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Reviews Nova Dental Associates

Nova Dental Associates Reviews (14)

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 Regards, [redacted] ***

MARCH 18,2015Revdex.com HOLIDAY DRIVE SUITE ID [redacted] DEAR MS [redacted] :PT PRESENTED TO OUR OFFICE ON 1/12/OUR OFFICE POLICY IS THAT EVERY PATIENT THAT HAS DENTAL INSURANCE, OUR FRONT DESK IS TO VERIFY BENEFITS PRIOR TO THAT APPOINTMENTTHE REASON HAS ALWAYS BEEN TO EXPIDITE THE PAITENT FROM SIGN IN TO ACTUALLY BEING SEATED TO SEE THE DOCTORTHIS POLICY WAS INSTITUTED IN MY PRACTICE BACK IN THE 1990'SIT HAS NOW BECOME A VERY CRUCIAL PART OF DEALING WITH OUR PATIENTS SINCE THE ONSET OF ALL THE INSURANCE CHANGES THAT HAVE COME ABOUT DUE TO OBAMA CARE.THE PATIENT'S INSURANCE UNFORTUNATELY IS ONE OF THE MANY PLANS THAT IS VIRTUALLY GIVEN A DIFFERENT ANSWER WHEN THE INSURANCE COMPANY IS CALLEDMY STAFF VERIFIES INSURANCE ONLY AS WELL AS CUSTOMER SERVICE GIVES THEM FROM ANY DENTAL PLAN.AS SEEN BY ENCLOSED ADMINSTRATOR, AVESIS, HIS INSURANCE AS I HAD MENTIONED IS VERY DIFFICULT TO RECEIVE CORRECT INFORMATIONTHE INSURANCE WAS VERIFIEDTHE STAFF WAS TOLD THAT THE #EXTRACTION 20% DISCOUNTTHE TOOTH WAS SURGICAL BUT DR [redacted] , WHO HAD EXTRACTED THE TOOTH, ON 1/30/HE ADVISED STAFF AS A COURTESY TO CHARGE ONLY AS A SIMPLE EXTRACTIONTHAT IS WHERETHE FEE OF $ARRIVED, I HAVE ENCLOSED THE NOTES THE STAFF TOOK TRYING TO VERIFY WHAT LITTLE INFORMATION THEY COULD RECEIVE.THE PATIENT PRESENTED TO THE OFFICE ON 2/4/FOR POST OP FOLLOW UPPT REQUESTED RECORDS RELEASE FORM; WAS TRANSFERRING TO NEW DENTISTHE STATED HE WAS DISPUTING HIS COPAY OF $FOR SIMPLE EXTRACTIONWE ALSO ADVISE PATIENTS IN WRITING THAT WE FILE INSURANCE AS A COURTESY BUT ULTIMATELY THE BALANCE IS THE PATIENT'S RESPONSIBLILTY [redacted] HAD AGAIN CALLED THE INSURANCE COMPANYTHEY STATED AT THAT TIME THEY COULD NOT ADVISE AN OFFICE WHAT A MEMBER'S COPAY IS.I CAN UNDERSTAND THE PATIENT'S RESPONSE TO WHY HIS CLAIM HAS NOT BEEN PAIDI HAVE ENCLOSED A COPY OF HIS CLAIM WHICH WAS SENT OUT ON 1/30/IT IS NOT UNCOMMON FOR A DOCTOR TO WAIT ANYWHERE FROM MONTH TO EVEN MONTHS TO RECEIVE AN INSURANCE PAYMENTIN A PERFECT WORLD ALL CLAIMS SHOULD BE PAID WITHIN WEEKSTHEY ARE NOT.IT TAKES A LOT OF MANPOWER TO KEEP UP WITH INSURANCE COMPANY POLICIES AND RESUBMITTINGOUR PRACTICE STAYS ON TOP OF OUR ACCOUNTS RECEIVABLEWHEN MY OFFICE MANAGER RECEIVED THE PATIENT'S COMPLAINT YESTERDAY SHE CALLED [redacted] & WAS TOLD THAT PATIENT'S SERVICES ARE ON AN EOB THAT HAS NOT CLEARED THE BANK OR RECEIVED INTO OUR OFFICE.WITH THIS PARTICULAR PLAN THE PATIENT HAS UNFORTUNATELY THEY DO NOT RELEASE A PATIENT PER CHECKTHE INSURANCE COMPANY GROUPS TOGETHER A LARGE AMOUNT OF PATIENTS BETWEEN SEVERAL SERVICE DATES AND SENDS OUT A BULK CHECKAS I HAD STATED; HIS CLAIM IS ON A CHECK THAT HAS NOT BEEN RECEIVED.I HAVE A SET FEE SCHEDULE THAT GOES TO ALL INSURANCE COMPANIES REGARDLESS OF A PATIENT'S PLANA SIMPLE EXTRACTION WILL GO TO ANY INSURANCE PLAN AS $A DOCTOR'S REIMBURSEMENTS ARE USUALLY DETERMINED BY ACTUARIES AT INSURANCE COMPANIES AND YOUR FEES MUST ALWAYS REFLECT YEAR TO YEAR WHAT YOUR "STANDARD" FEE IS FOR EACH SERVICE RENDERED.AS THE PATIENT WAS TOLD; ONCE THE INSURANCE CHECK ARRIVES IN THE OFFICE HIS ACCOUNT WOULD BE RECONCILEDIF THERE IS A REFUND DUE; HIS VISA WOULD BE CREDITEDHE DID DROP OFF HIS HIPPA RELEASE FORM ON MARCH 13, & [redacted] HAD HIS XRAYS DUPLICATED AND THEY WERE SENT TO HIS NEW DENTIST ON MARCH 18, 2015.PLEASE FEEL FREE TO CONTACT ME WITH ANY FURTHER QUESTIONS.DR [redacted] NOVA DENTAL ASSOCIATES [redacted]

