Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
Per the email attached below I complained about my treatment by DrN*** before the procedure that was done on 3/11/15, and could not get a response from the dentist only Barb the office manager who did not answer my questions. I tried going to the dentist website to ASK THE Dentist and still the dentist did not answer only Barb the office manager who gave me no answer at all when I was having problems speaking and wanted and email response. Also, I did not trip and fall on any pavement I was on the floor of my basement and was knocked into a post. I was not numb when the dentist started work on 3/11/because he kept leaving the room to treat other patients and he never asked when he came back in the room if I was numb. Also, Barb was not there in the office when I was being treated on 3/11/15.I am still disputing the refund amount as per attached sheet that was hand written from dentist office, they are charging me $1,for Implant on tooth #but *** Dental paid them $and the Patients Amount due was $491.60. The are charging me $for C+ Scan x-ray which was covered under the agreed implant amount and I am disputing. $for Surgical Guide on Tooth #that was not done, $for Surgical Guide on Tooth #that was not done. $for temporary partial which was included in the implant treatment amount and that I am disputing. $for pontic on Tooth #that was not done. Per my attached receipts I paid on 2/28/credit card payment of $and on 3/11/credit card payment of $6,716.60.Per the *** Dental Insurance Explaination of Benefits attached, I only owed for the following: *** ** *** ***
*** ** *** *** * *** *** *** *** * *** *** *** *** ***
*** ** *** ***
*** *** *** ** *** * *** *** *** *** * *** *** *** ***
*** *** *** ** *** ***
*** ** *** *** *** * *** *** *** ** *** * *** *** *** *** *** ***. I still have not accepted an overpayment check from dentist since there amount is incorrect and I will not accept or sign release for incorrect amount. I have called the dentist office and sent written notice trying to obtain a copy of my patient chart, and billing documents to see how they obtained there amount and the dental office has refused ever time to let me speak to the dentist and Barb the office manager just gets rude and hangs up on me from the get go when I decided that DrN*** was not going to complete the dental work since he does not offer IV sedation and I per three other oral surgeons and neurologist I should never have novicane injections in my mouth because now I have soft tissue damage in my upper lip and under my nose from the prior shots that I received on 3/11/15.Also, I never received any explaination of the proceedures I received on 3/11/and felt that hours in a dental chair is excessive, especially when I told the dental assistant Vickie several times that I was done and was leaving and was forced back n the dental chair. I was in the office on 3/11/from pm eastern time till 9:pm eastern time, and my husband at 5:pm came to check on me and the door was locked and he was refused entry till before pm when they had him go get my perscriptions. Also, the dentist never called the next day to even check on my status after keeping me in the dental chair that long
Regards,
*** *** Independence Family Dentistry Mar 2to me Hi, ***, my name is Barb, the office manager, I am so sorry about your experience on Thursday.I can answer your question about the procedures being done without any painWe have nitrogen oxide and a sedative, Halcion, they we give our patientsThe other questions that you have for doctor, will be answered by him when you can talk better without painThis way when he explains the procedures to you , you can voice your concerns and questions at that timeIf we can do anything in the mean time, please let us knowThank you, and I hope you feel better soon.BarbOn Mon, Mar 2, at 8:AM, wrote:***: *** name: *** *** phone: *** email: *** question: When I was in your office on 2/26/for an emergency visit I was in a lot of pain to the point that I was nausaus and when you gave me the shot of novacane without and numbing it put me in extreme pain and I did not get the opion at the time that it only concerned you at the time. Then it seemed as if I was highly pressured into doing the implants and crown procedure without any explaination of the procuredure or of how you will do the procedure painlessly without IV Sedation. I am still having pain and the veneers that were placed on Thursday in the office came off themselves without eating anything later that nightWhat sort of covering will to look like my real front teath will you place once my teeth are pulled? How will you control the pain during the procedure. Since I currently am having serious problems eating and dringing and am not able to eat solid food. Whin can I expect to be able to eat again. Also, what assurance do I have that my teeth will not be in pain and will look like natural teeth. I work hard for my money and since this is a large amount of money for most working people, I want to make sure this will not have to be redone in a year and what your success rate is for this proceedure. I am needing some assurance before I come back seeing how I was so poorly treated last time I was in your officePlease respond back by email as it is painful to speak right nowThanks, *** *** -------------------------------------------------- This email was automatically generated by *** *** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
In regards to the question regarding the $1,check
#dated 5/26/that
Independence Family Dentistry sent to my dental insurance provider ***
Dental the payment was received and applied to my dental benefits on 7/07/
Please not per *** and *** a supervisor that I spoke
to at *** *** ###-###-#### I receive a Dental Benefit Max of $2,for
the year of 2015. When Independence
Family Dentistry sent the check for $1,it but a credit back on my Dental
Benefits Max for the year only since when the dentist submitted the
original charges for the full Implant Bridge procedure for teeth and and
the extraction of teeth # 7, #and #which Maxed out my Dental Benefits for
the year as of 3/25/15.
