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

"Unfortunately I had to have the rest of my teeth removed, which was 10 of them.. Dr. Griffith gave me an in depth breakdown of the entire process, was both very friendly and professional throughout the entire thing. I was very nervous initially about it, but him and his team did a wonderful job of setting my mind at ease. It's been 7 days since the procedure, and they did a fantastic job! I would highly recommend this place for any of your dental needs. The whole staff from the front desk, back is amazing! I couldn't have asked for a better experience with something this stressful to be honest. Thank you to Cumberland surgical associates, Dr. Griffith, and his amazing assistants!"

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"Straight to the point, and punctual! The doctor and dental staff were great! Daughter is recovering as predicted, with minor discomfort. Doctor Lee was detailed with the procedure and answered all my questions. Recommend for anyone needing dental surgery."

"The team was great with helping be calm during my procedure. Explained everything as the began. Thank you Dr Lee, Jena, court, and Jenny."

"Val, AP and Jessie were amazing with my son today. He had to get 5 teeth taken out. They were so sweet and patient. I highly recommend this place"

"Great visit today for my Invisalign. Ali was awesome once again very informative, patient and polite. #GreatCrew"

"Excellent Oral Surgery for Dental Implants with Dr. Grifith"

"I had an emergency appointment for a molar extraction and was very nervous as this was my first time under general anesthesia. Dr. Griffith and his team were EXCEPTIONAL with patient care, answering all of my questions, and putting my mind at ease. His team were great with communication and I always understood what was going to happen next. Dentists are scary, choose one that will communicate! Thank you Dr. G, Court, Val, and Kelsi 🩷"

"I’ve avoided getting my wisdom teeth removed for 10 years because of fear and only did so because one finally broke. Contrary to my expectation, this was the smoothest procedure I’ve ever had done. I was completely asleep, in and out in 45 minutes and no pain or swelling in the 4 days since surgery. It’s pure sorcery that someone can cut 4 teeth out of your face and you can’t tell anything happened. I’m so incredibly grateful for Dr. Lilly and his team. You all took wonderful care of me through multiple consults and avoiding something I was just afraid of. Thank you so much!"

"Got my wisdom teeth out yesterday and I’m doing great! Dr.Griffith, Val, Kelsi, Jessie & AP were all so amazing and friendly. Super quick process and they made me feel so comfortable. I would definitely recommend them!"

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"Simply the best! As soon as Dr. Lee walks in the room, the tone of his voice takes the anxiety away. So grateful for this team and making an anxious heart feel at ease."

"Fantastic experience, they were able to squeeze me in on the same day I called to remove the problem tooth. Dr.Lee and Autumn did a great job. Definitely coming back to any more work done."

"I just had all four of my wisdom teeth removed today, as well as an extra tooth that was damaged by the wisdom tooth behind it (this was previously discussed and recommended by my referring dentist as well, he obviously had my consent to do so). Despite losing five teeth and being a bit sore, I can solidly say the entire team was amazing. Long review ahead, since I think people deserve to know how each step sort of went during everything. Dr. Griffith informed me that my surgery posed a lot of risks, because my mouth and teeth were shaped in such a way that he could've accidentally injured my sinuses, or damaged the main nerve on my lower jaw. I never doubted him for a moment, since he seemed so confident and professional, but also very sweet. He handled my nervousness well, and kept the conversations lighthearted while giving me exact numbers for chances of success on each, and an idea of how long it would take for my specific body could take to recover from anesthesia, because of the nerves being so close. He kept it all safe and comfortable the entire time, joked around with me, and had an amazing bedside (tableside?) manner. We also discussed medications that were safe for me, since I have a lot of allergies, and he provided them with no fuss, even giving me optional pain meds on top of the ibuprofen in case I were in any severe discomfort during my recovery. It's kind of rare of me to find a doctor who genuinely did make me feel safe and cared for the entire time, and I'm happy that such a risky procedure was done by someone who showed so much care for my health. When I woke up, he informed me it was successful, with no other injury, and he and his team had already begun checking if I were okay and talking to me. I was even allowed to ask to keep the teeth to look at, and it was pretty cool. I'm horrible with names, but I was also helped by "Val, Des, and Court" as indicated by sheets I was given! Thank you all for taking such amazing care of me today, and I'm very much looking forward to my recovery. From start to finish, it was wonderful, and I'm seriously impressed that he extracted 5 teeth in about an hour. Very talented surgeon and sweet, educated staff overall. Sincerely, I highly recommend. Footnote: I am definitely sore this first day, but the medications given are making it a lot easier to handle. Whenever I finished, they gave me a goodie bag with care instructions, a custom branded ice compress for my face, a bit of applesauce to eat when I felt fine, and extra gauze and things to help me keep everything clean. I just picked up my medications at my pharmacy back home and I've been just fine!"

"I absolutely love Cumberland Surgical front desk is amazing Selena and Dee Dee are always so helpful. Dr Lee and Auttie are amazing. Dr Lee is very transparent he explains everything in detail he takes his time making sure you're comfortable and knowledgeable about your procedure. I'm a had patient to treat due to medical conditions but Dr Lee goes above and beyond to take care of my dental needs. I have anxiety at the dentist but with Dr. Lee and Auttie I'm so relaxed. I'm so glad I was referred here."

Locations

2285 Rudolphtown Rd Suite 200, Clarksville, TN 37043

Phone: (931) 552-3292

Email: [email protected]

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

1275 Parkway Pl, Clarksville, TN 37042

Phone: (931) 552-3292

Email: [email protected]

  • 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: [email protected]

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