Most parents don't realize how much their Delta Dental PPO actually covers until they see the bill come in at nearly nothing — and that's exactly the experience we want your family to have at Fox Pediatric Dentistry. Being in-network with Delta Dental means we've agreed to contracted rates with the plan, so your out-of-pocket costs are as low as they can be. No guessing, no surprises at checkout.
When you come in, our front desk team handles the insurance side of things so you don't have to. You bring your card, we verify your benefits, submit the claim, and walk you through anything that applies to your child's visit that day. Dr. Vidhee Shah, Dr. Justin Baik, and Dr. Shivani Shah all take the time to explain what's being done and why — and our team will always let you know if something might not be fully covered before we move forward.
We're located at 400 S Randall Rd in Elgin, and we're currently welcoming new patients Monday through Friday. If you're ready to get your child's next visit on the books, you can schedule online or give us a call anytime during office hours.
What Does Your Delta Dental PPO Cover at Our Office?
Delta Dental PPO plans are built around three tiers of care: preventive, basic, and major. Preventive services — like routine cleanings, periodic exams, and X-rays — are typically covered at 100% when you're seeing an in-network provider like Fox Pediatric Dentistry. That means your child's twice-a-year checkups usually cost you nothing out of pocket. It's one of the most valuable parts of the plan, and we want to make sure your family is using it.
Basic services, which include things like fillings and simple extractions, are usually covered at around 80% after your deductible. Major services — think crowns, root canals on primary teeth, or more involved restorative work — are typically covered at a lower percentage, often around 50%. Your plan will have an annual maximum, which is the most Delta Dental will pay toward your child's care in a given benefit year. Once you know where you stand against that maximum, it's easier to plan ahead. We're happy to help you think through that before any bigger treatment is scheduled.
Dental Services for Kids Covered Under Your Delta Dental Plan in Elgin
Your Delta Dental PPO covers a solid range of pediatric dental services at our Elgin office. Routine cleanings and fluoride treatments are typically included at no cost to you as a preventive benefit. Comprehensive exams, periodic checkups, and digital X-rays are also generally covered in full when you're in-network. If your child needs a filling, your plan usually picks up the majority of that cost. Tooth-colored composite fillings, stainless steel crowns on baby teeth, simple extractions, and pulp therapy — which is the pediatric version of a root canal — all fall within what Delta Dental typically covers under basic or major benefit categories.
There are some services where coverage is more limited or may not apply at all. Cosmetic treatments aren't usually covered, and orthodontics — like braces or clear aligners — may only be partially covered depending on your specific plan, and often require a separate orthodontic maximum. Space maintainers and sealants are frequently covered for children, but it's always worth confirming the details of your individual plan. We'll flag anything that might need prior authorization before we proceed.
Fox Pediatric Dentistry Is an In-Network Delta Dental Provider
Being in-network with Delta Dental isn't just a checkbox — it has a direct impact on what you pay. Because we have a contract with Delta Dental, we've agreed to their fee schedule for covered services. That means you're paying the lower contracted rate, not the full standard fee. The difference can be significant, especially if your child needs any restorative work beyond a routine cleaning.
If you have a Delta Dental PPO plan and your child is a patient here, you're already in the best position you can be. Your benefits go further, your out-of-pocket costs are lower, and there's no complicated reimbursement process for you to manage. We handle the billing directly with Delta Dental on your behalf.
How to Check Your Delta Dental Benefits Before Your First Visit
Before your child's first appointment, it's worth taking a few minutes to check your coverage. Flip your Delta Dental insurance card over and find the member services number — give them a call and ask about your child's benefits. Have your member ID and group number ready, and ask specifically about pediatric preventive coverage, your annual deductible, and how much of your annual maximum has already been used if you're mid-year. You can also log into Delta Dental's member portal online, where you can usually see a breakdown of your plan details without waiting on hold.
If that feels like a lot, don't worry — our front desk at Fox Pediatric Dentistry is genuinely happy to do this for you. When you come in for your first visit, just bring your insurance card and we'll verify your benefits before the appointment gets started. You're also welcome to call us ahead of time at (224) 470-7639 if you have questions about what your plan might cover. We'd rather you feel informed walking in than caught off guard walking out.
Why Elgin Families Bring Their Kids to Fox Pediatric Dentistry
Dr. Vidhee Shah, Dr. Justin Baik, and Dr. Shivani Shah built this practice around one idea: kids deserve a dental office that actually feels good to walk into. The team here works hard to make sure even anxious kids leave feeling okay about the whole thing — and parents leave feeling like they actually understood what happened during the visit.
We see kids of all ages at our Elgin location, and we're set up specifically for pediatric care — not a general practice trying to do both. Every part of the experience, from the way the team talks to your child to the way we explain treatment to you, is designed with families in mind. If you're ready to get your child started, you can book online or call us at (224) 470-7639. We're welcoming new patients and would love to meet your family.
Give us a call at (224) 470-7639 or book your child's visit online — we're accepting new patients and happy to answer any questions about your Delta Dental coverage first.
Call us: +12244707639