Per *** a supervisor at *** if there is a Credit
Balance to the patients *** *** Max Dental Benefits at the end of no
checks are cut to the patient for the credit in benefit since in January of
the next year the benefits start all over again and the patient receives a
credit for the Max benefit of $2,for the new yearAlso, please note the $1,that was sent to *** was
only a credit to the Dental Insurance part of the following procedures and the
difference that the patient has to pay has to be reversed separately
*** *** ** *** *** * *** *** *** ***
*** *** ** *** *** *** *** *** ***
*** *** ** *** *** *** * *** *** ***
*** *** ** *** *** *** *** *** *** ***
*** *** *** ** *** ***
*** *** *** *** *** *** ** *** *** *** ** *** *** *** *** ***
Once the credits listed above were applied to the patients
*** Max Benefit for the year 2015.
Then Independence Family Dentistry submitted additional bills to ***
and received additional checks of $
The Billing Detail was correct with offsets by the ***
payments and Patient payments up to 3/11/
and reflected a $difference debit only not the $as reflected on
the Billing Detail provided by the Independent Family Dentistry
Please have the Billing Detail reviewed since the amounts for the year do not provide
correct offsets for the charges and I am not aware of what charges the write
offs offset
Regards,
*** ***
Dear DrN***;I have reviewed the spreadsheet that was preparied by *** and it appears there is a payment missing on the original Single Patient Billing Ledger that was prepared for patient *** *** I have attached a copy of the payment receipt of $that was paid to DrN*** office on 7/27/2012, so that payment should reduce the Patient Balance Forward on the Ledger from $to $99.40.So the the Original Patient Expense Balance Due of $ 1,113.00Then add the Extraction for Tooth # for a Charge of $ 119.00Patient Balance Forward on ledger from $ 99.40Total of Charges Due is $ 1,331.40Total Payments by the Patient *** *** $ 6,716.60Patient Overpayment Refund amount due *** *** $ 5,385.20The check for the overpayment amount will need to be issued to *** *** immediately.Sincerely,*** ***Email ***Phone# ###-###-####
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I need detailed billing information as to the estimated amount, and what you are actually charging for. The original estimate was incorrect after the additional charges were sent to [redacted], regarding the billing dispute. I should have a credit balance of over $6,000. So, I don't know what you are charging for in your estimate.
Regards,
[redacted]
Dr. N[redacted] was available to answer any questions you had prior to or after the procedure. You also signed a consent form agreeing to the treatment. In response to the financial obligation, we have been in contact with the insurance company and spoke with [redacted] and the amount calculated is correct.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
After review of the billing ledger I do not see where the dentist office has reversed the charges of Custom Abutment for Tooth #7 of $548.00 and Abutment Support for Tooth#7 for $810.00 where the procedures were not performed by Dr. N[redacted] on 3/11/15.Also, please provide copies of the Billing Ledger document for the years 2012, 2013 and 2014 for review of the additional charge for $289.00 that per Dentist was an outstanding balance from 2012.
Regards,
[redacted]
See attached document.288.80 was carry over. 1st visit that she came in July 19, 2012 had 0 balance. Then she inquired from that time frame until, after everything was said and done August 8, 2012 still had balance of $288.80 from July 19, 2012-August 8,2014 within that time frame that the balance occurred (and has been on that timeframe the whole time). If you need itemized, will need to look at every date of service to see where that balance is coming from, and this will take time.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Per the attached documents is a copy of the finalized billing dispute with [redacted] Dental where they reviewed the additional charges submitted by Independence Family Dentistry and Dr. N[redacted] for the date of 3/11/15.In regards to the $500.00 charge for the C+Scan x-ray that the dentist submitted a bill for $500.00 the Negotiated in network fee of $316.00 was allowed and [redacted] Paid 60% to the dentist $189.60The other charges that were submitted for $350.00 for unspecified diagnostic procedure for teeth 7 and 8 were denied pending valid CDT procedure code based on tooth number and location. *Since these procedures were completed I am requesting the dentist remove the additional charges from my refund amount.Also the interim denture upper for the Temporary Partial - [redacted] deemed the procedure was not covered and the $293.00 should also be removed from my overpayment refund amount. The [redacted] Dental Billing dispute from the [redacted] Billing Analyst Supervisor [redacted], has been completed unless the dentist can provide additional documentation for the charges that were denied.Also, per the attached Billing Ledger when I made my final payment to the dentist in the amount of $4,075.60 my invoice listed a Total Credit on my $6,876.60At this time since the billing dispute has been reviewed by [redacted] Dental, I requesting a new review of my records without the additional charges reviewed above since it is clear the $4,528.80 does not reflect the true overpayment that is due for dental procedures not completed by Dr. N[redacted] or Independence Family Denistry.I would also like to request a copy of my patient chart and copy of billing ledger that I have been requesting since May 11, 2015 with no response from the dental office at Independence Family Denistry. Considering that I have suffered greatly physically and financial from my dealing with this dentist and now have to have all crowns and fillings that were done incompletely by Dr. N[redacted] redone per my new dentist since they did not fit the crowns properly and they have developed dental fitting issues.Please provide the updated billing for my overpayment as soon as possible as it has now been 6 months since the last dental service was provided.Sincerely,[redacted]
Regards,
[redacted]
This is in response to the complaint filed by [redacted], ID [redacted], on July 6, 2015. First of all, I want to express the issue on the way she was treated by Dr. N[redacted] has been a patient of Independence Family Dentistry since May, 2011. We treat all our patients (including [redacted])...
