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

"Our daighter had her wisdom teeth extracted. Dr. Lee and the staff were attentive and took great care with her. We appreciate the professionalism and care given to our daughter."

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"Dr Griffith is amazing! He is so kind and compassionate! He explains everything and made my daughter feel comfortable before and after her surgery."

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"Professional, competent, and friendly from the oral surgeon to the front office. Very happy with the service we received and would recommend this office for any of your oral surgery needs."

"Very helpful, and they’re in the network!"

"Excellent group of people!! Dr. Griffith went above and beyond, my car battery died and he came out to give me a jump! In the rain! The staff was friendly and professional. The Dr explained the oral surgery process throughly. From check in to departure everything was thought out and perfectly planned minus my car. 🙃 Highly recommend this office."

"I had the best experience with this office. James Griffith was my surgeon and he was amazing! The staff, Valarie and the others were fantastic. They are clean, thorough with descriptions and procedures. And I have very little swelling, and feel so much better. I definitely recommend this place. They don’t have to have a referral and if you are uneasy about teeth repair, they make you feel comfortable and are the best professionals with friendly, courteous vibes. Will always go here for my dental services. They are excellent!"

"I would strongly recommend Cumberland surgical arts and associate. We had to drive 2 hrs to see them but it was worth it! They were great with my little one. Made her feel comfortable and safe! Andrea is so kind and beautiful, she even made herself a note to remind me to breath 3 times!"

"Amazing experience here. Dr. Griffith got all four of my wisdom teeth removed in just over 30 minutes. It felt like I took a nap. They were very generous in providing post-op materials and answering any questions. I also appreciated the kindness and helpfulness of the technicians and other staff, such as Val, Jessie, and Jen, who all signed my get well soon card. I would highly recommend anyone to go here if they need any form of dental surgery."

"I was referred to Cumberland and I'm truly thankful I was. The staff are so nice and the Dr is Awesome. He had to shave down my top gums for dentures. I'm terrified of the dentist but he put me at ease with his calm manner. Very good bedside manner. I honestly was scared I would be in alot of pain. But I am not. It actually feels better than when I got my teeth removed. I highly recommend Cumberland Surgical Arts and associates if u need a great oral surgeon."

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"I had an amazing experience with Dr. Lee and Cumberland Surgical. From start to finish, everything was smooth, and I couldn’t be more grateful for the care I received. The staff was incredibly professional, but I want to give a special shout-out to the nurse Courtney who took such great care of me. She was kind, reassuring, and made me feel at ease every step of the way. The procedure went smoothly, and the recovery has been just as easy thanks to their clear instructions. Highly recommend this office for anyone needing oral surgery!"

"The staff were so nice and comforting.. Special thanks to Auttie, Jenn, and Jessie. If i could give 10 stars i would!"

"Really get people! Dr. Griffith and Jessie are the best! They got me in early and got a bad tooth pulled in under 10 minutes pain free! Highly recommended!"

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