[redacted] December 3, 2015To Whom It May Concern,In response to complaint #[redacted]-Patient was seen in our office for dental services. Arecommended treatment plan was proposed to the patient after diagnosis was given by...
thedentist.At Central Texas Dental Care we would certainly never try to up-sell any dental procedure & wewill only recommend treatment that is necessary for the patient's dental health.Many patients come in expecting their mouths to be in a healthy state and that they will qualifyfor the preventative service that their insurance states they will cover twice per year.Under CDT dental code D1110 (Adult Prophylaxis-Removal of plaque, calculus, and stains fromthe tooth structures in the permanent and transitional dentition. It is intended to controlirritational factors & patient cannot have any pocketing over 3mm). If pocketing is over 3mm ormore then the patient would then fall under CDT dental code D4341 or D4342 non-surgicalperiodontal service (Periodontal scaling and root planing 1-3 or 4 or more teeth per quadrant).This procedure involves instrumentation of the crown and root surfaces of the teeth to removeplaque and calculus from these surfaces. It is indicated for patients with periodontal disease andis therapeutic, not prophylactic, in nature. Root planing is the definitive procedure designed forthe removal cementum and dentin that is rough, and/or permeated by calculus or contaminatedwith toxins or microorganisms. Some soft tissue removal occurs. This procedure may be used asa definitive treatment in some stages of periodontal disease and/or as part of pre-surgicalprocedures in others).If you have any further questions please, feel free to contact me @ [redacted].Sincerely,[redacted]-AdministratorCentral Texas Dental Care
Complaint: [redacted]
I am rejecting this response because: The Business in question was providing the incorrect information. When asked on three different occasions during the process of my visit, if they were a in network provider for my insurance, I was assured they were. The receptionist is the only one who took the time to ask where my insurance claims were filed and advised me after the treatment that they are not a in network provider for the BCBS program that I was covered under. If any of the other 2 individuals had taken the time to review my card. I would have never scheduled with them. The situation is due to the incompetence of the staff not taking care of the client and reviewing the insurance card. The receptionist was very aware of the different plans, however the individuals processing and verifying the insurance lacks awareness.
Regards,
[redacted]
Complaint: [redacted]
I am rejecting this response because:
The catch here is. the dentist had not even evaluated me yet when I was told the cleaning would not be covered by my insurance and would be an additional $149 or, I could go home untreated. This dentist's office has done the same thing to my wife, and, to my son. Their response is intentionally misleading as are their business practices.We do not accept this response and assert that not one word of it is applicable to this case, nor essentially truthful.We will contine to pursue all means at our disposal to alert other consumers as to this dental offices deceeptive and unfair business practices.We feel it is essential that the Revdex.com keep a public record of this complaint so that other unknowing clients or potential clients of this busines do not fall into the same trap as we unfortunately did.
Regards,
[redacted]
[redacted] December 3, 2015To Whom It May Concern,In response to complaint #[redacted]-Patient was seen in our office for dental services. Arecommended treatment plan was proposed to the patient after diagnosis was given by...
thedentist.At Central Texas Dental Care we would certainly never try to up-sell any dental procedure & wewill only recommend treatment that is necessary for the patient's dental health.Many patients come in expecting their mouths to be in a healthy state and that they will qualifyfor the preventative service that their insurance states they will cover twice per year.Under CDT dental code D1110 (Adult Prophylaxis-Removal of plaque, calculus, and stains fromthe tooth structures in the permanent and transitional dentition. It is intended to controlirritational factors & patient cannot have any pocketing over 3mm). If pocketing is over 3mm ormore then the patient would then fall under CDT dental code D4341 or D4342 non-surgicalperiodontal service (Periodontal scaling and root planing 1-3 or 4 or more teeth per quadrant).This procedure involves instrumentation of the crown and root surfaces of the teeth to removeplaque and calculus from these surfaces. It is indicated for patients with periodontal disease andis therapeutic, not prophylactic, in nature. Root planing is the definitive procedure designed forthe removal cementum and dentin that is rough, and/or permeated by calculus or contaminatedwith toxins or microorganisms. Some soft tissue removal occurs. This procedure may be used asa definitive treatment in some stages of periodontal disease and/or as part of pre-surgicalprocedures in others).If you have any further questions please, feel free to contact me @ [redacted].Sincerely,[redacted]-AdministratorCentral Texas Dental Care
Complaint: [redacted]
I am rejecting this response because: The Business in question was providing the incorrect information. When asked on three different occasions during the process of my visit, if they were a in network provider for my insurance, I was assured they were. The receptionist is the only one who took the time to ask where my insurance claims were filed and advised me after the treatment that they are not a in network provider for the BCBS program that I was covered under. If any of the other 2 individuals had taken the time to review my card. I would have never scheduled with them. The situation is due to the incompetence of the staff not taking care of the client and reviewing the insurance card. The receptionist was very aware of the different plans, however the individuals processing and verifying the insurance lacks awareness.
Regards,
[redacted]
Complaint: [redacted]
I am rejecting this response because:
The catch here is. the dentist had not even evaluated me yet when I was told the cleaning would not be covered by my insurance and would be an additional $149 or, I could go home untreated. This dentist's office has done the same thing to my wife, and, to my son. Their response is intentionally misleading as are their business practices.We do not accept this response and assert that not one word of it is applicable to this case, nor essentially truthful.We will contine to pursue all means at our disposal to alert other consumers as to this dental offices deceeptive and unfair business practices.We feel it is essential that the Revdex.com keep a public record of this complaint so that other unknowing clients or potential clients of this busines do not fall into the same trap as we unfortunately did.
Regards,
[redacted]