Is PRP therapy covered by insurance?

Coverage for PRP therapy varies by plan. Some plans cover PRP as part of TMJ treatment, while others consider it elective. Our team checks your benefits and discusses costs before treatment so there are no surprises.

― Patient Resources

Insurance and financing options.

Q: Does Medicare cover TMJ treatment?

Yes, we accept Medicare. Many TMJ treatments are covered. For Medicare recipients with supplemental coverage, treatment is often fully covered. Our billing team verifies your Medicare benefits and explains your coverage.

Q: Do you offer payment plans?

Yes. We offer CareCredit financing, which provides monthly payment plans for medical expenses. We also accept cash, checks, and all major credit cards. Our team can discuss payment options with you at your visit.

South Bay TMJ is an in-network provider for most major insurance plans and accepts Medicare. We believe finances should not stand in the way of getting the care you need.

Our team works with you and your insurance company before treatment to clarify your benefits and reduce your out-of-pocket costs. For more about getting started, visit our patient resources page.

Call Us Directly

(310) 933-3077

Monday - Friday · 9:00 AM — 5:00 PM

Your time, reserved

One patient at a time

We never double-book. The time you reserve is yours alone.

― Insurance We Accept

In-network with most major insurance plans.

Because every plan is different, our team verifies your specific benefits before treatment begins, so you know what to expect.

Medicare

We accept Medicare. For Medicare holders with supplemental coverage, treatment is covered 100%. Our billing team handles the Medicare claims process for you.

Most Major Insurance Plans

We are an in-network provider for most major insurance companies, including most PPO plans. Have your insurance card ready when you schedule and we will verify your specific benefits before your visit.

Not sure if we accept your plan? Call (310) 933-3077, and we will verify your specific plan before you come in.

How Insurance Works for TMJ and Sleep Treatment

TMJ disorders and sleep apnea are medical conditions. Many plans cover their diagnosis and treatment under your medical benefits, not your dental benefits. Coverage may include:

Initial evaluation and diagnostic testing
Imaging such as CT scans and MRIs
Oral appliance therapy for TMJ or sleep apnea
Injection therapies such as Botox, trigger point injections, and nerve blocks
Follow-up visits and sleep studies

Coverage for treatments like PRP therapy, prolotherapy, and exosome therapy varies by plan. Our team checks your benefits for each recommended treatment before proceeding.

― How We Help

We handle the insurance paperwork.

Dealing with insurance can be confusing. Our team handles the process so you can focus on your health.

― Payment Options

Flexible ways to pay.

For any amounts not covered by insurance, we offer several payment options.

Cash or Check

We accept cash and personal checks for any patient-responsible balance.

Major Credit Cards

Visa, Mastercard, American Express, and Discover.

Benefit Verification

We confirm your coverage before treatment so there are no surprises.

CareCredit

A healthcare credit card with monthly payment plans for medical expenses. Apply in minutes.

Cherry Financing

Simple monthly payment plans with a quick approval check that does not affect your credit score.

Payment Plans

Ask our team about in-house payment arrangements for any outstanding balance.

― Our Financial Policy

Clear and upfront, always.

We collect co-pays, co-insurance, and deductible amounts at the time of service. After your insurance processes the claim, any remaining balance is billed to you. If you overpay based on our initial estimate, we issue a refund once all claims are settled.

You are responsible for understanding your plan’s requirements. If your plan requires a referral, please coordinate with your primary care doctor to obtain it before your appointment. If we do not have your referral by the day before your visit, we may need to reschedule.

― FAQ

Frequently Asked Questions

Practical answers from our board-certified specialists. These questions come directly from patients we see at the clinic.

Does insurance cover TMJ treatment?

Many insurance plans cover TMJ treatment when it is diagnosed as a medical condition. Coverage varies by plan. Our team verifies your specific benefits before treatment begins and explains what is covered and your estimated out-of-pocket costs.

Does Medicare cover TMJ treatment?

We accept Medicare, and many TMJ treatments are covered. For Medicare holders with supplemental coverage, treatment is covered 100%. Our billing team verifies your Medicare benefits and explains your coverage.

Does insurance cover oral appliances for sleep apnea?

Most medical insurance plans cover oral appliance therapy for diagnosed obstructive sleep apnea. A sleep study confirming the diagnosis is typically required. Medicare also covers oral appliances for sleep apnea. Our team verifies your benefits before treatment.

Do you offer payment plans?

Yes. We offer CareCredit and Cherry, which both provide monthly payment plans for medical expenses. We also accept cash, checks, and all major credit cards. Our team can walk through payment options with you at your visit.

What if you are not in-network with my plan?

We are in-network with most major insurance plans. If we are out-of-network with yours, we can often still bill your plan and help you seek reimbursement. Call (310) 933-3077 with your insurance card ready and we will verify your specific plan.

― Schedule Your Consultation

Ready to Find Relief?

Schedule your evaluation with our board-certified orofacial pain specialists and start your path to lasting recovery.

We accept Medicare and most major insurance plans.

Medically Reviewed By

Dr. Eric J. Grin, DDS, MS

Board-Certified Orofacial Pain Specialist · Diplomate, American Board of Orofacial Pain · Assistant Professor, UCLA

Last Updated: April 24, 2026