Written & reviewed by Dr. Soujanya Maddipati, DDS, MPH · DDS — University of Colorado Denver (2013) · MPH — University of Oklahoma · Licensed by the Texas State Board of Dental Examiners · Medicaid Provider · Last reviewed 2026
General information only — not a substitute for professional dental advice. Call 832-779-5522 for a personal evaluation. Content reviewed against ADA guidelines and CDC oral health data.

Aetna PPO · Houston TX

Aetna PPO Dentist – North Houston

Name: Mi Smile Family Dental
Address: 11834 Airline Drive, Houston, TX, 77037, US
Telephone: 832-779-5522
Price range: $
Rating: 5.0

Mi Smile Family Dental on Airline Drive participates in Aetna's Dental PPO — known in Texas as the Participating Dental Network (PDN). We serve Greenspoint (77060), Aldine (77037 · 77038), Hidden Valley (77088), and all of North Houston. We verify your specific Aetna benefits and remaining annual maximum before every appointment so there are no surprises.

Verify My Aetna Benefits Request Appointment

General Information: This page summarizes how Aetna PPO dental benefits generally work. Your specific plan terms, annual maximum, deductible, and covered services may differ. Always verify your coverage directly with Aetna or call us and we check for you. Last reviewed by Dr. Maddipati, DDS, MPH — March 2026.

PDN

Aetna PPO called "PDN" in Texas

100%

Preventive care (in-network)

80%

Basic services after deductible

50%

Major services after deductible

Coverage figures represent Aetna Dental PPO standard benefit structures (Aetna PPO Summary 2026, effective 01-01-2026, accessed via benefits.truist.com and cr.org/cobra). Your specific employer plan may differ. Source: aetna.com, accessed March 2026.

How Aetna Dental PPO Works in Texas

Texas Note: Aetna PPO Is Called the "Participating Dental Network" (PDN)

In Texas, Aetna's Dental Preferred Provider Organization (PPO) plan is administered as the Participating Dental Network (PDN) by Aetna Life Insurance Company. If your Aetna insurance card or documents refer to "PDN," that is your Texas PPO plan. The coverage structure is the same as the national Aetna Dental PPO.

Source: Aetna.com — Dental Plans for Employers · aetna.com/health-insurance-plans/dental.html · Accessed March 2026

What Aetna PPO Typically Covers — 2026

Aetna Dental PPO plans generally divide covered services into three tiers. The percentages below reflect the in-network benefit structure for typical employer-sponsored Aetna PPO plans effective January 1, 2026.

Tier	Service Examples	Typical In-Network Coverage
Preventive	Cleanings, exams, X-rays, fluoride, sealants	Varies by plan
Basic	Fillings, simple extractions, periodontal scaling	Varies by plan
Major	Crowns, bridges, root canals, dentures	Varies by plan
Orthodontics	Braces, aligners (if included in plan)	Varies by plan
Cosmetic	Whitening, veneers for cosmetic reasons	Not covered

Source: Aetna Dental PPO Benefits Summary 2026 (effective 01-01-2026) — accessed via benefits.truist.com/aetna-dental-ppo-summary-2026.pdf and cr.org/cobra/files/2026-dental_benefit_summary.pdf, March 2026. These are general estimates. Your employer plan's specific schedule of benefits governs actual coverage. Out-of-network payments are based on the 80th percentile of billed charges in your area (Aetna PPO) — you pay the difference between that allowance and the provider's charge.

Important Aetna PPO Rules to Know

Alternate Treatment Rule

Aetna may authorize coverage only for a less costly covered service when multiple treatment options exist. If you and your dentist choose a more expensive covered service, you are responsible for the additional cost beyond what Aetna allows for the alternate service. We explain this clearly before treatment begins. Source: Aetna Dental PPO Benefits Summary 2026.

Virtual Dental Care Now Available Through Aetna

Aetna Dental PPO members have access to virtual dental care through Dental.com using SmartScan technology. Members can submit photos of their teeth and receive preliminary assessment and care recommendations from a virtual provider. This is available through your Aetna member portal at aetna.com. Virtual care can help determine whether an in-person visit is needed. Source: Aetna PPO Benefits Summary 2026, aetna.com.

Most Aetna Plans Reset January 1 — Unused Benefits Expire

Most employer-provided Aetna plans operate on a calendar year benefit cycle (January 1 – December 31). Any unused annual maximum does not carry over. If you have remaining benefits before year-end and recommended treatment pending, scheduling before December 31 may reduce your out-of-pocket cost. See our year-end benefits guide →

How We Verify Your Aetna Benefits

You Call or Book

Call 832-779-5522 or request an appointment online. Provide your Aetna member ID and group number.

We Contact Aetna

We call Aetna's provider line and confirm your in-network status, annual maximum, amount used to date, deductible status, and covered services.

Pre-Treatment Estimate

Before your appointment, we give you an estimate of your likely out-of-pocket. Final amounts are determined by the claims process.

You Decide

We explain the recommended treatment and your estimated costs. You decide what to proceed with — there is no obligation to decide on the day.

North Houston Zip Codes We Serve — Aetna Patients

77037

77073

77014

77088

77038

77067

77060

77090

77076

Frequently Asked Questions — Aetna Dental Houston

Is Mi Smile Family Dental in-network with Aetna dental PPO?

We participate in the Aetna Dental PPO (known in Texas as the Participating Dental Network, or PDN). In-network status means we have agreed to Aetna's negotiated fee schedule for covered services, which generally reduces your out-of-pocket cost compared to an out-of-network provider. Call 832-779-5522 and we confirm your specific Aetna plan before scheduling.

What is the Aetna "Alternate Treatment Rule"?

Aetna may decide to authorize coverage for a less costly treatment option if multiple options could address your dental condition. If you choose a more expensive covered service, you pay the difference between Aetna's allowed amount for the alternative and the actual cost of your chosen service — in addition to your normal copay. We explain this clearly before any treatment decision so you are not surprised.

Does preventive care (cleanings) require a deductible with Aetna?

For most Aetna PPO plans, preventive services (cleanings, exams, X-rays) are generally well covered in-network — verify your specific Aetna plan benefits. Basic services (fillings, extractions) and major services (crowns, root canals) typically require a deductible before the plan's percentage kicks in. Your specific plan may vary — we verify this before your appointment.

My Aetna plan does not list Mi Smile Family Dental — does that mean I cannot use my benefits?

Not necessarily. PPO plans allow you to see any licensed dentist. If we are in-network, you pay less out-of-pocket. If we are out-of-network, Aetna still pays a portion — typically based on the 80th percentile of billed charges in the area — and you pay the remainder. Call us at 832-779-5522 and we clarify your in-network status and what costs you can expect.

Verify Your Aetna Coverage — No Waiting on Hold

Call us and we contact Aetna on your behalf. We confirm your benefits, check your remaining annual maximum, and give you a cost estimate before your appointment. Serving North Houston including 77037, 77073, 77014, 77088 and surrounding areas.

832-779-5522 Request Appointment