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 would first like to mention how the two papers that nova dental provided do not have my daughter name or birthday on them ( [redacted] ***; [redacted] )I would also like to add that my name legally changed at the end of May of and that nova dental knew of this because my apt the same day as in question I was added to my husband insurance and they had to submit my informationTherefore, legally my last name has not been [redacted] it is ***You can see the form from social security office and my driver license providedThe insurance company did have the correct address, my husband address before we moved in togetherThe insurance is in his nameThe only thing mail wise the insurance sent me was a summary of the visit which on it it says this is not a billI called nova dental numerous times to make my son an appointment and they didn't call back and when I spoke to someone nobody told me about what was going onI called in October, twice in November, and a few times in December [redacted] got on the phone and explained about the insurance on decand I was like oh I will take care of that nowI was told someone would call me back and that someone was the credit collection company the following weekThis is after the insurance took care of it and sent payment(I guess there was a delay getting it according to what nova dental sent back in their response)On that day I first called the insurance company and they then told me I had a dollar co-payWhen I called nova dental [redacted] was not inShe called me back later that morning and when I asked her why nobody called me back when I told them I would take care of this the response was I don't know and I can't answer thatShe kept saying she would have to call the insurance company and call me back when I was trying to explain about the copay she hung up on meThat is when I called back and told the receptionist to tell that ( [redacted] ***) [redacted] that hung up on me I was trying to tell her I have a dollar co-pay to take care ofThat afternoon no-one had called me back from nova dentalI called again and the receptionist that answered the phone that time told me [redacted] was busy on a callI explained everything to her and told her about the co-pay she then asked if I wanted to do a credit card over the phone, I replied I wanted to make sure that the collection agency would know and then not bother me or go on my credit reportThen [redacted] got on the phone and told me they would not accept my paymentThen I was hung up on againI called back and said some profanity and said who am I suppose to pay then, this is when they said I HAD to pay the collection agency they can't accept my payment and if I called back they would call the policeI would also again, like to add the fact that they took my daughter into her own room, me and mine, and didn't explain to me what they were doing to her or anything differentI would have liked to been told what the reason the insurance company didn't cover the flouride and if this was something new that they did without consulting meWhich, nobody from nova dental answered me either on Regards, [redacted] ***