with the best dental care, respect and consideration. Dr N[redacted] would never perform procedures on a patient- until he is absolutely sure they are completely numb. On February 26,2015 [redacted] presented with having pain on her anterior teeth. Patient tripped and fell on her face hitting the pavement. X-rays revealed tooth Numbers 7,8 and 9 were fractured. On March 11, 2015, Dr N[redacted] extracted number 7, 8 and 9. Teeth were broken-non restorable. He placed an implant on tooth #7 Gave her antibiotics and pain medication. Number 9 needed 6-8 weeks healing time- so he could not place an implant on that area until it healed. On March 23, 2015, [redacted] was given (upper & lower) essex retainer patient was happy. The doctor took impressions for a flipper for 7-9. On April 7, 2015-doctor seated the partial- patient expressed she was happy with the esthetics and function. | received numerous letters, emails and phone calls from [redacted]. Each time I explained Everything to her. Explained the charges that she was responsible for-her refund due to her – the refund due to [redacted] (which we mailed). She would not listen, insisted on getting a full refund. She even went as far as calling and pretending she was a representative from [redacted]. When I told her, I knew who she was—she said she would take the $4528.80—we had offered- told her she needed to come in and sign a release form. This was on July 6, 2015– have not heard from her since. She sent a complaint to [redacted]-they requested all documentation-which we sent x-rays, clinical notes, completed work and total charges for which [redacted] was responsible. Today July 15, 2015, I received a call from [redacted], following up on the requested Information. He reviewed the x-rays and the treatment [redacted] had been provided. He Found no misconduct from Dr N[redacted] and the treatment was to standard. He received the Breakdown of the payments and saw nothing unusual. Said he would send [redacted] a letter And once we heard from her- try to give her the refund again.[redacted] requested all charges not covered in over maximum, we the submitted claim, and once [redacted] reviews it, they will determine what her over payment and refund would be. As of now, we are waiting for [redacted] to respond.Regards,Barb P[redacted] Office ManagerIndependence Family Dentistry
Revdex.com was contacted by the business and the business indicated that they called [redacted] on 2/19/16 and that the amount was sent back and was redistributed into benefits. Business spoke with [redacted] on 2/19/16 and Reference # for the image of the check is: [redacted]. Check # is [redacted] and was issued on 5/26/15. The reference # for the call is:[redacted]. Per business, the image/information of check can be obtained by offering Reference# for image of check.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
First per the attached letter from [redacted] Dental Insurance
my dental insurance provider dated 7/16/15, the only procedures
performed by Independent Family Dentistry on 3/11/15 were the extraction of teeth #7, #8 and #9 and a
Surgical Guide Stent (Endosteel Post) for tooth #7 only.
*See Document #1
The charges for this work are as follows:
[redacted] [redacted] [redacted]
[redacted] [redacted] [redacted]
[redacted] [redacted]
[redacted] [redacted] ...⇄ />
...⇄ [redacted]
*See Documents # 2,3,4
All Payments made by [redacted] on 3/25/15
Then on July 28,
2015 I received a letter from my dental insurance [redacted]
that additional charges from 3/11/15
had
been submitted for payment for the following:
[redacted]
[redacted]
[redacted]
[redacted]
[redacted]
[redacted] Insurance stated was not covered expense- No Payment ...⇄ />
Total Amount Due by Patient $298.00
*See document #5 All Payments made by [redacted] on 9/03/15
Per Documents listed above it proofs the Patients Portion of
the Dental Procedure from 3/11/15
is
$1,091.40 not the $3,543.80 that was reflected on Independent
Family Dentistry hand written statement.
