Dentist That Accepts MetLife PPO in Pasadena
Pasadena Dental Office and Orthodontics is a dentist that accepts MetLife PPO plans in Pasadena. MetLife members can book dental services such as exams, routine cleaning, restorative work, and emergency visits with us. We are a dental office, not an insurer, so we do not sell MetLife plans. You can reach us at (626) 219-7180 or reserve a time on our appointment page. If you are looking for a dentist who takes MetLife dental insurance, we accept the PPO type.
Which MetLife Dental Plans We Work With
We work with MetLife PPO dental plans. MetLife says a preferred provider organization plan lets you choose any licensed dentist. MetLife also sells managed care plans and individual MetLife plans, and those work differently.
| MetLife plan type | How MetLife describes it | At our office |
|---|---|---|
| PPO | Choose any licensed dentist | We accept it |
| DHMO, a dental health maintenance organization (HMO plan) | Coverage and savings within a network | Call us before booking |
| Individual plan | Coverage without an employer group | Call us before booking |
Patients whose card shows another plan type should call us before booking.
How Your MetLife Dental Benefits Typically Work
MetLife dental benefits typically work by sorting care into preventive, basic, and major tiers. Exact percentages, the deductible, and annual maximums depend on your employer's dental insurance plan. Check your specific MetLife benefits in your member materials. Figures below describe common plan designs, never a promise.
Preventive Care: Exams, Cleanings and X-Rays
Preventive services cover exams, cleanings, and digital X-rays that protect your oral health. Many MetLife plans often pay preventive care at or near 100 percent, depending on your plan. According to the ADA Health Policy Institute, 58.2 percent of privately insured people visited a dentist in 2023.[1] Only 28.4 percent of uninsured people did.
Basic Care: Fillings and Simple Extractions
Basic restorative services cover tooth-colored fillings and a simple extraction. Many plans apply the deductible first. They then share a smaller portion than for preventive care.
Major Care: Crowns, Root Canals, Bridges and Dentures
Major care covers restorative dentistry such as porcelain crowns, same-day CEREC crowns, root canal therapy, bridges, and dentures. A crown is a dental restoration that plans usually share at a smaller portion than basic care. A dental implant or cosmetic dentistry, such as a veneer or teeth whitening, is often limited or excluded.
Deductibles, Annual Maximums and Waiting Periods
Four plan terms shape what you owe, and your plan summary lists each one for your own dental benefit.
| Term | What it means |
|---|---|
| Deductible | What you pay before coverage starts on certain tiers |
| Annual maximums | The most your plan pays in one benefit year |
| Waiting periods | Time before services such as major care become covered |
| Copayment | A fixed amount you pay at the visit for some services |
What PPO Network Status Means for Your Bill
A PPO plan lets you see any licensed dentist. Network status changes how much of the fee your plan counts. You can choose an in-network dentist or an out-of-network dentist, and your balance reflects that choice. MetLife states that negotiated fees typically run 35 to 50 percent below average charges in a dentist's community. Results vary by plan. Call us, and we will explain how your plan treats claims here.
Make Your MetLife Benefit Year Count
You make your MetLife benefit year count by planning care before the year ends. Unused benefits often do not roll over, though some plans allow limited carryover, so check yours. Visiting for preventive care early helps you maximize what your plan pays. As reported by CMS, patients paid 38.3 percent of United States dental spending out of pocket in 2024. Health care overall runs just 10.5 percent.[2]
| Benefit year stage | What to do |
|---|---|
| Early in the year | Book exams and cleanings; review your deductible |
| Mid year | Spread larger treatment across benefit years to fit your budget, when clinically appropriate |
| Final months | Check your remaining annual maximum and schedule before it resets |
How We Verify Benefits, Estimate Costs and File Claims
We verify benefits, discuss estimates, and file claims in three steps: before, during, and after your visit. Our team helps verify your coverage and handles claims for you. Detailed explanations at each step help you make informed decisions about treatment.
Before Your Visit: Checking Your Coverage
Our team helps verify your coverage from the member ID and group number on your card. Your plan lists the deductible, annual maximum, frequency limits, and waiting periods. We help you read them, and a wait period matters most for major care.
