For Patients with Insurance


For Patients With Insurance | Clarksville, TN

About Your Insurance

  • The most common misconception concerning insurance is that your policy will cover the total cost of surgical fees charged. Insurance is designed to reduce your out-of-pocket cost but usually will not eliminate it entirely. Your portion is due at the time of service.
  • Your surgical treatment is not dictated by what your insurance will cover. Together, your doctor and you create your treatment plan based on what your current medical and dental needs are. We cannot limit your care to just what is covered by your insurance plan. Every plan is different, and each insurance company determines what is covered. Just because a particular service is not covered does NOT mean you do not need it.
  • Insurance will only be filed for plans that we are provided with at the time of service. We will not “back file/retro-file” any claims. You must provide all insurance information at the time of service. You are responsible for filing any claims with insurance plans we were not made aware of.
  • If your insurance policy requires a referral, that must be obtained prior to the appointment. We will not obtain “retro” authorizations for services not authorized in advance by the insurance company. It is the patient’s responsibility to know if their insurance plan requires a referral from their primary care doctor.
  • Due to increases in postage and mail costs, Cumberland Surgical Arts and Associates, PLLC will only send out ONE (1) billing statement per date of service. It is your responsibility to keep your account current and to update us with address changes as they occur. All account balances must be paid within THIRTY (30) days from the date on the statement.
  • Insurance coverage will be verified at the time of service. You must provide this office with an insurance card or proof of coverage. If coverage is unable to be verified, you are responsible for all charges incurred.
  • Upon verification of insurance benefits, we will attempt to estimate your portion of fees due. You are responsible for any co-insurance amounts prior to surgery.
  • Responsible parties with insurance coverage can either:
    • File insurance yourself and pay us in full directly the day services are rendered. We will assist you with your paperwork.
    • Have us file your insurance. We will only file with 2 insurance plans. Filing any additional plans will be your responsibility.
  • You must have on the day of your appointment:
    • Insurance card with Subscriber’s information
    • Photo ID (We do not file ANY insurance without a photo ID – e.g., driver’s license, Military ID)
  • The co-payment and deductible (as applicable) are due on the day services are rendered. Co-payment can vary with insurance plans.

We file most insurance plans as a courtesy to our patients. These include, but are not limited to:

  • Delta Dental
  • Blue Cross Blue Shield 
  • Cigna
  • United Concordia (including military dependents) 
  • Dental Health Alliance
  • MetLife
  • DentaQuest Dental for TennCare participants under age 21
  • Connection Dental network participating plans
  • Dentemax network participating plans
  • Please our office at 931-552-3292 to inquire if we are a participating provider for your plan.
  • We have learned that many plans (that we are not a participating provider with) provide coverage as Out-of-Network benefits just as well as with an in-network provider. This allows more freedom between you and your surgeon in determining the best treatment course for YOUR condition.

About Estimates for Surgery

  • We are not privy to all insurance plans' limitations and exclusions. You, as the beneficiary of the insurance policy, are responsible for knowing all policy limitations and exclusions. The contract for benefits is between you and your insurance company; our only relationship is with you, the patient.
  • We will prepare an estimate of insurance payment and your responsibility. This is prepared using the information provided by your insurance plan’s representative. We only use the information they provide us with; so, if the information is not current, inaccurate, or lacking in detail, that will affect the treatment plan estimate we provide you with. Neither we nor the insurance company can guarantee the estimated payment amounts. Please understand that the estimate generated is provided as a courtesy.
  • We will assist you in understanding your benefits but are not responsible for your benefits or what is ultimately paid by your insurance plan. Any discrepancies should be addressed with your insurance company as they make the final determination of benefits provided, not us.
  • You are responsible for verifying that all waiting periods have been satisfied prior to surgery.
  • We cannot be held to the estimate of insurance benefits, as it is only an estimate based on information provided on the day it is generated. Annual maximums, deductibles, and percentages of coverage may be different on the day of surgery based on care received by other practitioners and the medical necessity of the procedure as determined by your insurance company.
  • Our doctors do not determine medical necessity for your insurance company but will assist in providing justification for surgery to your insurance company to assist in the determination of benefits. You, as the patient, are ultimately responsible for the full amount of the surgical cost.