Which reflects the difference of $2,452.40
*See Docuemnt #6
Then on the handwritten statement by Independent Family
Dentistry there was a charge of $639.00 for Tooth #8 for Pontic which was never
billed to [redacted] Insurance and the procedure should have be reversed
from the billing charges.
Also, the Independent Family Dentistry on 3/25/15 billed my
dental insurance [redacted] for the full procedure to complete the Dental
Implant Bridge and had max out my dental insurance for payment of $2,000.00 and
had made me pay in full on 2/26/15 a
payment for $2,641.00 for a partial bridge that was never
done and again on 3/11/15 for in the amount of $4,075.60 for the Implants for
the Implants to tooth #7 and #9 for Total payment of $6,716.60.
Therefore, the following are the amounts paid and the
correct amounts the patient should have paid:
Total Payments by Patient = ...⇄ $6,716.66
[redacted] ** [redacted]
[redacted] ** [redacted]
[redacted] [redacted] ...⇄ * [redacted]
I also have attached copies of estimates I received from
different dentist to complete the Implant
Bridge for Tooth # 7 and *9 and
which proofs that Independent Dentistry did not complete the remaining
procedures.
*See Documents #7 and 8.
Regards,
[redacted]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
In regards to the question regarding the $1,807.80 check
#1602 dated 5/26/15 that
Independence Family Dentistry sent to my dental insurance provider [redacted]
Dental the payment was received and applied to my dental benefits on 7/07/16.
Please not per [redacted] and [redacted] a supervisor that I spoke
to at [redacted] ###-###-#### I receive a Dental Benefit Max of $2,000.00 for
the year of 2015. When Independence
Family Dentistry sent the check for $1,807.80 it but a credit back on my Dental
Benefits Max for the year 2015 only since when the dentist submitted the
original charges for the full Implant Bridge procedure for teeth 7 and 9 and
the extraction of teeth # 7, #8 and #9 which Maxed out my Dental Benefits for
the year 2015 as of 3/25/15.
Per [redacted] a supervisor at [redacted] if there is a Credit
Balance to the patients [redacted] Max Dental Benefits at the end of 2015 no
checks are cut to the patient for the credit in benefit since in January 1 of
the next year the benefits start all over again and the patient receives a
credit for the Max benefit of $2,000.00 for the new year. Also, please note the $1,807.80 that was sent to [redacted] was
only a credit to the Dental Insurance part of the following procedures and the
difference that the patient has to pay has to be reversed separately.
3/11/15 Tooth #9 Endosteel Implant - [redacted] Portion
Credit $737.40
3/11/15 Tooth #9 Custom Implant Abutment -[redacted] Portion $256.80
3/11/15 Tooth #7 Custom Implant Abutment - [redacted]
Portion $327.60
3/11/15 Tooth #7 Abutment support Ceramic Crown-
[redacted] Portion $486.00 ...⇄ />
Total Amount Paid to
[redacted] $1,807.80
*This does not apply any credit to the Patients Portion of
the charges which total $2,133.20.
Once the credits listed above were applied to the patients
[redacted] Max Benefit for the year 2015.
Then Independence Family Dentistry submitted additional bills to [redacted]
and received additional checks of $361.20.
The Billing Detail was correct with offsets by the [redacted]
payments and Patient payments up to 3/11/15
and reflected a $25.00 difference debit only not the $390.80 as reflected on
the Billing Detail provided by the Independent Family Dentistry.
Please have the Billing Detail reviewed since the amounts for the year 2015 do not provide
correct offsets for the charges and I am not aware of what charges the write
offs offset.
Regards,
[redacted]
Independence Family Dentistry has been in touch with [redacted] at [redacted]. They have reviewed the 2015 ledger and have agreed that Ms. [redacted] is due a refund of $5195.80. Since Ms. [redacted] hasn't disputed the January 2015 cleaning, $233 would be deducted from that for a total refund of $4962.80. Ms. [redacted] is in agreement of this revised refund. If Ms. [redacted] is willing to accept this amount, Independence Family Dentistry will send a check to Revdex.com (made payable to Ms. [redacted]) which will then forward to Ms. [redacted].
Custom Abutment for Tooth#7 of $548.00 and Abutment Support #7 for $810.00 was credited back from the difference of the refund, and that's what reflected in the credit. She decided to go elsewhere for treatment and ledger was adjusted to reflect that, it was done, credited back into insurance, and refund insurance.