DEARSIR/MADAM: AM IN RECEIPT OF THE COMPLAINT FILED BY THIS PATIENTHER CHILD PRESENTED TO OUR OFFICE ON 9/25/SERVICES WERE RENDERED AND QUESTIONS WERE ANSWERED BY THE ATTENDING DOCTOR AS NOTED ON EXHIBIT #1, ALL PATIENTS SIGN A CONSENT FOR SERVICES FORM (EXHIBIT #2) BEFORE ANY TREATMENT IS
RENDEREDI HAVE ENCLOSED THE FORM THE MOTHER SIGNEDIT DOES NOTIFY THE PATIENT THAT THE PATIENT OR GUARDIAN, IS ULTIMATELY RESPONSIBLE FOR THE DENTAL BILL AND THE PRACTICE FILES INSURANCE AS A COURTESY BUT AGAIN, PATIENT/ GUARDIAN IS RESPONSIBLE FOR THE BILLTHE PROBLEM AROSE WHEN SHE MISREPRESENTED HER INSURANCE TO THE OFFICETHE INSURANCE CARRIER WAS DENYING PAYMENT DUE TO MORE INFORMATION NEEDED FROM THE SUBSCRIBER.SHE APPARENTLY DID NOT RESPOND TO THE INSURANCE COMPANY REQUESTS, PHONE CALLS WERE MADE TO HER; NO RETURN RESPONSESHE HAD STATED TO THE FRONT DESK THAT HER ADDRESS WAS CORRECT THAT THE INSURANCE CO HAD IT INCORRECTTHERE WERE STATEMENTS SENT TO HER WHICH NEVER CAME BACK STATING AN INCORRECT ADDRESS.AFTER SEVERAL MONTHS WITH NO COMMUNICATION ON HER PART THE ACCOUNT WAS TURNED OVER TO COLLECTIONSSHE ONLY CONTACTED THE OFFICE AFTER THE COLLECTION COMPANY LOCATED HERSHE HAD CALLED THE OFFICE VERBALLY ABUSING THE FRONT DESK STAFF STATING THAT HER INSURANCE CO HAD PAID & SHE ONLY HAD A COPAY OF $THE DAY SHE CALLED THERE WAS NO PAYMENT RECEIVED FROM HER INSURANCE COMPANYTHE ACTUAL INSURANCE PAYMENT WAS NOT RECEIVED INTO THE OFFICE UNTIL 12/23/THE FRONT DESK STAFF EXPLAINED ON HER ORIGINAL CALL THAT THE ACCOUNT WAS TURNED OVER TO COLLECTIONS & SHE WOULD HAVE TO PAY THE COLLECTION AGENCYSHE REFUSED TO ACCEPT THE FACT THAT NO INSURANCE PAYMENT HAD ARRIVED THAT DAYAS NOTED WE DID RECEIVE THE PAYMENT SEVERAL DAYS LATER BUT ONLY AFTER I FEEL THE COLLECTION AGENCY LOCATED HER AND THEN SHE RESPONDED TO THE INSURANCE COMPANY'S RESPONSE FOR MORE INFORMATION TO RELEASE PAYMENT.THIS IS STANDARD OPERATING POLICY FOR A DENTAL PRACTICEWE TRY EVERY AVENUE TO SATISFY A PATIENTPLEASE FEEL FREE TO CALL ME WITH ANY OTHER QUESTIONS.THANK YOU FOR YOUR TIME WITH THIS MATTER.SINCERELY,*** ** ***NOVA DENTAL ASSOCIATIES###-###-####

ID: ***DEAR MS***I AM IN RECEIPT OF THE PATIENT'S RESPONSEMY OFFICE HAD CALLED THE DATE OF THE INITIAL COMPLAINT AND WAS ADVISED THE CHECK WAS NOT CASHED.MY OFFICE MANAGER CALLED TODAY AND AGAIN, THE CHECK HAS NOT SEEN CASHEDSHE CHECKED SEVERAL PATIENTS ON THE CHECK AND THOSE PATIENTS HAVE NOT BEEN PAIDTHE INSURANCE COMPANY IS PUTTING A TRACE ON THE CHECKTHEY SAID THEY WOULD CALL WITH THE RESULTS.AS STATED BEFORE, THE OFFICE CAN NOT REFUND ANY MONEY UNTIL THE CHECK IS RECEIVED AND RECONCILEDAS INDICATED PREVIOUSLY, WE HAVE BEEN GIVEN SEVERAL DIFFERENT COPAYS ON THIS PATIENT’S PLAN.WE ASK THAT HE BE PATIENTI AM SURE THIS ISSUE WILL BE RESOLVED.SINCERELY,DR*** *** NOVA DENTAL ASSOCIATES

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.
 
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.
Regards,
[redacted]

