Will My Dental Insurance Cover Dental Sedation?

Your insurance may cover dental sedation as it may be considered a medical necessity.

If you are undergoing a series of dental procedures or treatments, or you need to have major oral surgery, and you are wondering if your dental insurance will cover the cost of having oral sedation, the answer is that it depends on the type of dental policy you have. Many dental insurance policies only cover up to a specified amount. The fee for the dental treatment, plus the cost of the sedation, could be over your policy’s coverage. However, many sedation options are inexpensive.

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It often depends on the type of sedation used. Your insurance may cover general anesthesia, as it may be considered a medical necessity. Sedation is a broad term because it describes different levels of consciousness.

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Judy N.

Dr. Thoms and everyone of his staff members are incredible. I was warmly welcomed and made to feel comfortable and relaxed. Which is saying something as I had not been to the dentist in years due to fear/anxiety.
My procedure was clearly explained. The office staff was beyond helpful with payment and insurance.
The day of my appt was exactly as planned. We started ahead of schedule! The technicians and assistants were clearly skilled and again, helped ease my nervousness. We finished all work as planned. And then Dr. Thoms sat with me and my husband to discuss “everything.” He is very thorough. And finally one of his staff wheeled me down to the elevator, out across the parking lot, and helped me into my van. Now that is service!
Around 8:30 p.m. my cell phone rang and it was Dr. Thoms calling to check up on me. Wow!!!!! This man has all you could want in a dentist—kind, compassionate, thorough, understanding, excellent communicator, and skilled.
I cannot come up with the best words to so highly recommend the Dental Anesthesia Center. It was a remarkable, yet simple, but thorough experience for me.
If you are putting off going to the dentist and have anxiety or fears please call them. They will gently and competently take care of you.
And no, this is not an advertisement/ commercial—I am a real live (satisfied) patient.

Deborah L.

The practice is top notch. Could not ask for better care.

Response from the owner:Thank you for your kind words! We’re grateful for your feedback and are proud to provide high-quality care in a supportive environment.

Chris C.

Great practice and nice people. I've been going there for 25+ years!!!

Response from the owner:Thank you for the kind review ! We appreciate that beyond words! It has been our pleasure having you as our patient! We look forward to seeing you at your next dental visit!

Melinda B.

Dr. Hoffman and staff were patient and kind. They listened to health history that led to needing their services. They made the care plan individualized to specific needs. Appreciate all the team members!

Response from the owner:Thank you for your thoughtful review! We’re glad to hear that our team took the time to listen and provide compassionate, individualized care. We truly appreciate your kind words and your trust in our team.

Sheila I.

What a wonderful, knowledgeable, caring staff. Excellent care given to our 26 year old special needs son. They made everything so easy and kept me updated through the whole visit. Would highly recommend.

Response from the owner:Thank you for your kind words and recommendation! Our team works hard to provide compassionate, high-quality care and to keep families informed every step of the way. We truly appreciate you taking the time to share your experience.

Types of Sedation Options

Nitrous oxide is a clear, odorless substance that is extremely effective in curbing the anxiety that can come with oral treatment. It is the lowest level of sedation that you can have, and it is typically called “laughing gas” because it makes you feel euphoric. With nitrous oxide, you don’t lose consciousness. The patient receiving laughing gas is awake throughout the procedure; they are just altered. Laughing gas is usually given in the dentist’s office, and the fee is very small.

Another type of minimal oral sedation involves the patient taking a pill before going to the procedure. When it takes effect, the patient typically falls asleep and rests peacefully throughout treatment. This is also a highly effective and extremely inexpensive form of oral sedation. Even if your dental insurance does not cover the medication, it is a minimal cost you can pay out of pocket.

If you have to have extensive or major oral surgery, IV sedation might be required or recommended. IV sedation is more expensive than more minimally invasive forms of sedation. It requires that an anesthesiologist be present—not just to place the IV but also to monitor the procedure and ensure that you are safe throughout the entire process. Since you are unconscious, a breathing tube is usually placed to ensure that you are getting enough oxygen.

It’s a much more invasive form of sedation, but if it is recommended and the oral surgery you are having is extensive enough, then it may be covered by your insurance – minus your deductible and at a rate that is predetermined by your policy itself.

Who Can Benefit from Dental Sedation?

Individuals with anxieties, phobias, severe gag reflexes, or difficulty getting numb are candidates for the center’s general anesthesia services. In addition, young children or individuals with physical or mental disabilities who are unable to cooperate for dental treatment can benefit from these services.

St. Louis Dental Anesthesia

If you or a loved one needs a dental procedure but requires dental sedation, we will help determine which level is best and how it works with your insurance policy. Call us today to schedule your appointment at (314) 862-7844. We look forward to meeting you!