Humana Dentist in Suwanee & Lilburn, GA

In-Network Humana Dental Provider | Accepting New Patients Now

Searching for a Humana dentist near you in the Suwanee or Lilburn area? You’ve landed in the right place. Smile and Shine Dental is an in-network Humana dental PPO dentist serving patients at both our Gwinnett County offices, and we make it straightforward to use your Humana coverage from the moment you call.

Humana is one of the most recognized names in health and dental insurance in the United States, and its PPO dental plans are widely offered through employers and the individual marketplace. At Smile and Shine Dental, we work directly with Humana, so you receive care at your in-network benefit level, which means lower costs for cleanings, fillings, crowns, root canals, and every other procedure you need.

New to our practice? Tell us you’re a Humana dental member when you call or book online. We’ll confirm your benefits and have your plan details ready before you arrive.

Connect with a Humana Dental Provider in Suwanee or Lilburn, GA

How Humana Dental Insurance Works

Humana dental insurance follows a tiered PPO model. When you choose an in-network Humana dentist in Suwanee or Lilburn like Smile and Shine Dental, you’re working within Humana’s negotiated fee schedule, which is the foundation of keeping your dental costs manageable.

Here’s how the coverage structure typically works for Humana Dental PPO plans:

Annual Deductible: Most Humana dental plans include an annual deductible, often $50 per individual or $150 per family, that applies to basic and major services before Humana begins covering its share.
Annual Maximum Benefit: Humana plans set a yearly limit on how much the plan pays, typically ranging from $1,000 to $2,000 depending on the specific plan. Preventive services often do not count against this maximum.
Coverage Tiers: Preventive care is usually covered at 100%. Basic restorative services, like fillings, typically fall around 80% coverage. Major services, such as crowns, root canals, and bridges, are commonly covered at 50%.
Waiting Periods: Some Humana dental plans impose waiting periods for basic or major services, particularly on individual market plans. Group employer plans through Humana often waive waiting periods entirely.
In-Network vs. Out-of-Network: When you visit a Humana dental PPO dentist in Suwanee or Lilburn who participates in Humana's network, you pay the in-network rate, the lowest possible out-of-pocket amount. Out-of-network visits may still receive some reimbursement, but typically at a higher cost to you.

Our front desk team contacts Humana directly to verify your specific plan before your visit so you know exactly what to expect.

What Does Humana Dental Cover

As a Humana dental provider in Suwanee and Lilburn, GA, Smile and Shine Dental offers the complete range of treatments that Humana plans are designed to support. Here’s a breakdown of what’s typically covered:

Preventive Care

Teeth Cleaning (Prophylaxis): Does Humana Dental cover cleanings and exams? Yes. Most Humana dental plans fully cover two routine prophylaxis cleanings per year. If you have gum disease and need deeper "periodontal" cleanings, those are typically classified as basic or major services and covered at a different rate.
Comprehensive and Periodic Dental Exams: Annual or semi-annual exams to assess overall oral health are covered under your preventive benefit.
Digital X-Rays: Bitewing and full-mouth X-rays are part of your diagnostic and preventive care, covered under most Humana plans.
Dental Sealants: Usually covered for pediatric patients as a preventive service.
Fluoride Treatments: Often covered for children under most Humana dental PPO plans.

Basic Restorative Care

Composite (White) Fillings: Does Humana Dental cover fillings? Yes. Fillings are a basic restorative service. At Smile and Shine Dental, we use tooth-colored composite material that blends seamlessly with your natural teeth, with no silver amalgam.
Simple Tooth Extractions: When a tooth can't be saved, removal is covered as a basic service.
Emergency Palliative Treatment: Covered for patients experiencing acute dental pain.

Major Restorative Care

Dental Crowns: Does Humana Dental cover crowns? Yes. Crowns fall under major restorative services. When a tooth is too damaged for a filling, a crown rebuilds the full structure. Coverage is commonly around 50% after your deductible and any waiting period.
Root Canal Therapy: Does Humana Dental cover root canals? Endodontic treatment, root canals, is classified as a major service under most Humana plans and is covered at approximately 50%. We have patients ask us specifically about a "Humana dentist for root canal" all the time, and the answer is yes, we handle this routinely and with precision.
Dental Bridges: Covered as major restorative care for replacing one or more missing teeth.
Dentures (Complete & Partial): Full and partial denture fabrication is covered under major services.
Dental Implants: Coverage for implants varies by specific Humana plan. Some include it; others don't. We confirm this before any discussion of implant treatment begins.
Oral Surgery: Including surgical extractions, wisdom teeth, and other procedures.
SureSmile Clear Aligners: Orthodontic coverage depends on your specific Humana plan. Smile and Shine Dental is a certified SureSmile provider for eligible patients.

All percentages and benefit tiers listed here represent common Humana PPO structures. Your specific employer-sponsored or individual Humana plan may differ. We verify your actual coverage at no charge before any treatment.