We are sending a certified ledger of [redacted] account asking her to please sign and return to our office for an immediate refund check in the amount of $4840.60. Thanks,Independence Family Dentistry859-356-2000
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
Per the email attached below I complained about my treatment by DrN*** before the procedure that was done on 3/11/15, and could not get a response from the dentist only Barb the office manager who did not answer my questions. I tried going to the dentist website to ASK THE Dentist and still the dentist did not answer only Barb the office manager who gave me no answer at all when I was having problems speaking and wanted and email response. Also, I did not trip and fall on any pavement I was on the floor of my basement and was knocked into a post. I was not numb when the dentist started work on 3/11/because he kept leaving the room to treat other patients and he never asked when he came back in the room if I was numb. Also, Barb was not there in the office when I was being treated on 3/11/15.I am still disputing the refund amount as per attached sheet that was hand written from dentist office, they are charging me $1,for Implant on tooth #but *** Dental paid them $and the Patients Amount due was $491.60. The are charging me $for C+ Scan x-ray which was covered under the agreed implant amount and I am disputing. $for Surgical Guide on Tooth #that was not done, $for Surgical Guide on Tooth #that was not done. $for temporary partial which was included in the implant treatment amount and that I am disputing. $for pontic on Tooth #that was not done. Per my attached receipts I paid on 2/28/credit card payment of $and on 3/11/credit card payment of $6,716.60.Per the *** Dental Insurance Explaination of Benefits attached, I only owed for the following: *** ** *** ***
*** ** *** *** * *** *** *** *** * *** *** *** *** ***
*** ** *** ***
*** *** *** ** *** * *** *** *** *** * *** *** *** ***
*** *** *** ** *** ***
*** ** *** *** *** * *** *** *** ** *** * *** *** *** *** *** ***. I still have not accepted an overpayment check from dentist since there amount is incorrect and I will not accept or sign release for incorrect amount. I have called the dentist office and sent written notice trying to obtain a copy of my patient chart, and billing documents to see how they obtained there amount and the dental office has refused ever time to let me speak to the dentist and Barb the office manager just gets rude and hangs up on me from the get go when I decided that DrN*** was not going to complete the dental work since he does not offer IV sedation and I per three other oral surgeons and neurologist I should never have novicane injections in my mouth because now I have soft tissue damage in my upper lip and under my nose from the prior shots that I received on 3/11/15.Also, I never received any explaination of the proceedures I received on 3/11/and felt that hours in a dental chair is excessive, especially when I told the dental assistant Vickie several times that I was done and was leaving and was forced back n the dental chair. I was in the office on 3/11/from pm eastern time till 9:pm eastern time, and my husband at 5:pm came to check on me and the door was locked and he was refused entry till before pm when they had him go get my perscriptions. Also, the dentist never called the next day to even check on my status after keeping me in the dental chair that long
Regards,
*** *** Independence Family Dentistry Mar 2to me Hi, ***, my name is Barb, the office manager, I am so sorry about your experience on Thursday.I can answer your question about the procedures being done without any painWe have nitrogen oxide and a sedative, Halcion, they we give our patientsThe other questions that you have for doctor, will be answered by him when you can talk better without painThis way when he explains the procedures to you , you can voice your concerns and questions at that timeIf we can do anything in the mean time, please let us knowThank you, and I hope you feel better soon.BarbOn Mon, Mar 2, at 8:AM, wrote:***: *** name: *** *** phone: *** email: *** question: When I was in your office on 2/26/for an emergency visit I was in a lot of pain to the point that I was nausaus and when you gave me the shot of novacane without and numbing it put me in extreme pain and I did not get the opion at the time that it only concerned you at the time. Then it seemed as if I was highly pressured into doing the implants and crown procedure without any explaination of the procuredure or of how you will do the procedure painlessly without IV Sedation. I am still having pain and the veneers that were placed on Thursday in the office came off themselves without eating anything later that nightWhat sort of covering will to look like my real front teath will you place once my teeth are pulled? How will you control the pain during the procedure. Since I currently am having serious problems eating and dringing and am not able to eat solid food. Whin can I expect to be able to eat again. Also, what assurance do I have that my teeth will not be in pain and will look like natural teeth. I work hard for my money and since this is a large amount of money for most working people, I want to make sure this will not have to be redone in a year and what your success rate is for this proceedure. I am needing some assurance before I come back seeing how I was so poorly treated last time I was in your officePlease respond back by email as it is painful to speak right nowThanks, *** *** -------------------------------------------------- This email was automatically generated by *** *** ***
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
In regards to the question regarding the $1,check
#dated 5/26/that
Independence Family Dentistry sent to my dental insurance provider ***
Dental the payment was received and applied to my dental benefits on 7/07/
Please not per *** and *** a supervisor that I spoke
to at *** *** ###-###-#### I receive a Dental Benefit Max of $2,for
the year of 2015. When Independence
Family Dentistry sent the check for $1,it but a credit back on my Dental
Benefits Max for the year only since when the dentist submitted the
original charges for the full Implant Bridge procedure for teeth and and
the extraction of teeth # 7, #and #which Maxed out my Dental Benefits for
the year as of 3/25/15.