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 would first like to mention how the two papers that nova dental provided do not have my daughter name or birthday on them ([redacted]; [redacted]). I would also like to add that my name legally changed at the end of May of 2014 and that nova dental knew of this because my apt the same day as in question I was added to my husband insurance and they had to submit my information. Therefore, legally my last name has not been [redacted] it is [redacted]. You can see the form from social security office and my driver license provided. The insurance company did have the correct address, my husband address before we moved in together. The insurance is in his name. The only thing mail wise the insurance sent me was a summary of the visit which on it it says this is not a bill. I called nova dental numerous times to make my son an appointment and they didn't call back and when I spoke to someone nobody told me about what was going on. I called in October, twice in November, and a few times in December. [redacted] got on the phone and explained about the insurance on dec. 16 2014 and I was like oh I will take care of that now. I was told someone would call me back and that someone was the credit collection company the following week. This is after the insurance took care of it and sent payment. (I guess there was a delay getting it according to what nova dental sent back in their response). On that day I first called the insurance company and they then told me I had a 16 dollar co-pay. When I called nova dental [redacted] was not in. She called me back later that morning and when I asked her why nobody called me back when I told them I would take care of this the response was I don't know and I can't answer that. She kept saying she would have to call the insurance company and call me back when I was trying to explain about the copay she hung up on me. That is when I called back and told the receptionist to tell that ([redacted]) [redacted] that hung up on me I was trying to tell her I have a 16 dollar co-pay to take care of. That afternoon no-one had called me back from nova dental. I called again and the receptionist that answered the phone that time told me [redacted] was busy on a call. I explained everything to her and told her about the co-pay she then asked if I wanted to do a credit card over the phone, I replied I wanted to make sure that the collection agency would know and then not bother me or go on my credit report. Then [redacted] got on the phone and told me they would not accept my payment. Then I was hung up on again. I called back and said some profanity and said who am I suppose to pay then, this is when they said I HAD to pay the collection agency they can't accept my payment and if I called back they would call the police. I would also again, like to add the fact that they took my daughter into her own room, me and mine, and didn't explain to me what they were doing to her or anything different. I would have liked to been told what the reason the insurance company didn't cover the flouride and if this was something new that they did without consulting me. Which, nobody from nova dental answered me either on. 
Regards,
[redacted]

MARCH 18,2015Revdex.com 400 HOLIDAY DRIVE SUITE 220 ID [redacted]DEAR MS. [redacted]:PT PRESENTED TO OUR OFFICE ON 1/12/15. OUR OFFICE POLICY IS THAT EVERY PATIENT THAT HAS DENTAL INSURANCE, OUR FRONT DESK IS TO VERIFY BENEFITS PRIOR TO THAT APPOINTMENT. THE REASON HAS ALWAYS BEEN TO EXPIDITE...

