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Insurance, Honestly

Your insurance company has an opinionabout your teeth!Our obligation is to you, the patient.

Trinity Dental Arts is an out-of-network, fee-for-service practice. That is a deliberate choice — and you deserve the full reasoning behind it, not a one-line disclaimer at the bottom of a form.

The short version, before we explain ourselves

We're out of network

We don't sign insurance network contracts, and we don't accept assignment of benefits.

Your benefits may still apply

Most PPO plans reimburse some out-of-network care. Your plan does not stop existing when you walk through our door — but what it pays is between you and your carrier.

We can file your claim

After treatment we can submit the claim so your insurer reimburses you directly. What we do not do is chase your carrier for benefit checks or pre-authorizations.

You'll know our fee first

Every treatment plan comes with our exact fee in writing before we begin. That number does not move based on what a plan decides to pay.

Proudly Serving the Greater Tampa Bay Area

Trinity, FLNew Port RicheyTampaClearwaterPalm HarborLand O' LakesLutzWesley ChapelDunedinOldsmarKeystoneEast LakeSpring HillBrooksvilleHolidayTarpon SpringsOdessaElfersPort RicheyBellairClearwater Beach

First, a reframe

Dental “insurance” isn’t insurance. It’s a coupon with an expiration date.

Real insurance protects you from catastrophe. Your health plan doesn’t cap out at $1,500 and leave you holding the rest of the heart surgery.

Dental plans work the opposite way. They are a capped benefit — a fixed pot of money your employer buys on your behalf. When it’s gone, it’s gone.

Most plans still cap out somewhere between $1,000 and $2,500 a year, and roughly a third sit in the $1,000–$1,500 band. That ceiling was set decades ago and has barely moved since. A $1,000 maximum written in the 1970s would need to be worth many times that today just to keep even. Dentistry got dramatically better. The benefit didn’t move.

$1,000Annual maximum still common on plans today — a figure largely unchanged for roughly 40–50 years
3.4%Share of patients who ever reach their plan's annual maximum (ADA Health Policy Institute)
30–40%Typical discount below full fee a dentist accepts when signing a PPO network contract (ADA fee survey data)

A dental plan is a benefit, not a standard of care. It was never meant to decide what your mouth needs.

To be fair — what a dental plan is genuinely good at

Preventive care. Cleanings, exams, and x-rays are usually covered at or near 100%. Use it. Please use it. We simply don’t think a coupon should be choosing your surgeon.

The part that doesn’t get said

What happens the moment a dentist signs a network contract

When a practice joins a PPO network, it signs a contract agreeing to accept the insurer’s fee schedule — a set price for every procedure, written by the insurance company, not by the dentist.

According to the ADA’s own fee survey data, those write-offs commonly run 30% to 40% below the practice’s actual fee. In some offices, closer to half.

Nobody absorbs a cut like that and changes nothing. The math has to close somewhere, and there are only a few places it can go.

01

Time

Shorter appointments. More chairs running at once. A dentist moving between rooms. Volume becomes the business model, because volume is the only lever left.

02

Materials & labs

Crowns, ceramics, and implant components vary enormously in quality and cost. When reimbursement is fixed, the pressure runs one direction — toward the cheaper lab and the generic implant system that may have no parts available in fifteen years.

03

The treatment plan

Plans reimburse the least expensive alternative treatment. Not the best one. Not the one that lasts longest. The cheapest one that technically works — and that quietly becomes the default recommendation.

04

Who owns the practice

Heavy network participation is one reason independent offices sell to corporate groups. A fee schedule that does not work at one location can be made to work at forty — with rotating associates and quarterly production targets.

To be clear: there are outstanding dentists in every network in Florida, working hard inside a system they didn’t design. This isn’t about their character. It’s about a contract that pays the same for a crown done in forty minutes as one done in two hours — and what that incentive does to a profession over twenty years.

Dr. Gjelaj wasn’t willing to sign it. That’s the whole story.

Imagine Smiling Without Hesitation — That's Possible for You

500+ patients in Trinity have already taken the first step. Yours is just one free conversation away.

The other side of that decision

What we bought with it

Being out of network isn’t a price position. It’s a permission structure. Here is what it buys you.

Time that isn't rationed

Longer appointments, scheduled around the complexity of the case instead of a production quota. One patient at a time.

One dentist, start to finish

You're not handed off. The person who plans your case is the person who does it — and the person who follows it for years afterward.

Meet Dr. Gjelaj

Materials chosen by the dentist

Premium ceramics and name-brand implant systems with a global parts supply and decades of literature behind them — designed and milled in our own lab, not sent to whichever lab fits a fee schedule.

See our in-house lab

Diagnostics without a permission slip

3D CBCT imaging, digital scanning, and computer-guided implant surgery — used when they improve the outcome, not when a plan agrees to pay for them.

Our technology

Training measured in years, not weekends

Dr. Gjelaj holds a Mastership in the Academy of General Dentistry and Diplomate status in implant dentistry — credentials only a small fraction of U.S. dentists hold.