Per *** a supervisor at *** if there is a Credit
Balance to the patients *** *** Max Dental Benefits at the end of no
checks are cut to the patient for the credit in benefit since in January of
the next year the benefits start all over again and the patient receives a
credit for the Max benefit of $2,for the new yearAlso, please note the $1,that was sent to *** was
only a credit to the Dental Insurance part of the following procedures and the
difference that the patient has to pay has to be reversed separately
*** *** ** *** *** * *** *** *** ***
*** *** ** *** *** *** *** *** ***
*** *** ** *** *** *** * *** *** ***
*** *** ** *** *** *** *** *** *** ***
*** *** *** ** *** ***
*** *** *** *** *** *** ** *** *** *** ** *** *** *** *** ***
Once the credits listed above were applied to the patients
*** Max Benefit for the year 2015.
Then Independence Family Dentistry submitted additional bills to ***
and received additional checks of $
The Billing Detail was correct with offsets by the ***
payments and Patient payments up to 3/11/
and reflected a $difference debit only not the $as reflected on
the Billing Detail provided by the Independent Family Dentistry
Please have the Billing Detail reviewed since the amounts for the year do not provide
correct offsets for the charges and I am not aware of what charges the write
offs offset
Regards,
*** ***
Dear DrN***;I have reviewed the spreadsheet that was preparied by *** and it appears there is a payment missing on the original Single Patient Billing Ledger that was prepared for patient *** *** I have attached a copy of the payment receipt of $that was paid to DrN*** office on 7/27/2012, so that payment should reduce the Patient Balance Forward on the Ledger from $to $99.40.So the the Original Patient Expense Balance Due of $ 1,113.00Then add the Extraction for Tooth # for a Charge of $ 119.00Patient Balance Forward on ledger from $ 99.40Total of Charges Due is $ 1,331.40Total Payments by the Patient *** *** $ 6,716.60Patient Overpayment Refund amount due *** *** $ 5,385.20The check for the overpayment amount will need to be issued to *** *** immediately.Sincerely,*** ***Email ***Phone# ###-###-####
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
I need detailed billing information as to the estimated amount, and what you are actually charging for. The original estimate was incorrect after the additional charges were sent to [redacted], regarding the billing dispute. I should have a credit balance of over $6,000. So, I don't know what you are charging for in your estimate.
Regards,
[redacted]
Dr. N[redacted] was available to answer any questions you had prior to or after the procedure. You also signed a consent form agreeing to the treatment. In response to the financial obligation, we have been in contact with the insurance company and spoke with [redacted] and the amount calculated is correct.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
After review of the billing ledger I do not see where the dentist office has reversed the charges of Custom Abutment for Tooth #7 of $548.00 and Abutment Support for Tooth#7 for $810.00 where the procedures were not performed by Dr. N[redacted] on 3/11/15.Also, please provide copies of the Billing Ledger document for the years 2012, 2013 and 2014 for review of the additional charge for $289.00 that per Dentist was an outstanding balance from 2012.
Regards,
[redacted]
See attached document.288.80 was carry over. 1st visit that she came in July 19, 2012 had 0 balance. Then she inquired from that time frame until, after everything was said and done August 8, 2012 still had balance of $288.80 from July 19, 2012-August 8,2014 within that time frame that the balance occurred (and has been on that timeframe the whole time). If you need itemized, will need to look at every date of service to see where that balance is coming from, and this will take time.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Per the attached documents is a copy of the finalized billing dispute with [redacted] Dental where they reviewed the additional charges submitted by Independence Family Dentistry and Dr. N[redacted] for the date of 3/11/15.In regards to the $500.00 charge for the C+Scan x-ray that the dentist submitted a bill for $500.00 the Negotiated in network fee of $316.00 was allowed and [redacted] Paid 60% to the dentist $189.60The other charges that were submitted for $350.00 for unspecified diagnostic procedure for teeth 7 and 8 were denied pending valid CDT procedure code based on tooth number and location. *Since these procedures were completed I am requesting the dentist remove the additional charges from my refund amount.Also the interim denture upper for the Temporary Partial - [redacted] deemed the procedure was not covered and the $293.00 should also be removed from my overpayment refund amount. The [redacted] Dental Billing dispute from the [redacted] Billing Analyst Supervisor [redacted], has been completed unless the dentist can provide additional documentation for the charges that were denied.Also, per the attached Billing Ledger when I made my final payment to the dentist in the amount of $4,075.60 my invoice listed a Total Credit on my $6,876.60At this time since the billing dispute has been reviewed by [redacted] Dental, I requesting a new review of my records without the additional charges reviewed above since it is clear the $4,528.80 does not reflect the true overpayment that is due for dental procedures not completed by Dr. N[redacted] or Independence Family Denistry.I would also like to request a copy of my patient chart and copy of billing ledger that I have been requesting since May 11, 2015 with no response from the dental office at Independence Family Denistry. Considering that I have suffered greatly physically and financial from my dealing with this dentist and now have to have all crowns and fillings that were done incompletely by Dr. N[redacted] redone per my new dentist since they did not fit the crowns properly and they have developed dental fitting issues.Please provide the updated billing for my overpayment as soon as possible as it has now been 6 months since the last dental service was provided.Sincerely,[redacted]
Regards,
[redacted]
This is in response to the complaint filed by [redacted], ID [redacted], on July 6, 2015. First of all, I want to express the issue on the way she was treated by Dr. N[redacted] has been a patient of Independence Family Dentistry since May, 2011. We treat all our patients (including [redacted])...