At Your Visit: Treatment Plans and Estimates
Your dentist explains the recommended treatment in plain language. Patients receiving larger work should ask the front desk about a pre-treatment estimate. An estimate is not a guarantee, because MetLife makes the final payment decision.
After Treatment: Filing Your MetLife Claim
We coordinate your MetLife claim paperwork after treatment, and you pay your portion. MetLife then issues an explanation of benefits showing what it paid. Ask the front desk how claims reach MetLife, including whether direct billing applies to your plan.
Your First Visit as a MetLife Patient: What to Bring
Your first visit as a new MetLife patient goes smoothly with your member ID card and a photo ID. Our team speaks English and Spanish, and we welcome the whole family, including children, providing pediatric care.
You will want these items at your first appointment:
- Your MetLife member ID card, with your group number or employer name
- A photo ID
- A list of your medications and health conditions
- Recent X-rays, if you have them
- Records of any prior dental treatment
When Your Plan Leaves a Balance: Ways to Pay the Rest
When your plan leaves a balance, you can pay the rest by credit card, debit card, or financing. No dental plan covers everything. The deductible, coinsurance, and annual maximum can leave a remainder. Ask us about payment options, including NFC payments.
Our financing partners include:
- CareCredit
- Cherry
- LendingClub
- Sunbit
The Hill Avenue Team Behind Your MetLife Visit
The Hill Avenue team behind your MetLife visit includes two dentists and a laser-certified hygienist. We provide comprehensive dental care under one roof.
Our Dentists and Hygienist
Each provider has a bio page with full background.
| Provider | Role | Training |
|---|---|---|
| Dr. Arkady Tsibel | Prosthodontist | DDS and PhD in Prosthodontics, Tashkent School of Dentistry |
| Dr. Solomon Heifets | Dentist | DDS, Moldova University School of Dental Medicine |
| Bianca | Hygienist | Bachelor's degree in biology, laser dentistry certified |
Technology, Comfort and Same-Day Care
Our technology and comfort options shorten treatment and ease nerves:
Location, Hours and Parking
Our office is located at 181 N Hill Avenue, Pasadena, CA 91106. We are open Monday to Friday, 9 AM to 6 PM, and closed Sunday. Our entrance is wheelchair accessible, and free parking is available in our lot and on the street.
Common Questions From MetLife Patients
Does Pasadena Dental Office and Orthodontics accept MetLife?
Yes, we accept MetLife insurance on PPO plans. Call (626) 219-7180 or use our appointment page to book.
How do I know my MetLife plan will work here?
Call or book online, and our team helps verify your coverage so you get a clear answer. For plan questions only MetLife can answer, call the number on your member ID card.
Does accepting MetLife PPO mean you are in network?
We accept MetLife PPO plans and explain how your plan processes claims at our office. Call us before your visit for a clear understanding of your balance.
What does a MetLife plan typically cover?
Most plans sort care into preventive, basic, and major tiers, and preventive care often reaches near 100 percent. Your employer's plan sets the details.
What is an annual maximum, and when does it reset?
An annual maximum is the most your plan pays in a benefit year. It resets on your plan's renewal date, often January 1, so check yours.
Will you file my claim and give me an estimate first?
We handle your claim paperwork after treatment. Ask the front desk about a pre-treatment estimate for larger work, since MetLife makes the final payment decision.
What if MetLife does not cover a treatment I need?
Ask us about financing partners such as CareCredit and Cherry, or about spreading treatment across benefit years.
Do you accept other dental insurance plans?
Yes, we accept many PPO plans. Accepted examples include:
- Delta Dental
- Guardian
- Aetna
- Cigna
- Anthem Blue Cross
- Blue Shield
- United Healthcare
Call (626) 219-7180 to Check Your MetLife Benefits
You can call (626) 219-7180 to check your MetLife benefits with our team. Bring your member ID card, and we will help you read your plan. You can also book an appointment today on our appointment page. Exceptional care with a gentle touch guides every visit at Pasadena Dental Office and Orthodontics.
Serving Pasadena and Nearby San Gabriel Valley Communities
We welcome MetLife patients from the city of Pasadena and nearby San Gabriel Valley communities.
Insurance coverage varies by plan and can change. Please confirm your own coverage for any treatment directly with MetLife or your plan administrator. Typical figures on this page describe common plan designs, not guarantees.