THE PAITENT FROM SIGN IN TO ACTUALLY BEING SEATED TO SEE THE DOCTOR. THIS POLICY WAS INSTITUTED IN MY PRACTICE BACK IN THE 1990'S. IT HAS NOW BECOME A VERY CRUCIAL PART OF DEALING WITH OUR PATIENTS SINCE THE ONSET OF ALL THE INSURANCE CHANGES THAT HAVE COME ABOUT DUE TO OBAMA CARE.THE PATIENT'S INSURANCE UNFORTUNATELY IS ONE OF THE MANY PLANS THAT IS VIRTUALLY GIVEN A DIFFERENT ANSWER WHEN THE INSURANCE COMPANY IS CALLED. MY STAFF VERIFIES INSURANCE ONLY AS WELL AS CUSTOMER SERVICE GIVES THEM FROM ANY DENTAL PLAN.AS SEEN BY ENCLOSED ADMINSTRATOR, AVESIS, HIS INSURANCE AS I HAD MENTIONED IS VERY DIFFICULT TO RECEIVE CORRECT INFORMATION. THE INSURANCE WAS VERIFIED. THE STAFF WAS TOLD THAT THE #2 EXTRACTION 20% DISCOUNT. THE TOOTH WAS SURGICAL BUT DR [redacted], WHO HAD EXTRACTED THE TOOTH, ON 1/30/15 HE ADVISED STAFF AS A COURTESY TO CHARGE ONLY AS A SIMPLE EXTRACTION. THAT IS WHERETHE FEE OF $104 ARRIVED, I HAVE ENCLOSED THE NOTES THE STAFF TOOK TRYING TO VERIFY WHAT LITTLE INFORMATION THEY COULD RECEIVE.THE PATIENT PRESENTED TO THE OFFICE ON 2/4/15 FOR POST OP FOLLOW UP. PT REQUESTED RECORDS RELEASE FORM; WAS TRANSFERRING TO NEW DENTIST. HE STATED HE WAS DISPUTING HIS COPAY OF $104 FOR SIMPLE EXTRACTION. WE ALSO ADVISE PATIENTS IN WRITING THAT WE FILE INSURANCE AS A COURTESY BUT ULTIMATELY THE BALANCE IS THE PATIENT'S RESPONSIBLILTY. [redacted] HAD AGAIN CALLED THE INSURANCE COMPANY. THEY STATED AT THAT TIME THEY COULD NOT ADVISE AN OFFICE WHAT A MEMBER'S COPAY IS.I CAN UNDERSTAND THE PATIENT'S RESPONSE TO WHY HIS CLAIM HAS NOT BEEN PAID. I HAVE ENCLOSED A COPY OF HIS CLAIM WHICH WAS SENT OUT ON 1/30/15. IT IS NOT UNCOMMON FOR A DOCTOR TO WAIT ANYWHERE FROM 1 MONTH TO EVEN 12 MONTHS TO RECEIVE AN INSURANCE PAYMENT. IN A PERFECT WORLD ALL CLAIMS SHOULD BE PAID WITHIN 2 WEEKS. THEY ARE NOT.IT TAKES A LOT OF MANPOWER TO KEEP UP WITH INSURANCE COMPANY POLICIES AND RESUBMITTING. OUR PRACTICE STAYS ON TOP OF OUR ACCOUNTS RECEIVABLE. WHEN MY OFFICE MANAGER RECEIVED THE PATIENT'S COMPLAINT YESTERDAY SHE CALLED [redacted] & WAS TOLD THAT PATIENT'S SERVICES ARE ON AN EOB THAT HAS NOT CLEARED THE BANK OR RECEIVED INTO OUR OFFICE.WITH THIS PARTICULAR PLAN THE PATIENT HAS UNFORTUNATELY THEY DO NOT RELEASE A PATIENT PER CHECK. THE INSURANCE COMPANY GROUPS TOGETHER A LARGE AMOUNT OF PATIENTS BETWEEN SEVERAL SERVICE DATES AND SENDS OUT A BULK CHECK. AS I HAD STATED; HIS CLAIM IS ON A CHECK THAT HAS NOT BEEN RECEIVED.I HAVE A SET FEE SCHEDULE THAT GOES TO ALL INSURANCE COMPANIES REGARDLESS OF A PATIENT'S PLAN. A SIMPLE EXTRACTION WILL GO TO ANY INSURANCE PLAN AS $130.00. A DOCTOR'S REIMBURSEMENTS ARE USUALLY DETERMINED BY ACTUARIES AT INSURANCE COMPANIES AND YOUR FEES MUST ALWAYS REFLECT YEAR TO YEAR WHAT YOUR "STANDARD" FEE IS FOR EACH SERVICE RENDERED.AS THE PATIENT WAS TOLD; ONCE THE INSURANCE CHECK ARRIVES IN THE OFFICE HIS ACCOUNT WOULD BE RECONCILED. IF THERE IS A REFUND DUE; HIS VISA WOULD BE CREDITED. HE DID DROP OFF HIS HIPPA RELEASE FORM ON MARCH 13, 2015 & [redacted] HAD HIS XRAYS DUPLICATED AND THEY WERE SENT TO HIS NEW DENTIST ON MARCH 18, 2015.PLEASE FEEL FREE TO CONTACT ME WITH ANY FURTHER QUESTIONS.DR. [redacted] NOVA DENTAL ASSOCIATES [redacted]

Review: Nova Dental did not bill a claim from October 2014 to my insurance provider properly which caused an unknown outstanding debt in my name. Nova Dental did not inform me of this debt until they contacted me to cancel a scheduled appointment. Due to this, I was unable to get medical attention as needed. When attempting to resolve this issue the office staff at Nova Dental was inconsiderate and rude in their explanation of status of the claim. The office staff also acted like it was not their job to reprocess the claim that was originally processed incorrectly by their office.Desired Settlement: I would like this outstanding claim to be filed correctly as requested.

never go there id your on Medicaid They treat you as if your a drug attic! Never Realy!!!!!!!!!!!!!!!!!!!!!!!!!!!!STAY AWAY FROM THEM WORSE TIME OF MY LIFE. TREATED BADLY BE SMART DON'T GO IT NOT WITH THE BREAK DOWN THEY GAVE ME OVER GETTING MY TEETH PULLED AND GETTING MY X RAYS CAUSE THEY LOST MONEY!

Review: I went to Nova Dental on Jan. 30, 2015. At that time, I had a tooth extracted. They charged me $104.00, which is 80% of $130.00. At the end of Feb. we received a statement from our insurance company. It stated the submitted amout of $130.00, allowed amount $110.00, co-pay 0.00, patient liability $22.00, and amount insurance payed $88.00. My wife called the insurance compant to verify this. Called Nova and they stated that they would look into it but the person they called was not in. I called the insurance company to tell them my concerns. They called Nova and they stated that the person at Nova was not in. They called me back in Mar. and stated that they can't get a hold of the person who takes care of this and they would send a copy of my account to them. I went to Nova on Mar. 13, 2015, with a letter to release my records to my new dentist. I also took the notice from the insurance company. They told me that the insurance company has not got back to them. I think that 3 weeks is long enough. If you add up what we payed and what they the insurance payed it is more than what they submitted. $104.00 + 88.00 = $192.00Desired Settlement: To get a refund of over payments and my records sent to my new dentist.