with the best dental care, respect and consideration. Dr N[redacted] would never perform procedures on a patient- until he is absolutely sure they are completely numb. On February 26,2015 [redacted] presented with having pain on her anterior teeth. Patient tripped and fell on her face hitting the pavement. X-rays revealed tooth Numbers 7,8 and 9 were fractured. On March 11, 2015, Dr N[redacted] extracted number 7, 8 and 9. Teeth were broken-non restorable. He placed an implant on tooth #7 Gave her antibiotics and pain medication. Number 9 needed 6-8 weeks healing time- so he could not place an implant on that area until it healed. On March 23, 2015, [redacted] was given (upper & lower) essex retainer patient was happy. The doctor took impressions for a flipper for 7-9. On April 7, 2015-doctor seated the partial- patient expressed she was happy with the esthetics and function. | received numerous letters, emails and phone calls from [redacted]. Each time I explained Everything to her. Explained the charges that she was responsible for-her refund due to her – the refund due to [redacted] (which we mailed). She would not listen, insisted on getting a full refund. She even went as far as calling and pretending she was a representative from [redacted]. When I told her, I knew who she was—she said she would take the $4528.80—we had offered- told her she needed to come in and sign a release form. This was on July 6, 2015– have not heard from her since. She sent a complaint to [redacted]-they requested all documentation-which we sent x-rays, clinical notes, completed work and total charges for which [redacted] was responsible. Today July 15, 2015, I received a call from [redacted], following up on the requested Information. He reviewed the x-rays and the treatment [redacted] had been provided. He Found no misconduct from Dr N[redacted] and the treatment was to standard. He received the Breakdown of the payments and saw nothing unusual. Said he would send [redacted] a letter And once we heard from her- try to give her the refund again.[redacted] requested all charges not covered in over maximum, we the submitted claim, and once [redacted] reviews it, they will determine what her over payment and refund would be. As of now, we are waiting for [redacted] to respond.Regards,Barb P[redacted] Office ManagerIndependence Family Dentistry
Revdex.com was contacted by the business and the business indicated that they called [redacted] on 2/19/16 and that the amount was sent back and was redistributed into benefits. Business spoke with [redacted] on 2/19/16 and Reference # for the image of the check is: [redacted]. Check # is [redacted] and was issued on 5/26/15. The reference # for the call is:[redacted]. Per business, the image/information of check can be obtained by offering Reference# for image of check.
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
First per the attached letter from [redacted] Dental Insurance
my dental insurance provider dated 7/16/15, the only procedures
performed by Independent Family Dentistry on 3/11/15 were the extraction of teeth #7, #8 and #9 and a
Surgical Guide Stent (Endosteel Post) for tooth #7 only.
*See Document #1
The charges for this work are as follows:
[redacted] [redacted] [redacted]
[redacted] [redacted] [redacted]
[redacted] [redacted]
[redacted] [redacted]
...⇄ /> ...⇄ [redacted]
*See Documents # 2,3,4
All Payments made by [redacted] on 3/25/15
Then on July 28,
2015 I received a letter from my dental insurance [redacted]
that additional charges from 3/11/15
had
been submitted for payment for the following:
[redacted]
[redacted]
[redacted]
[redacted]
[redacted]
[redacted] Insurance stated was not covered expense- No Payment
...⇄ /> Total Amount Due by Patient $298.00
*See document #5 All Payments made by [redacted] on 9/03/15
Per Documents listed above it proofs the Patients Portion of
the Dental Procedure from 3/11/15
is
$1,091.40 not the $3,543.80 that was reflected on Independent
Family Dentistry hand written statement.