Work built to last

The cheapest dentistry is the dentistry you only pay for once. We plan for decades, not for the current benefit year.

See real results

Dentistry is a handmade product. You are not buying a procedure code. You are buying the hours, the judgment, and the standards of the person doing it.

4.9★ · 400+ Google reviews

What patients say after they leave a network office

Real reviews from our Google Business Profile, reproduced word for word.

“Absolutely thrilled with my new smile. Dr. G and her team have changed my life for the better. I have a brand new smile. The experience was painless and simple. I highly recommend this procedure.”
Rudy F. · July 2026GGoogle
“I received a same day replacement veneer on a tooth and it was beautifully done! I am new to Florida and had delayed getting a new dentist. When my veneer popped off I called Trinity Dental Arts. They worked me in even though I wasn't a regular client and did my teeth cleaning that morning before fitting me for my new veneer. A very high-tech office with in-house ability to make the new tooth. Dr. Gjelaj and her staff were very kind and throughtful. I am so glad to have her as my new dentist.”
Natalie G.GGoogle
“Dr. G and her team are absolutely amazing, so professional and well versed in their expertise. I am so thankful I chose them as I now have the smile of my DREAMS!!”
Shanna F. · July 2026GGoogle

Read all 400+ reviews on Google →

A selection of our 5-star reviews — not every review we’ve received. Individual results vary; a review describes one person’s experience and is not a promise of any particular outcome.

The honest arithmetic

“Fine. But what is this actually going to cost me?

Less than you’re bracing for. Here’s how it really works.

How out-of-network reimbursement works

Most PPO plans include out-of-network coverage — often the same deductible and similar percentages. The difference is what fee those percentages apply to. In network, the insurer reimburses against its own contracted schedule. Out of network, it reimburses against its “usual and customary” rate for our area, and you are responsible for the difference.

That gap is real. It is also usually far smaller than the words “out of network” make people fear.

A worked example

Illustrative comparison of patient out-of-pocket cost for a single crown at an in-network office versus Trinity Dental Arts
Single crownIn-network officeTrinity Dental Arts
Fee for the procedure$1,200$1,600
Plan pays (50% of allowed amount)$600$600
Your out-of-pocket$600$1,000

Illustrative figures only. Your actual fees, coverage percentages, and reimbursement depend on your specific plan. Our fee is the number we put in writing for you; what your carrier reimburses is determined by your carrier.

A $400 difference on a crown that should serve you for twenty years is roughly $20 a year. That is the real unit of comparison — not the sticker price, but the cost per year of a result that holds.

And a crown that fails in six years costs you the entire fee again, plus whatever the failure did to the tooth underneath it.

What we do — and what we deliberately don’t

“We don’t participate with insurance” is a specific statement, so here is exactly what it means in practice.

1

You get our fee in writing, first

Every case gets a printed treatment plan listing each procedure, its code, and its exact fee — before we pick up an instrument. One number, from us, that does not change based on a carrier decision.

2

We can file your claim after treatment

Same forms, same codes, including narratives and imaging for larger cases. We submit it; your insurer reimburses you.

3

Your reimbursement goes straight to you

Because we don't accept assignment of benefits, the insurer pays you directly — so you see exactly what your plan paid, rather than it disappearing into an office ledger.

4

You keep the codes, so you can verify anything yourself

Your written plan carries the same CDT procedure codes an insurer uses. Call the number on your card, read them the codes, and your carrier will tell you what it pays — in five minutes, from the only party who can actually answer.

What we do

  • Give you our exact fee, in writing, before treatment begins
  • List every procedure code on your treatment plan so you can verify coverage yourself
  • File your claim after treatment so your insurer reimburses you directly
  • Tell you plainly, up front, that we are out of network with every plan

What we don’t do

  • Call your carrier to run a benefit search or verify your coverage
  • Submit pre-authorizations or pre-determinations on your behalf
  • Accept assignment of benefits, or bill your insurer as the responsible party
  • Let a plan’s coverage decision change what we recommend for your health

None of this is an oversight. Benefit verification and pre-authorization are tasks a practice performs on the insurer’s terms, and organizing an office around them is what quietly turns the plan into the patient.

Professional Credentials

Dr. Xhoana Gjelaj, DMD, MAGD, DABOI/ID, FAAID, DICOI

Board-certified implantologist and one of the most credentialed implant specialists in the Tampa Bay area — dedicated exclusively to complex implant and restorative care.

DMD

Doctor of Dental Medicine

Nova Southeastern University College of Dental Medicine

MAGD

Mastership — Academy of General Dentistry

Earned by fewer than 2% of dentists in the U.S. — requires 1,100+ hours of continuing education.

DABOI/ID

Diplomate — American Board of Oral Implantology / Implant Dentistry

The highest board certification in implant dentistry in the United States.

FAAID

Fellow — American Academy of Implant Dentistry

Recognizes advanced clinical proficiency and peer-reviewed case documentation in implant dentistry.

DICOI

Diplomate — International Congress of Oral Implantologists

International board recognition for excellence in oral implantology.