Business

Response:

MARCH 18,2015Revdex.com 400 HOLIDAY DRIVE SUITE 220 ID [redacted]DEAR MS. [redacted]:PT PRESENTED TO OUR OFFICE ON 1/12/15. OUR OFFICE POLICY IS THAT EVERY PATIENT THAT HAS DENTAL INSURANCE, OUR FRONT DESK IS TO VERIFY BENEFITS PRIOR TO THAT APPOINTMENT. THE REASON HAS ALWAYS BEEN TO EXPIDITE THE PAITENT FROM SIGN IN TO ACTUALLY BEING SEATED TO SEE THE DOCTOR. THIS POLICY WAS INSTITUTED IN MY PRACTICE BACK IN THE 1990'S. IT HAS NOW BECOME A VERY CRUCIAL PART OF DEALING WITH OUR PATIENTS SINCE THE ONSET OF ALL THE INSURANCE CHANGES THAT HAVE COME ABOUT DUE TO OBAMA CARE.THE PATIENT'S INSURANCE UNFORTUNATELY IS ONE OF THE MANY PLANS THAT IS VIRTUALLY GIVEN A DIFFERENT ANSWER WHEN THE INSURANCE COMPANY IS CALLED. MY STAFF VERIFIES INSURANCE ONLY AS WELL AS CUSTOMER SERVICE GIVES THEM FROM ANY DENTAL PLAN.AS SEEN BY ENCLOSED ADMINSTRATOR, AVESIS, HIS INSURANCE AS I HAD MENTIONED IS VERY DIFFICULT TO RECEIVE CORRECT INFORMATION. THE INSURANCE WAS VERIFIED. THE STAFF WAS TOLD THAT THE #2 EXTRACTION 20% DISCOUNT. THE TOOTH WAS SURGICAL BUT DR [redacted], WHO HAD EXTRACTED THE TOOTH, ON 1/30/15 HE ADVISED STAFF AS A COURTESY TO CHARGE ONLY AS A SIMPLE EXTRACTION. THAT IS WHERETHE FEE OF $104 ARRIVED, I HAVE ENCLOSED THE NOTES THE STAFF TOOK TRYING TO VERIFY WHAT LITTLE INFORMATION THEY COULD RECEIVE.THE PATIENT PRESENTED TO THE OFFICE ON 2/4/15 FOR POST OP FOLLOW UP. PT REQUESTED RECORDS RELEASE FORM; WAS TRANSFERRING TO NEW DENTIST. HE STATED HE WAS DISPUTING HIS COPAY OF $104 FOR SIMPLE EXTRACTION. WE ALSO ADVISE PATIENTS IN WRITING THAT WE FILE INSURANCE AS A COURTESY BUT ULTIMATELY THE BALANCE IS THE PATIENT'S RESPONSIBLILTY. [redacted] HAD AGAIN CALLED THE INSURANCE COMPANY. THEY STATED AT THAT TIME THEY COULD NOT ADVISE AN OFFICE WHAT A MEMBER'S COPAY IS.I CAN UNDERSTAND THE PATIENT'S RESPONSE TO WHY HIS CLAIM HAS NOT BEEN PAID. I HAVE ENCLOSED A COPY OF HIS CLAIM WHICH WAS SENT OUT ON 1/30/15. IT IS NOT UNCOMMON FOR A DOCTOR TO WAIT ANYWHERE FROM 1 MONTH TO EVEN 12 MONTHS TO RECEIVE AN INSURANCE PAYMENT. IN A PERFECT WORLD ALL CLAIMS SHOULD BE PAID WITHIN 2 WEEKS. THEY ARE NOT.IT TAKES A LOT OF MANPOWER TO KEEP UP WITH INSURANCE COMPANY POLICIES AND RESUBMITTING. OUR PRACTICE STAYS ON TOP OF OUR ACCOUNTS RECEIVABLE. WHEN MY OFFICE MANAGER RECEIVED THE PATIENT'S COMPLAINT YESTERDAY SHE CALLED [redacted] & WAS TOLD THAT PATIENT'S SERVICES ARE ON AN EOB THAT HAS NOT CLEARED THE BANK OR RECEIVED INTO OUR OFFICE.WITH THIS PARTICULAR PLAN THE PATIENT HAS UNFORTUNATELY THEY DO NOT RELEASE A PATIENT PER CHECK. THE INSURANCE COMPANY GROUPS TOGETHER A LARGE AMOUNT OF PATIENTS BETWEEN SEVERAL SERVICE DATES AND SENDS OUT A BULK CHECK. AS I HAD STATED; HIS CLAIM IS ON A CHECK THAT HAS NOT BEEN RECEIVED.I HAVE A SET FEE SCHEDULE THAT GOES TO ALL INSURANCE COMPANIES REGARDLESS OF A PATIENT'S PLAN. A SIMPLE EXTRACTION WILL GO TO ANY INSURANCE PLAN AS $130.00. A DOCTOR'S REIMBURSEMENTS ARE USUALLY DETERMINED BY ACTUARIES AT INSURANCE COMPANIES AND YOUR FEES MUST ALWAYS REFLECT YEAR TO YEAR WHAT YOUR "STANDARD" FEE IS FOR EACH SERVICE RENDERED.AS THE PATIENT WAS TOLD; ONCE THE INSURANCE CHECK ARRIVES IN THE OFFICE HIS ACCOUNT WOULD BE RECONCILED. IF THERE IS A REFUND DUE; HIS VISA WOULD BE CREDITED. HE DID DROP OFF HIS HIPPA RELEASE FORM ON MARCH 13, 2015 & [redacted] HAD HIS XRAYS DUPLICATED AND THEY WERE SENT TO HIS NEW DENTIST ON MARCH 18, 2015.PLEASE FEEL FREE TO CONTACT ME WITH ANY FURTHER QUESTIONS.DR. [redacted] NOVA DENTAL ASSOCIATES [redacted]