Which reflects the difference of $2,452.40
*See Docuemnt #6
Then on the handwritten statement by Independent Family
Dentistry there was a charge of $639.00 for Tooth #8 for Pontic which was never
billed to [redacted] Insurance and the procedure should have be reversed
from the billing charges.
Also, the Independent Family Dentistry on 3/25/15 billed my
dental insurance [redacted] for the full procedure to complete the Dental
Implant Bridge and had max out my dental insurance for payment of $2,000.00 and
had made me pay in full on 2/26/15 a
payment for $2,641.00 for a partial bridge that was never
done and again on 3/11/15 for in the amount of $4,075.60 for the Implants for
the Implants to tooth #7 and #9 for Total payment of $6,716.60.
Therefore, the following are the amounts paid and the
correct amounts the patient should have paid:
Total Payments by Patient = ...⇄ $6,716.66
[redacted] ** [redacted]
[redacted] ** [redacted]
[redacted]
[redacted] ...⇄ * [redacted]
I also have attached copies of estimates I received from
different dentist to complete the Implant
Bridge for Tooth # 7 and *9 and
which proofs that Independent Dentistry did not complete the remaining
procedures.
*See Documents #7 and 8.
Regards,
[redacted]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.
In regards to the question regarding the $1,807.80 check
#1602 dated 5/26/15 that
Independence Family Dentistry sent to my dental insurance provider [redacted]
Dental the payment was received and applied to my dental benefits on 7/07/16.
Please not per [redacted] and [redacted] a supervisor that I spoke
to at [redacted] ###-###-#### I receive a Dental Benefit Max of $2,000.00 for
the year of 2015. When Independence
Family Dentistry sent the check for $1,807.80 it but a credit back on my Dental
Benefits Max for the year 2015 only since when the dentist submitted the
original charges for the full Implant Bridge procedure for teeth 7 and 9 and
the extraction of teeth # 7, #8 and #9 which Maxed out my Dental Benefits for
the year 2015 as of 3/25/15.
Per [redacted] a supervisor at [redacted] if there is a Credit
Balance to the patients [redacted] Max Dental Benefits at the end of 2015 no
checks are cut to the patient for the credit in benefit since in January 1 of
the next year the benefits start all over again and the patient receives a
credit for the Max benefit of $2,000.00 for the new year. Also, please note the $1,807.80 that was sent to [redacted] was
only a credit to the Dental Insurance part of the following procedures and the
difference that the patient has to pay has to be reversed separately.
3/11/15 Tooth #9 Endosteel Implant - [redacted] Portion
Credit $737.40
3/11/15 Tooth #9 Custom Implant Abutment -[redacted] Portion $256.80
3/11/15 Tooth #7 Custom Implant Abutment - [redacted]
Portion $327.60
3/11/15 Tooth #7 Abutment support Ceramic Crown-
[redacted] Portion $486.00
...⇄ /> Total Amount Paid to
[redacted] $1,807.80
*This does not apply any credit to the Patients Portion of
the charges which total $2,133.20.
Once the credits listed above were applied to the patients
[redacted] Max Benefit for the year 2015.
Then Independence Family Dentistry submitted additional bills to [redacted]
and received additional checks of $361.20.
The Billing Detail was correct with offsets by the [redacted]
payments and Patient payments up to 3/11/15
and reflected a $25.00 difference debit only not the $390.80 as reflected on
the Billing Detail provided by the Independent Family Dentistry.
Please have the Billing Detail reviewed since the amounts for the year 2015 do not provide
correct offsets for the charges and I am not aware of what charges the write
offs offset.
Regards,
[redacted]
Independence Family Dentistry has been in touch with [redacted] at [redacted]. They have reviewed the 2015 ledger and have agreed that Ms. [redacted] is due a refund of $5195.80. Since Ms. [redacted] hasn't disputed the January 2015 cleaning, $233 would be deducted from that for a total refund of $4962.80. Ms. [redacted] is in agreement of this revised refund. If Ms. [redacted] is willing to accept this amount, Independence Family Dentistry will send a check to Revdex.com (made payable to Ms. [redacted]) which will then forward to Ms. [redacted].
Custom Abutment for Tooth#7 of $548.00 and Abutment Support #7 for $810.00 was credited back from the difference of the refund, and that's what reflected in the credit. She decided to go elsewhere for treatment and ledger was adjusted to reflect that, it was done, credited back into insurance, and refund insurance.
We are sending a certified ledger of [redacted] account asking her to please sign and return to our office for an immediate refund check in the amount of $4840.60. Thanks,Independence Family Dentistry859-356-2000