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In general, pre-estimates are not a guarantee of payment. There is probably a statement to that effect on the pre-estimate. The claim denial has to be based on a provision of your policy, like hitting the maximum annual limit or the procedure not being covered. So check these things out first so you are armed with the facts.

Your question does not indicate what state you are in, but dental plans are primarily regulated at the state level by the state's Department of Insurance. The regulations in most states provide for an appeals procedure which you can use rather than the expense of a legal action to resolve the issue.

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