Top 1%

Dual Board-Certified Implant Specialist

Fewer than 1% of U.S. dentists hold dual board certification in implant dentistry.

Ready to meet Dr. Gjelaj?

Schedule a $300 Signature Consult — a clinically substantive exam credited toward your treatment.

No insurance? Big case?

Three ways to make excellent dentistry affordable

Being out of network does not mean paying for everything at once.

In-house payment plans

Work directly with our office to build a payment schedule around your budget — no third party, no credit check, direct billing, flexible terms.

CareCredit

A healthcare credit card with promotional and interest-free options for qualified applicants. Apply in minutes with an instant decision.

Cherry financing

Extended monthly plans built for larger cases — full-arch implants, full-mouth reconstruction, and comprehensive smile design.

The things patients actually ask

Do you take my dental insurance?

Trinity Dental Arts does not participate with any dental plan. In practical terms that means we do not run benefit searches, we do not submit pre-authorizations, and we do not accept assignment of benefits — the full cost of treatment is your responsibility. That said, many PPO plans still reimburse a portion of out-of-network care, and we can file the claim for you after treatment so your carrier pays you directly. DMO and HMO plans generally do not reimburse outside their network at all.

Will Trinity Dental Arts file my insurance claim?

We can. After treatment we are able to prepare and submit the claim, including narratives and imaging for larger cases, and your insurer then reimburses you directly. Payment for treatment is still due to the practice at the time of service.

What does "we do not accept assignment of benefits" mean?

It means payment for treatment is due to the practice at the time of service, and your insurance reimburses you rather than paying us. It keeps our relationship — and our accountability — between the two of us, and it means you can see exactly what your plan paid.

Will I pay more at an out-of-network dentist?

On most procedures, somewhat — yes. What you are paying for is longer appointment time, premium materials and an in-house lab, and treatment recommendations that are not shaped by an insurance fee schedule. You receive the exact figure in writing before anything begins, so you can decide with real information rather than a guess.

Can I get a cost estimate before I commit to anything?

Always — from us. Every treatment plan is written out with each procedure, its code, and its exact fee before anything begins, so you know precisely what you owe this practice. What we do not do is contact your carrier for an estimate of what they will pay. Because your plan lists the same procedure codes we do, you can call the number on your insurance card, read them the codes, and get that answer directly from the only party able to give it.

I have no dental insurance at all. Is this practice out of reach?

No — and you may actually be in a simpler position than insured patients. We offer in-house payment plans as well as CareCredit and Cherry financing, including extended and interest-free options for qualified applicants. Between them, most patients find a path that works.

Will you check my benefits or get a pre-authorization for me?

No — and that is a deliberate part of not participating with insurance plans. Benefit verification and pre-authorization are services a practice performs on the carrier’s terms, and building an office around them is precisely what pulls a practice toward treating the plan instead of the patient. Our commitment is to give you an accurate, written fee from us. Your coverage is a conversation between you and the company you pay premiums to, and we give you every procedure code you need to have it.

Why does Dr. Gjelaj not simply join the insurance networks?

Because a network contract requires accepting a fee schedule written by the insurance company — commonly 30 to 40 percent below the practice's actual fee, according to ADA fee survey data. There are only three ways to absorb that: shorter appointments, less expensive materials, or more patients per day. She was not willing to do any of the three.

One last thing

You are allowed to choose your own dentist.

That sentence sounds obvious. It isn’t how most people behave.

Most patients pick a dentist off a list a benefits administrator handed them — a list assembled on the basis of who agreed to the lowest fee. It is the only significant medical decision in American life routinely made by sorting for price first and asking about the work second.

You wouldn’t choose a surgeon that way. You wouldn’t choose a school that way. And your teeth are the only set you get. There is no revision, no do-over, and no replacement covered under the plan.

Going out of network isn’t a splurge. It’s the ordinary act of choosing the person who does the work, and then figuring out how to pay for it — in that order.

Come talk to us before you decide anything.

Bring your questions. Bring the treatment plan another office gave you, if you have one. You’ll leave with a written plan and our exact fee for every procedure — the number you can take to your carrier, and the one thing an insurance company can never tell you. No pressure, no obligation.

11105 Trinity Blvd, Trinity, FL 34655 · Monday – Thursday, 9:00am – 5:00pm

We're Minutes Away — Your New Smile Is Too

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Visit Us

11105 Trinity Blvd

Trinity, FL 34655

Call Us

(727) 228-6846

Office Hours

Mon–Thu: 9:00am – 5:00pm

Fri–Sun: Closed

✓ Two ways to get started

Free Virtual Consult — meet with our team online at no cost. Or choose an in-office Signature Consultation ($300), which includes a full exam, 3D imaging, and a personalized treatment plan — fully credited toward your treatment if you move forward.

Coverage, reimbursement amounts, and out-of-pocket costs are determined solely by your insurance carrier and vary by plan. Any figures shown on this page are illustrative examples and are not a guarantee of benefits, coverage, or payment. Financing is subject to credit approval by the third-party lender. This page is general information about dental benefits and is not a substitute for a clinical examination or individualized treatment advice.