Consumer

Response:

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.

Regards,

Business

Response:

ID: [redacted]DEAR MS. [redacted]I AM IN RECEIPT OF THE PATIENT'S RESPONSE. MY OFFICE HAD CALLED THE DATE OF THE INITIAL COMPLAINT AND WAS ADVISED THE CHECK WAS NOT CASHED.MY OFFICE MANAGER CALLED TODAY AND AGAIN, THE CHECK HAS NOT SEEN CASHED. SHE CHECKED SEVERAL PATIENTS ON THE CHECK AND THOSE PATIENTS HAVE NOT BEEN PAID. THE INSURANCE COMPANY IS PUTTING A TRACE ON THE CHECK. THEY SAID THEY WOULD CALL WITH THE RESULTS.AS STATED BEFORE, THE OFFICE CAN NOT REFUND ANY MONEY UNTIL THE CHECK IS RECEIVED AND RECONCILED. AS INDICATED PREVIOUSLY, WE HAVE BEEN GIVEN SEVERAL DIFFERENT COPAYS ON THIS PATIENT’S PLAN.WE ASK THAT HE BE PATIENT. I AM SURE THIS ISSUE WILL BE RESOLVED.SINCERELY,DR. [redacted] NOVA DENTAL ASSOCIATES

If you are a "paying customer", not on welfare or you do not have dental insurance, STAY AWAY!!!!! I've been going here for years and they have turned into a money making business! Last year I went over concerns of my teeth pain and was promptly told that I need a deep cleaning ($600) and teeth cleaning. When I asked what the x-rays showed and how he knew that, he stated that it is not through x-rays but a dentist just knows. I never followed through with cleaning because of medical problems. I made an appointment because my bonding feel off from years ago and I needed new ones. The dentist came in, looked at my chart and then my teeth and first exclaimed how bad my gums are receding and how I will lose them. I needed a cleaning! He then stated that I needed FULL x-rays done along with the cleaning done first before he could even do the bonding. I questioned because I had x-rays done in August. He ignorantly responded that it was not a full x-ray and that a full x-ray and cleaning needs to be done BEFORE he will treat anything else. If I refused his suggestions he would not treat my broken teeth. I responded that I would go elsewhere for treatment. Guess that if you do not agree to do the procedures that they want you to do or that you cannot afford, you will not get treatment for what is needed.

