Christiana Dental Spa

This is the best dentist office I have ever visited. Dr Young has an awesome "chairside" manner, and did a great job restoring my smile. Dr. Yang performed oral surgery on me with speed and efficiency, and put up with me being a big baby. I will be returning to Dr Young for my next procedures. I showed up the first time apprehensive, because I had been to so many crappy dentists in the past. I wish I had come here first. The assistants and staff are excellent too. They take all the fear and unpleasantness out of the experience, and are friendly and helpful. I highly recommend!

Review: This company has failed to provide proof that dental work was neccessary to my insurance company. Not only have they not fixed the issue since April, but every time I call I am promised a call back within 24-48 hours and I recieve nothing until I call back again. I have even spoke with the supervisor [redacted] and [redacted] the Insurance Administrator as well as a few other office staff. When I agreed to the work I was told it was mandatory and if not I would end up losing my teeth and the insurance would cover all exept $95.00 for each side of my mouth. I would not have gone through with the dental work if it was not medically neccessary or covered.Desired Settlement: I would like the dental office to either do what needs to be done to provide sufficient proof that the work done was mandatory for my health or remove the charges.

Business

Response:

In response to the letter from the Revdex.com dated February 25th, 2015 regarding a complaint from [redacted], we do understand Ms. [redacted]'s concerns. However, dental insurance companies have their own opinions about what they will cover, and that amount of coverage is based on contracts; in addition, they are constantly changing their policies. As medical practitioners, we owe it to the patient to do what we feel is best for their oral and systemic health. We treat what we see, not what a company who has never seen the patient tells us to treat.When presenting a proposed Treatment Plan to a patient, there is a disclaimer on the form which states, "....insurance coverage is only an estimate. Guarantor is responsible for all treatment not covered by insurance." Ms. [redacted] signed her Treatment Plan.Clinical exam for Ms. [redacted] showed periodontal pockets of 4 and 5 mm in many locations with areas of bleeding. Periodontal problems are related to many things including oral hygiene, general state of health, medications and diet. While we did take radiographs, we limited the number taken to what was necessary. Some insurance companies require more (though they do not pay for them).oaen, radiographs do not/cannot show the extent of disease. Treatment was as follows: D4341: Periodontal scaling and root planing -four or more teeth per quadrant. This procedure involves instrumentation of the crown and root surfaces of the teeth to remove plaque and calculus from the surfaces. It is indicated for patients with periodontal disease and is therapeutic, not prophylactic, in nature. Root planing is the definitive procedure designed for removal of cementum and dentin.04355: Full mouth debridement to enable comprehensive evaluation and diagn spa amenities.removal of plaque and calculus which interfere with the ability of the dentist to perform a comprehensive oral evaluation. This preliminary procedure does not preclude the need for additional procedures.We did appeal to the insurance company and they responded on September 5, 2014 that they would put it through an internal appeals process and supply an answer within 30 days. We received theirresponse on September 11, 2014 based on their criteria. They stated, "Please note that the information in this letter is not a treatment decision. Treatment decisions are made between you and your dental provider or health care professional. Coverage for those services is subject to the terms and conditions of your dental benefit plan including exclusions, limitations, conditions and patient eligibility. You are responsible for the deductibles, coinsurance, copayments and items not covered by the plans." This statement is basically informing the patient that they were not making a treatment decision.We will be happy to see Ms. [redacted] again if she wishes to discuss any concerns; we share her frustration! As a courtesy, we will eliminate the amount she owes.In addition to resolving the matter for Ms. [redacted], we submit this letter with the hope that our good stand ing with the Revdex.com will be reinstated. Ifany additional information or supporting documentation is necessary, please let us know.