Re: Sued Over Dental Bills
And of course before going to the dentist, both of you contacted your insurance company to determine what was covered and what authorizations were required, right?
Re: Sued Over Dental Bills
We had the same insurance for over 10 years. It is not the first time to have dental services.
What is puzzling is:
1. We were told it is a cleaning session, not scaling or rooting
2. The first cleaning session for my wife took almost everything out, and we are billed for the co-pay of $50, yet in the second (make sure all is out visit) they are trying to push it (without our concent or knowledge) under a process that takes weeks of work, 4 teeth at the time, and claimin that this final fine touch cleaning was the extensive scaling and root planning.
3. They mentioned initially that the co-pay for the second visit was over $200, when we asked explanation, they threw a law suit 3 days later for a $1035 to install fear and deter us from seeking information from the insurance co.
4. From all the records on the insurance benefits page, this office never even submit a claim to the insurance for the second visit. We think because Insurance C. will demand details on how the process was done, when it was not really done, neither we were concented to it. Some how they figured that we need to pay $200+ of co-pay without filing a claim?
5. The insurance co. determined that the dentist was network dentist and can not charge us for the difference between what is allowable and what they are charging.
We had the same insurance for over 10 years. It is not the first time to have dental services.
What is puzzling is:
1. We were told it is a cleaning session, not scaling or rooting
2. The first cleaning session for my wife took almost everything out, and we are billed for the co-pay of $50, yet in the second (make sure all is out visit) they are trying to push it (without our concent or knowledge) under a process that takes weeks of work, 4 teeth at the time, and claimin that this final fine touch cleaning was the extensive scaling and root planning.
3. They mentioned initially that the co-pay for the second visit was over $200, when we asked explanation, they threw a law suit 3 days later for a $1035 to install fear and deter us from seeking information from the insurance co.
4. From all the records on the insurance benefits page, this office never even submit a claim to the insurance for the second visit. We think because Insurance C. will demand details on how the process was done, when it was not really done, neither we were concented to it. Some how they figured that we need to pay $200+ of co-pay without filing a claim?
5. The insurance co. determined that the dentist was network dentist and can not charge us for the difference between what is allowable and what they are charging.
Re: Sued Over Dental Bills
Scaling and root planning should be performed only if periodontal disease has been diagnosed. Each quadrant is charged for separately using D4341. The dentist should have probed the periodontal pockets prior to the procedure to determine the scope of the disease. Generally, each quadrant's treatment should take 45-60 minutes to be performed well. A follow-up visit 6-12 weeks after the completion of the scaling and root planning is recommended to determine the therapeutic value of the treatment and whether or not a referral to a periodontist is appropriate. You may also want to alert the Dental Board in your state.