Best Dentist in Brooklyn

Review: On August **, 2013, I called [redacted]'s dental office and made an appointment to have 1 impacted wisdom tooth extracted, providing my social security number and insurance information. I arrived at the office the following morning for my 8:30 a.m. appointment and was informed that there was difficulty contacting my insurance company and I would be required to pay for the visit in cash since my primary residence was out of state and the dentist was concerned about being stuck with the bill (I was on vacation in New York at the time of the visit, although I reside in California). I paid $650 cash for the visit and the accountant, [redacted] informed me that she would mail the invoice to my insurance company the same day.On September *, 2013, I called my insurance company, Cigna to find out if/ when the claim would be paid and I would be reimbursed. I was informed that the dentist was reimbursed $521.60 and my portion was $46.40, which means I was overcharged by the dentist by $82.00. After getting off the phone with the Cigna representative, I called [redacted]'s office and explained the discrepancy to [redacted], requested that I get reimbursed the $521.60 plus the $82.00 I overpaid based on the contracted amount between [redacted] and Cigna. [redacted] informed me that she would look into it and give me a call back. I did not receive a follow-up call as promised, but received a check on September **, 2013 in the amount of $521.60.I called my insurance company several times between September **, 2013 and September **, 2013 to reconfirm that I was overcharged and called [redacted]'s office to discuss the issue with [redacted] on September **, 2013. [redacted] told me she was told by her Office Manager to mail me a check for $521.60 and further explained that the office made a mistake by not submitting the claim as an emergency. I explained to [redacted] that the visit was not an emergency, because I made an appointment the day prior and even if it was, the percentage Cigna paid would remain the same and I still would have been overcharged. She informed me that she would call Cigna to confirm the oversight in billing.I called Cigna for a second time on September **, 2013 after speaking to [redacted] and spoke to the representative, [redacted] to find out what the difference in cost would be between the regular and emergency visits and was informed that there would be no difference, because I have a PPO, which does not require me to gain authorization prior to an emergency visit. [redacted] offered to called [redacted]'s office to explain the policy to [redacted] and I agreed. [redacted] returned called back to inform me that [redacted] confirmed the office would not be issuing an additional refund. At that point, I opened a claim with CIgna to review the contract with [redacted]'s office. To date, the claim has not been resolved.[redacted] returned my call later on September **, 2013, informed me that she spoke to [redacted] from Cigna and there will be no additional refund. I told [redacted] that the dentist was contracted to charge me a particular amount, having known I was covered by Cigna and she responded by stating, "you knew the charge was $650, paid it and that's it, no more money for you. Thank you."Desired Settlement: I have been reimbursed $521.60 by [redacted]s office and would like the remaining $82.00 owed as a result of being overcharged as a patient with Cigna insurance, which warrants a contracted dollar amount to be charged.

Business

Response:

On August **, 2013 at night [redacted] contact [redacted] on his emergency phone number. [redacted] stated she was visiting from California and would be her for 2-3 days and in need of a dentist. She stated she was in excruciating pain [redacted] gave [redacted] the address where we are located [redacted] and she agreed to tome in before normal office hours. On August **, 2013 around 7:30 a.m. [redacted] did visit the office and before any dental work was done

the Dr. ask about her insurance which she stated she is covered by Cigna Of California [redacted] informed patient that she would have to pay the fee of the service '

due to the hours the insurance company was close and we were unable to determine what the.insurance would cover and [redacted] agreed. The claim was sent to the insurance and whatever the insurance will reimburse will be mailed to patient, [redacted] agreed. The dental service [redacted] provided for patient was extracting of 2 Wisdom Teeth #32 and #1 also the Exam and Panoramic X-ray. Total cost $650.00 in which [redacted] made 2 payments by Credit Card one amount of $626.00 and the other $24.00. The insurance company (CIGNA) sent a check to Or.Singer office for the patient and Office Manager mailed it to [redacted] in the amount of $521.60. [redacted] called with concerns in her reimbursement from the insurance for the service the Or provided. [redacted] had a representatlve ,[redacted] from Cigna call the office and we explained that the patient came in before normal office hours and the Rep was satisfied with the explanation and also informed us that we can bill the insurance for the Office Hours ­ -After hours code -[redacted] in which we billed after speaking with the Rep.

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If you have any questions or concerns please feel free to contact the office at [redacted] during normal business hours Sunday -Wednesday 8;30 am - 7:00 p.m And Thursday 8:30 am-3;00 p.m.

Business

Response:

[redacted]NOTE FROM Revdex.com[redacted]

Business provided explaination of benefits.

Consumer

Response:

At this time, I have not been contacted by Best Dentist in Brooklyn regarding complaint ID [redacted]. The issue is still not resolved and I am still owed $82.60 by Best Dentist in Brooklyn.

Sincerely,