Review: On Sept. 25, 2014 my daughter and I went to this dental office whom I have used for years before. They took my 4 year old daughter into a room herself and me into a different room without asking me if it was ok. Also, They never called me on the phone and sent letters to the wrong address (meanwhile I gave my new one when I was there). They claimed that the insurance never paid for her visit. It was not until December when I tried to make my sons appointment (after calling multiple times) that someone got on the phone to tell me the insurance needed more information. On this same day I told them I would call the insurance and take care of it. The insurance got the information they needed and told me not to worry about it. That next week they sent a bill to collections. I have been dealing with the insurance and collections for the past week to get this taking care of so it is not on credit report. Also, my insurance said I was only responsible for $16 because of a flouride treatment they gave my daughter, again without my permission. The insurance issued a check on 12-16-2014 and I paid the 16 dollars to the collection agency, but after speaking with the collection agency today the dental office is still claiming they were not paid. I also have an email from the collection agency showing I paid 16$ and that there is still a balance of $136.Desired Settlement: I would like my $16 refunded to me for services not asked for permission by me to do to my daughter before doing them. Plus $50 compensation for having to deal with the collection agency and insurance on multiple occasions and the suffering of being worried about having a negative remark on my credit report. Also, the company address is [redacted] tarentum [redacted] phone number ###-###-####.

Business

Response:

DEARSIR/MADAM: 1 AM IN RECEIPT OF THE COMPLAINT FILED BY THIS PATIENT. HER CHILD PRESENTED TO OUR OFFICE ON 9/25/14. SERVICES WERE RENDERED AND QUESTIONS WERE ANSWERED BY THE ATTENDING DOCTOR AS NOTED ON EXHIBIT #1, ALL PATIENTS SIGN A CONSENT FOR SERVICES FORM (EXHIBIT #2) BEFORE ANY TREATMENT IS RENDERED. I HAVE ENCLOSED THE FORM THE MOTHER SIGNED. IT DOES NOTIFY THE PATIENT THAT THE PATIENT OR GUARDIAN, IS ULTIMATELY RESPONSIBLE FOR THE DENTAL BILL AND THE PRACTICE FILES INSURANCE AS A COURTESY BUT AGAIN, PATIENT/ GUARDIAN IS RESPONSIBLE FOR THE BILL. THE PROBLEM AROSE WHEN SHE MISREPRESENTED HER INSURANCE TO THE OFFICE. THE INSURANCE CARRIER WAS DENYING PAYMENT DUE TO MORE INFORMATION NEEDED FROM THE SUBSCRIBER.SHE APPARENTLY DID NOT RESPOND TO THE INSURANCE COMPANY REQUESTS, PHONE CALLS WERE MADE TO HER; NO RETURN RESPONSE. SHE HAD STATED TO THE FRONT DESK THAT HER ADDRESS WAS CORRECT THAT THE INSURANCE CO HAD IT INCORRECT. THERE WERE STATEMENTS SENT TO HER WHICH NEVER CAME BACK STATING AN INCORRECT ADDRESS.AFTER SEVERAL MONTHS WITH NO COMMUNICATION ON HER PART THE ACCOUNT WAS TURNED OVER TO COLLECTIONS. SHE ONLY CONTACTED THE OFFICE AFTER THE COLLECTION COMPANY LOCATED HERSHE HAD CALLED THE OFFICE VERBALLY ABUSING THE FRONT DESK STAFF STATING THAT HER INSURANCE CO HAD PAID & SHE ONLY HAD A COPAY OF $16. THE DAY SHE CALLED THERE WAS NO PAYMENT RECEIVED FROM HER INSURANCE COMPANY. THE ACTUAL INSURANCE PAYMENT WAS NOT RECEIVED INTO THE OFFICE UNTIL 12/23/2014. THE FRONT DESK STAFF EXPLAINED ON HER ORIGINAL CALL THAT THE ACCOUNT WAS TURNED OVER TO COLLECTIONS & SHE WOULD HAVE TO PAY THE COLLECTION AGENCY. SHE REFUSED TO ACCEPT THE FACT THAT NO INSURANCE PAYMENT HAD ARRIVED THAT DAY. AS NOTED WE DID RECEIVE THE PAYMENT SEVERAL DAYS LATER BUT ONLY AFTER I FEEL THE COLLECTION AGENCY LOCATED HER AND THEN SHE RESPONDED TO THE INSURANCE COMPANY'S RESPONSE FOR MORE INFORMATION TO RELEASE PAYMENT.

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Description: DENTISTS, DENTISTRY-CHILDREN, DENTISTS-ORTHODONTICS, DENTISTRY-COSMETIC, PORCELAIN ENAMEL REPAIR & REFINISH, X-RAY LABS-MEDICAL & DENTAL, TEETH WHITENING SERVICES, DENTIST - DENTAL IMPLANTS, DENTAL HYGIENISTS

Address: 134 Bigelow St, Jeannette, Pennsylvania, United States, 15644

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