Re: Dentist billing practices




Sounds like a typical 'insurance game'.

Dentist signs up for a 'plan' to get patients. Plan fees are
ridiculously low. Dentists scams a few fees in there to up
the total to make up for the discounts. Shady business practice, but
the insurance company is engaged in this as well. The insco
claims they are just looking out for the patient, but that is
a load of BS. They are just looking for a profit themselves.

Decent dental care simply is not cheap. Shop for big discounts,
and you will either get crappy dentistry, or imaginary savings.

BTW, I charge for nitrous too. I see no reason to raise all
of my fees to cover it. Those that 'need' it should bear the
cost.

JMO,
Steve



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?

.



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