Mark Grucella DDS & James D. George DDS

*** *** was last seen by our practice on November 12, X-rays are in excess of years and no longer diagnostic for correct standard and quality of of careInsurance does not dictate care for any patient and due to the length of time that has passed since patient being last seen
on November 12, 2013, the Doctor is correct in requesting recent X-rays for a thorough and complete diagnosis of the patient's dental conditionPatient is not compliant due to being outside the two years standard of statutes per the Ohio State Dental Board Please do not hesitate to contact our office for further assistance in this matter.Thank you,Paul S*Business ManagerDrGrucella & Dr***, Family Dental Team, Inc

Initial Business Response /* (1000, 5, 2015/12/15) */
Regarding patient *** ***,referenced as son by the father, *** ***, this is what was already conveyed to patient *** *** on 12/11/2015.The Doctor has graciously offered to fabricate a new cast metal framework partial lower denture
at the cost of $*** ***, the patient, authorized to follow up with reline at a fee of $The warranty expired on Ocotber 23, but Doctor wishes to help out patientThe broken clasp on the partial can either be repaired at no cost or remake the partial at the reline fee of $

I am rejecting this response because: My Medicare Advantage policy with Anthem Blue Cross Blue Shield covers cleaning and an examIt does not cover x-rays. There are no restrictions in my Evidence of Coverage book which says I must get x-rays first before any other covered work is doneIf there is a restriction it certainly ought to be conveyed from the provider to the insurer and then to the insured - MEAt the time of the incident I told the dentist office I was willing to forget the exam and just do the cleaningThey refusedThe Standard of Statutes they claim to follow means nothing to meAnd I do not feel I am required to follow, or agree, with themI just want the benefit due me and which they have agreed with Anthem to provide