Humana Dental PPO In-Network vs. Out-of-Network: What Every Patient Should Know

Many patients don’t fully understand the difference between seeing an in-network Humana dentist in Suwanee or Lilburn and going out-of-network, and it’s a meaningful one, both in terms of dollars and convenience.

In-Network Humana Dentist (Smile and Shine Dental): When you see a Humana dental provider who participates in Humana's PPO network, your dentist accepts Humana's pre-negotiated rates. Those rates are always lower than standard fees. Your 80% or 50% coverage is applied to the negotiated rate, keeping your share predictably low. We also file your claims directly with Humana, so there's nothing for you to do administratively.
Out-of-Network Dentist: Humana will still pay a portion if you see an out-of-network provider, but it calculates your benefit against the in-network rate, not the dentist's actual charge. If the out-of-network dentist charges more than that rate, you owe the full difference in addition to your coinsurance. This "balance billing" can add up quickly on major procedures.
Bottom line for patients in Suwanee and Lilburn: Choosing an in-network Humana dental PPO dentist like Smile and Shine Dental means lower out-of-pocket costs, no claims to file yourself, and complete transparency before any treatment starts.

Humana Dental Services We Provide in Suwanee and Lilburn, GA

Patients searching for a “Humana dentist for dental crowns,” “Humana dentist for fillings,” “Humana dentist for teeth cleaning,” or “Humana dentist for root canal” in the Suwanee and Lilburn area will find everything they need in one office.

At our Suwanee location, we see patients from Suwanee, Buford, Sugar Hill, Duluth, and throughout northern Gwinnett County. Our Suwanee office is a Humana dental PPO dentist with same-day appointment availability, ideal for patients facing unexpected dental issues who need care quickly.

At our Lilburn location, patients from Lilburn, Lawrenceville, Stone Mountain, Tucker, and Norcross rely on us for their Humana dental care. Our Lilburn team is equally experienced in handling Humana billing and benefits verification in-house, so your coverage is confirmed and your costs are clear from the start.

Services

Our Dental Health Services

Teeth Cleaning

Your smile is your superpower; it can light up a room and display joy. Like...

White Fillings

Do you have cavities? Or a chipped tooth? At Smile and Shine Dental, we....

Complete Dentures

If you are missing all your teeth, daily tasks can be made quite...

Whitening

Smile wider with a brighter, whiter smile! At Smile and Shine Dental,...

Dental Exams

Smile and Shine Dental has your back when it comes to oral health!...

Digital X-Rays

At Shine and Smile Dental, we use advanced digital X-ray technology...

Why Patients Choose Smile and Shine Dental as Their Humana Dentist in Suwanee & Lilburn, GA

We understand you have options when searching for a Humana dentist near you in Suwanee or Lilburn. Here’s what separates Smile and Shine Dental from the rest:

In-Network Humana Dental Provider at Two Locations: Both our Suwanee and Lilburn offices participate in Humana's PPO network, offering flexible scheduling near home or work.
Dr. Srujana Baddam, DMD (12+ Years of Experience): A Tufts University-educated dentist and active ADA and GDA member, Dr. Baddam has spent over a decade delivering precise, comfortable dental care across Gwinnett County.
Benefits Checked Before You Arrive: We contact Humana, confirm your plan, and give you a clear picture of your costs before any procedure is recommended. You never walk in uninformed.
Same-Day Appointments Available: Dental emergencies happen. Both our Suwanee and Lilburn offices offer same-day appointment scheduling, so you're not left in pain waiting days for care.
38+ Years of Insurance Expertise at Your Front Desk: Our office manager, Vicki Calhoun, brings 38 years of dental administration experience to every patient interaction. Navigating Humana benefits? She's done it thousands of times.
Bilingual Care: Our Lilburn office manager, Alma Garcia Marroquin, provides full support in Spanish for our Spanish-speaking patients because clear communication about your dental plan matters in any language.
$99 New Patient Special: First visit includes exam, X-rays, and consultation, a comprehensive starting point for your Humana dental care at Smile and Shine Dental.

Your Trusted Humana Dentist in Suwanee and Lilburn, GA | Welcoming New Patients

Whether you’re searching for a Humana dentist near you because you just got a new job with Humana dental benefits, you moved to Gwinnett County, or you simply need a practice that makes insurance easy, Smile and Shine Dental is ready. We are a Humana dental provider in Suwanee and in Lilburn, and we are accepting new patients right now.

Don’t let your Humana dental benefits go unused. Most plans operate on a calendar-year basis, which means unused preventive visits and unmet annual maximums reset at the end of the year. Book now and put your benefits to work.

Book Your Humana Dental Appointment in Suwanee or Lilburn

Our Customer Reviews

malika Akhmedova

June 27, 2026

★★★★★

Amazing service! Thank you so much.