* Remember insurance is filed solely as a courtesy to our patients. Please help us to keep this service available to all patients. *



Exceptionally high standards of dentistry

"I had a really great experience getting my wisdom teeth extraction here! Dr. Griffith made sure I was incredibly comfortable considering it was my first time going under anesthesia and I was really nervous. He told me everything I wanted to know and was very patient with me. Val, the assistant was so kind to me and made me feel so much better going into my procedure. She knew all the right things to say and definitely made an impression. They both were amazing and I would recommend anyone to go here!"

"Dr Griffith's whole team was fantastic! They got us in so fast and Val, Courtney and Jenny were a delight! They even helped me troll my daughter with some selfies added to her camera roll (at my request) :)"

"Very Professional. Dr Griffith and his team ( Jenny & Jessie) was absolutely incredible and made sure I was on and was informative about everything they were doing."

"Dr. Griffith and his team were absolutely amazing. Informative and quick. My son had his wisdom teeth the removed today and they weee so kind and communicated with me during the entire appointment. Highly recommend, and they take Tricare."

"Dr. Griffith and Jessie made my entire experience easy and stress-free. They were professional and thorough, but also kind and reassuring, which made a big difference for me. They explained everything clearly, kept me comfortable, and turned what I expected to be a stressful visit into a smooth and even pleasant experience. I even left with a free T-shirt, which made the visit that much better! I would highly recommend them to anyone looking for dental care you can truly feel good about."

"The ladies in there are so kind, Val and Jenn. Dr. Griffith is the ABSOLUTE BEST, I've been there twice for teeth extractions, I've felt hardly any pain afterwards. Dr is gentle and kind."

"Dr. Griffith and his team were amazing! Our son got his wisdom teeth pulled and they explained everything to us throughly."

"My husband was seen by Dr Lee and there could not have been a better oral surgery experience. As we arrived, Andrea listened carefully to our somewhat unusual dilemma and set everything in action. Each staff member was both professional and kind. This office is a model of excellency that others would do well to emulate."

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"Absolutely loved this place. For months I couldn’t find anyone who would take new patients and accept our insurance. They were all very welcoming and accommodating and my husband was able to wait with our kids (for those without babysitters). It was very fast and the recovery was also easy and fast. Definitely recommend for wisdom teeth extractions Dr. Griffith along with nurses Jenny, Destiny and Val were fantastic and very friendly loved my experience!"

"I am rewriting this review and it went from 5 star to 1 star. After receiving a biopsy I was asked to pay for the biopsy up front and I did and after that I submitted the claim to my health insurance and they paid for the biopsy but Cumberland Dental refused to pay me my money back. After 4 calls to their office they stated they would audit my account and I still have not received my no money and the insurance company stated they have never received a bill. Dr Lee done a great job but his staff is terrible. I will not go back here."

"Dr. James Griffith and his team were amazing! I had a lot of anxiety about getting my wisdom teeth extracted, but Dr. Griffith explained everything very well and left me with no concerns. Surgery was done in about 30-40 mins and I had no pain at all afterwards. Little to no swelling either! Healed up quickly and well! Scheduling was also a breeze, they had appointments available after my consult as soon as a couple days later and the lady who does the scheduling/insurance was very kind and helpful."

"Dr. Lee was so kind and very professional he explained everything to us. His nurses are so sweet and professional.. we will not go anywhere else."

"Dr. Lee and all his assistants took great care of me during my procedure. He really helped put my anxiety at ease and helped me get through everything. I would like to especially mention Destiny, she really helped calm my nerves and is a very genuinely kind person."

"Dr. Lee and Auttie were amazing"

Locations

2285 Rudolphtown Rd Suite 200, Clarksville, TN 37043

Phone: (931) 552-3292

Email: cumberlandsurgicalarts@gmail.com

  • MON - FRI8:00 am - 4:30 pm
  • SAT - SUNClosed
Contact Us

1275 Parkway Pl, Clarksville, TN 37042

Phone: (931) 552-3292

Email: cumberlandsurgicalarts@gmail.com

  • MON - TUE8:00 am - 4:30 pm
  • WEDClosed
  • THU8:00 am - 4:30 pm
  • FRI - SUNClosed
Contact Us

2524 TN-49E, Pleasant View, TN 37146

Phone: (931) 552-3292

Email: cumberlandsurgicalarts@gmail.com

  • MON - TUEClosed
  • WED8:00 am - 2:00 pm
  • THU - SUNClosed
Contact Us