Knowing your child's dentist is in-network with Anthem before you ever walk through the door takes a real weight off — and that's exactly where Fox Pediatric Dentistry stands. Being in-network means you're not guessing at costs or hoping claims sort themselves out later. Your Anthem benefits work the way they're supposed to, and your family pays less.
When you come in, you'll hand your insurance card to our front desk team and they'll take it from there. They'll confirm your coverage, walk you through what your plan covers for your child's visit, and let you know upfront if there's anything you'll owe. Dr. Vidhee Shah, Dr. Justin Baik, and Dr. Shivani Shah work exclusively with kids, so every part of the experience — the check-in, the exam, the conversation with you — is built around what actually works for young patients.
Fox Pediatric Dentistry is located at 400 S Randall Rd in Elgin, seeing families Monday through Friday. We're welcoming new patients, so if you're ready to use your Anthem benefits for your child's next cleaning or exam, you can book online anytime.
What Does Your Anthem Plan Cover at Fox Pediatric Dentistry?
Anthem PPO plans are designed to cover a solid range of dental care, and preventive services tend to be the strongest part of the deal. Routine cleanings, comprehensive exams, and dental X-rays are typically covered at 100% when you're seeing an in-network provider — meaning little to no out-of-pocket cost for those visits. For kids, that's huge, because catching small problems early is almost always less expensive than treating them later.
Beyond preventive care, your plan usually covers basic restorative services — things like fillings — at a percentage of the cost after your deductible. Major services, such as crowns or more involved treatments, are typically covered at a lower percentage, and your annual maximum will apply. Every Anthem plan is a little different depending on the employer group or coverage tier, so the exact numbers vary. What doesn't change is that coming in as an in-network patient means you're working with contracted rates, which keeps your costs as predictable as possible. We're happy to help you understand exactly what your child's specific plan includes before the appointment.
Dental Services for Kids Covered Under Your Anthem Plan in Elgin
Your Anthem plan can be used toward a wide range of pediatric dental services here. Routine preventive care — including comprehensive exams, professional cleanings, fluoride treatments, and digital X-rays — is where most families start, and these visits are typically the best-covered category under most Anthem PPO plans. If your child needs a tooth-colored filling to treat a cavity, that's usually covered under basic restorative benefits. Sealants, which are protective coatings applied to the chewing surfaces of back teeth, are often included as a preventive benefit for children and can go a long way toward avoiding cavities down the road. If a tooth is too damaged to save, extractions are generally a covered service as well.
There are some services where Anthem coverage gets more limited or requires a closer look at your specific plan. Orthodontic treatment like braces or clear aligners may have a separate lifetime maximum or may not be included depending on your plan tier. Purely cosmetic procedures aren't typically covered. And certain more complex treatments may require prior authorization before your plan will contribute. We'll always give you a clear picture of what to expect before any treatment begins.
Fox Pediatric Dentistry Is In-Network with Anthem
Being in-network with Anthem means the practice has a direct contract that sets agreed-upon rates for covered services. You're not paying the full standard fee and hoping for reimbursement — you're paying the lower contracted amount from the start. That difference adds up quickly, especially for families coming in for multiple kids or multiple visits throughout the year.
It also means the claims process is simpler. Fox Pediatric Dentistry submits claims to Anthem directly on your behalf, so you're not doing the paperwork yourself after every visit. You just focus on your child's appointment. Your out-of-pocket cost — whatever your plan's deductible and cost-sharing looks like — is all you'll need to handle at checkout.
How to Check Your Anthem Benefits Before Your Child's First Visit
The easiest way to get a head start is to flip your Anthem insurance card over and call the member services number on the back. When you reach a representative, ask them to confirm your child's coverage for preventive and basic dental services, whether the deductible has been met, and what your remaining annual maximum looks like. Have your member ID, group number, and the practice name or provider NPI handy before you call — it makes the conversation go a lot faster. You can also log into your Anthem member portal online, where you can usually view your plan details, covered services, and claims history.
If any of that sounds like more than you want to tackle before an appointment, don't worry — our front desk team at Fox Pediatric Dentistry is glad to verify your Anthem benefits when you bring your insurance card to your first visit. You can also call us ahead of time at (224) 470-7639 if you have questions about what your plan covers. We'd rather you come in feeling informed than surprised, and we'll do whatever we can to make that happen.
Why Elgin Families Bring Their Kids to Fox Pediatric Dentistry
Dr. Vidhee Shah, Dr. Justin Baik, and Dr. Shivani Shah have built a practice that's genuinely focused on kids — the way the appointments are paced, the way the team talks to young patients, and the way they keep parents in the loop every step of the way. A lot of families in the Elgin area come here because their child had a rough experience somewhere else, and they leave pleasantly surprised.
The team at Fox Pediatric Dentistry takes insurance seriously too, because they know cost is part of the equation for most families. Using your Anthem benefits here means you're getting specialized pediatric care without paying more than you have to. Ready to schedule? You can call us at (224) 470-7639 or book directly online — we're seeing new patients now.
Give us a call at (224) 470-7639 or book your child's appointment online — we'd love to welcome your family to Fox Pediatric Dentistry.
Call us: +12244707639
