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Signature Family Dentistry

1755 Parker Rd SE, Conyers, Georgia, United States, 30094

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On 2/19/20, I received a phone call from the Capital Accounts Collections agency stating that I owed Signature Family Dentistry 129.00. The date on the bill was for 1/17/20 and had the description of balance forward on the list of services that it claims that I received( even though I have not visited the dentist since august,2019 and I am just now receiving the bill on 2/19/20 with no prior phone calls or letters). I contacted the office on the following date regarding this issue and even the secretary did not know why I was being charged that amount of 125.00( even though the collection agency gave me a different amount) and that it would not show up in her system. I have kept receipts, and summaries of the services that were performed through the times I have visited the office as well. I also contacted my insurance company and was advised of the charges for the dentist office that were paid in full as from their portion as well as what I had to pay out of pocket ( have recipes showing what I was charged and that it was fully paid). I have also contacted the fraud department with my insurance company without a response greater than seven days. I also have a record of dates and time of individuals that I had verbal correspondence with.

Desired Outcome

Explanation of Charges My records and my insurance company records indicated that the bill that I received was not valid and that all fees based on my statements were paid on the date of service. I have documented proof of such payments. Also, my insurance case manager verified claims supporting my documentation. I would like the removal of inaccurate information from my credit report along with cease contact from the collection agency.

Signature Family Dentistry Response • Mar 12, 2020

The patient was seen at Signature Family Dentistry on 07/11/2018 for initial exam and x-rays. The patient was then treatment planned for full mouth debridement, irrigation, indirect pulp caps, restorative treatment and Porcelain Fused to Metal (PFM)crown. The crown in question is for tooth #30 it was cemented on 04/17/2019. Claim was submitted to her insurance. The insurance made a payment of $175.44 for the crown total payment from insurance for treatment that day was $227.28. In total the patient's treatment plan totaled $1442.61. The patient paid $622.38, the insurance paid $462.88. Total paid by patient and insurance was $1085.26. WHen her crown was seated there was a balance of $154.13. After adjustments were made to agreed fee(s) and submitted fee(s). The insurance company doesn't cover the indirect pulp cap fee, the patient has made payments but did not make full payments. LSI billing company was hired to research the billing to verify if the balance was the patient's. The insurance company did not pay for all of the patient's treatment but the billing company adjusted the fee(s). The patient was left with a balance of $125.82. The patient was sent to collections because the balance is well over 90 days.

Customer Response • Mar 16, 2020

(The consumer indicated he/she DID NOT accept the response from the business.)
After reviewing my documentation, statement of account and treatment plan along with the listed dates of services provided with the dentist office visits and those statements submitted to DentaQuest, I subtracted the amounts paid by my insurance company and myself from their balances and there was a deficit of 54.00. I will be in agreement to pay this amount.
Recommendation: In the future, this business should send notification of an initial patient responsibility amount that is owed, giving the consumer the opportunity to question and pay the balance due at 30 days instead of not sending any form of notification to the consumer ( via mail,phone, etc) and sending the bill directly to a collection office. I would like for Signature Family Dentistry to accept the 54.00 payment which reflects my documentation based on their statements given to me. And remove the incorrect information from all involved Collection Agencies.

FEBRUARY 20, 2019
EXAM
XRAY
CLEANING
Total- 95.00
Insurance paid 83.83.
Patient's responsibility= 0.00
CROWN- TOOTH 30
CORE BUILDUP -TOOTH 30
FILL IN -TOOTH 31
Total- 703.68
Allowed amount to be paid -454.57
Insurance paid- 227.28
Patient responsible -277.29. ( paid 216.38 as first portion of split payment out of 432.76)

March 19, 2019

FILL IN- TOOTH 15
PULP CAP- TOOTH 15
= 60.00
Total- 100.64.
Allowed amount- 68.31
Insurance paid 34.16
Patient responsibility- 64.16

April 17, 2019
Check up on tooth 30 ( paid 216.38 as 2nd portion of split payment for crown out of 432.76)

August 21, 2019
Basic Cleaning-Patient responsibility= 0.00
Insurance covered visit
(received reference to oral surgeon)

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Address: 1755 Parker Rd SE, Conyers, Georgia, United States, 30094

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