients pay directly, use HSA or FSA funds where their plan allows, or use third-party healthcare lending. We walk through every path at consultation and put the itemized numbers in front of you.

Other ways patients pay for treatment

Prefer to talk it through?

Our patient care team answers Monday–Friday, 8:00 AM – 5:00 PM.

Call (585) 394-5910 Answer the three questions

See if you’re a candidate

Takes about a minute · No obligation

Please note: routine dental implants are not a Medicaid or Medicare benefit and are primarily paid out-of-pocket or through third-party financing. If you have a credit score below 650, no co-signer, and require financing, we likely cannot help. Tooth loss with a medical cause may be different — see our medical insurance page.