Accepted Insurance Provider
Guardian Dentist in Mansfield, TX | In-Network Guardian Dental Care at 360 Dental Lounge
Our team is a member of the American Dental Association and the Texas Dental Association..
Preventive
100% in-networkExams, cleanings, bitewing X-rays
Basic
80% after deductibleFillings, periodontics, extractions
Major
50% after deductibleCrowns, dentures, oral surgery
Annual Maximum
$1,500–$2,500On most PPO plans
Waiting periods: None for PPO preventive; DMO may have restrictions
Coverage varies by specific employer plan. We verify your individual benefits before treatment.
Verify your Guardian benefits online →With Guardian, the first question is always which kind of plan you have, because PPO and DMO behave like two different products. On an Guardian Dental PPO you can see any dentist, and staying in-network usually applies Guardian's negotiated rates, which generally run 15 to 45 percent under standard fees. The DMO is where people get caught out. It asks you to name a primary care dentist, care is coordinated through that office, and seeing a specialist usually means a referral first. We can serve as your primary office on either plan, but if you're on the DMO, tell us up front so we can make sure your selection on file points here before your visit, otherwise the claim can stall. Don't confuse either of these with the Guardian Dental Access discount card, which isn't insurance at all; it just gives a reduced cash fee with no claims or annual maximum. For crowns, implants, or anything in the major tier, we send Guardian a pre-determination before we start so you get your actual out-of-pocket in writing rather than a guess. Guardian plans typically reset with no carryover on most tiers, so unused benefits you've already paid premiums for don't come back. We track your remaining maximum and help you time treatment around it. We verify your individual benefits before any work begins.
With Guardian, sort out whether you're on the PPO or the DMO before you book, because the two don't share rules. A PPO plan is the flexible one: no primary-dentist requirement, no referral to see a specialist, and benefits paid against an annual maximum and deductible. A DMO is more restrictive. You're assigned to one dental office, that office coordinates your care, and copays are often fixed per procedure rather than a percentage, which can actually make budgeting easier once you know the schedule. The catch is that the DMO only pays when you're seen at your assigned office, so if your card lists a different practice, we'll help you switch your primary selection to us, usually effective the first of the following month. A separate point of confusion is Guardian Dental Access. It looks like coverage but isn't; there's no claim and no annual cap, just a lower set-fee you pay directly. We'll tell you which of these you're holding when we verify, and we'll explain how it changes your estimate before treatment. Coverage and copay schedules vary by employer, so we always confirm your specific plan first.
We bill Guardian directly and handle the claims and pre-treatment estimates ourselves, so you can focus on the dentistry instead of the paperwork. If something about your plan is unclear, we confirm it before your visit whether you're in for a cleaning, cosmetic work, or a bigger restorative case.
Most Guardian plans cover preventive family dental care at 80-100%. Cosmetic procedures like teeth whitening and veneers are typically not covered but may qualify for FSA/HSA funds.
* Coverage varies by specific plan. We will verify your individual benefits prior to treatment.
Yes. 360 Dental Lounge is an in-network Guardian dental provider in Mansfield, TX and we accept Guardian Dental PPO and Guardian DMO plans. Coverage varies by your specific employer plan, so we verify your individual benefits before any treatment begins. Call (682) 888-0488 to confirm your coverage.
Yes. Our team submits your Guardian claims directly so you do not have to handle the paperwork yourself. For larger treatments such as crowns, bridges, or implants, we can request a pre-treatment estimate from Guardian first, so you know your expected out-of-pocket cost before we begin. Coverage varies by plan; we verify your benefits before treatment.
On most Guardian plans, preventive care is 100% in-network (exams, cleanings, bitewing X-rays); basic procedures are 80% after deductible (fillings, periodontics, extractions); major procedures are 50% after deductible (crowns, dentures, oral surgery). Annual maximums typically run $1,500–$2,500 on most PPO plans. These are typical figures only coverage varies by your specific employer plan, so we verify your individual benefits before treatment. Call (682) 888-0488 for a personalized estimate.
Your card usually says, often near the plan name, but if it's unclear we can read it with you. It matters because the two work differently. A PPO lets you see us without naming a primary office and only pays when you're seen there, so your selection on file has to point to us before your visit. If you're on the DMO and your card lists another practice, we'll help you switch your primary office, usually effective the first of next month. Call (682) 888-0488 and we'll sort out which plan you have.
No, and the difference is worth knowing before you book. Guardian Dental Access is a discount program, not an insurance plan. There's no claim to file, no deductible, and no annual maximum; instead you pay a reduced set-fee directly for covered services. Some employers bundle it alongside or instead of true coverage, which is where the confusion starts. If that's what you're holding, we'll explain the discounted fee for your treatment before we begin so there's no surprise. If you also carry an Guardian PPO or DMO plan, that's separate, and we verify those benefits individually. Call (682) 888-0488 and we'll confirm what you have.
On a DMO, specialist care things like oral surgery, endodontics, or orthodontics generally needs a referral coordinated through your primary dental office first. As long as your primary selection points to us, we handle that referral as part of your treatment plan rather than leaving you to chase it. A few DMO plans have fixed copays for specialty procedures, so we'll check your copay schedule and tell you the expected cost before you go. Coverage and referral rules vary by your specific plan, so we verify your benefits before treatment. Call (682) 888-0488 to get yours checked.
360 Dental Lounge accepts most major PPO dental insurance plans, including Delta Dental, Guardian, Guardian, MetLife, Guardian, Blue Cross Blue Shield, United Healthcare, United Concordia, Humana, and many others. We provide complimentary insurance verification before your first visit so you know exactly what your plan covers and what your estimated copay will be. Our billing team files all claims on your behalf and works to maximize your annual benefits. If you are unsure whether your plan is accepted, simply call (682) 888-0488 or submit your insurance details through our website, and we will confirm your coverage within one business day.
To get the most from your dental insurance, schedule both of your covered preventive visits (exams and cleanings) each year, since most plans cover these at 100% with no out-of-pocket cost. Use your remaining annual maximum for any needed treatments before your plan resets, typically on time. If you need a major procedure, consider starting treatment before your annual maximum resets and completing it in the new year to use two years of benefits. Our team at 360 Dental Lounge provides detailed pre-treatment estimates so you know exactly what your plan covers before starting any procedure. We also help coordinate dual insurance for patients with two plans. Call (682) 888-0488 and our benefits coordinator will review your specific plan.
If your insurance does not fully cover a recommended treatment, 360 Dental Lounge offers several affordable options. We provide flexible payment plans through CareCredit and Cherry financing with low or zero-interest options. We also offer an in-house membership plan for patients without insurance that covers preventive care and provides discounts on additional treatments.
Yes. We believe cost should never prevent you from receiving quality dental care. 360 Dental Lounge offers interest-free and low-interest financing through CareCredit and Cherry, with flexible monthly payment options. We also have an affordable in-house membership plan that bundles preventive exams, cleanings, and X-rays at a discounted annual fee, plus reduced rates on restorative and cosmetic treatments.
