At Leslie North Dental, First Nations and Inuit patients can put their Non-Insured Health Benefits (NIHB) coverage to work for both their general and specialist dental care. We confirm what your plan pays for ahead of time. New NIHB Patients are welcome. We are located at 17120 Leslie St #6 in Newmarket, and are open every day.
Ask us to confirm coverage before treatment.
NIHB Eligibility
NIHB provides dental benefits to eligible registered First Nations, recognized Inuit clients, and eligible young children. Our team can help verify your eligibility before treatment.
If you belong to an eligible group, our team can verify your NIHB information and review the benefits available to you.
Let us know you are an NIHB patient when you contact us, and we will help you understand the next steps.
Tell our team that you plan to use NIHB dental benefits.
Provide the information needed to confirm your eligibility.
We review your benefits and whether predetermination may be required.
Once coverage requirements are addressed, treatment can move forward.
If you are eligible for NIHB dental benefits and need a dentist in Newmarket, our team is here to help you understand your coverage and plan your treatment.
NIHB covers a range of medically necessary dental services. These are the categories patients ask about most.
Checkups and radiographs sit within the diagnostic benefits NIHB pays for when you are eligible.
Preventive work like scaling, polishing, fluoride therapy, and sealants is typically part of your NIHB benefits.
When a tooth needs a dental filling, it can qualify under your plan.
Some medically necessary dental crowns may qualify for NIHB coverage, but usually after NIHB reviews the case and grants predetermination.
A tooth extraction, whether a simple case or a surgical one, generally falls under NIHB oral surgery benefits. More complex surgical work needs approval first.
Full and partial dentures can be covered, within the frequency limits NIHB sets and any approval the program asks for.
For benefits that qualify, eligible NIHB clients usually owe no deductible and no co-payment. The proposed treatment must still meet NIHB coverage requirements.
Eligible treatment may be billed directly to the program.
Some services are covered only at specific time intervals.
Some treatment requires predetermination before it begins.
Certain services are excluded from NIHB dental benefits.
Our team can help you check your coverage before your appointment.
Certain procedures sit outside the program entirely. NIHB labels these exclusions. The list includes:
If you have both NIHB and the Canadian Dental Care Plan, let our team know when booking so your benefits can be coordinated correctly. NIHB is billed first, and CDCP comes afterward as the last plan to pay.
Billed First
Coordinated After NIHB
Newmarket & York Region
Patients come to Leslie North Dental for NIHB care from Newmarket, Aurora, East Gwillimbury, Georgina, and other parts of York Region.
17120 Leslie St #6
Newmarket, ON L3Y 8K7
FAQs
Yes. Eligible First Nations and Inuit patients are welcome to use their NIHB benefits with us. Reach out before your visit so we can confirm your details and check what your treatment involves.
Registered First Nations clients can present their NIHB eligibility details when they come in for covered dental care. We handle the verification on our end beforehand.
When your provider is enrolled with NIHB, eligible services can usually be billed straight to the program. It is still worth confirming coverage first, since frequency limits and prior-approval rules can come into play.
Yes. Preventive care such as scaling, polishing, and fluoride is generally included, provided you are within the program’s frequency guidelines.
No, CDCP coverage is intended for those without private dental insurance. If you have private coverage, your child is not eligible for CDCP benefits.
