Re: Dentist billing practices

3boyzmom wrote:
Please tell me what you think about this. Below is what my son's dentist
charged us and the resulting fees and insurance payments. Am I crazy or am I
being charged twice for the $50 deductible?

Dentist charged $205 for a filling in my son's front tooth. The ins. co.
negotiated amount was $128, they deducted $50 for the deductible. So, $78
was the covered amount of which they paid $62.40 (80%) and we are responsible
for $15.60 (20%). There was also a seperate charge on the bill for $50
which they later rebilled (to me) as deductable. (When they billed the
insurance company they coded it as an Unspecified Diagnostic Procedure) And
the last charge on the bill was $45 for Nitrous Oxide. The insurance company
denied benefits for the $50 and $45 charges.

So, as I see it we should pay $50 ded. + $15.60 + $45=$110.60, do you agree?

Are they allowed to submit a seperate charge for the deductable?



I don't know of any dental insurance that pays for nitrous. You do not say whether the dentist is a participating dentist in your plan. I don't know what the "unspecified diagnostic procedure" was, but there is no harm in asking that the bill be explained to you.

Steve
.

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