Theresa E Madden DDS

Dear Revdex.com:
I have read with regret, the complaint against me from my former patient *** ***I and my staff tried repeatedly and with utmost care to improve her oral and periodontal health since Her general dentist referred her after years of frustration because
*** continually refused to have recommended standard of care services at her officeHer dentist implored me to try to motivate ***. The introduction of this response comes from me, her periodontist and the remainder comes from my staff, who help me make sure we take care of our patients’ treatment, consenting and billing processes to the highest degree of integrity
***’s diagnosis was severe generalized chronic periodontitis requiring root planing and surgical treatmentShe refused this treatment for years despite my warning that some teeth would eventually become impossible for me to save for herShe would only consent to dental cleanings every few monthsAt one point and because she would always say her refusal was financially based, I spent my personal time researching less expensive clinics such as the University of Washington School of DentistryShe refused the referrals
In the practice of dentistry and our professional code of ethics, it is imperative for me to know the comprehensive medical and health history of each patient I treatLikewise, it is the responsibility of patients to share this confidential information with their dentistOtherwise the patient is at risk for serious complication occurring with our treatments.
According to the Center for Disease Control and Prevention, Americans die each day from opioid medication overdoses. After each dental hygiene cleaning appointment in my office, *** requested opioid prescriptions I was compelled to seek a medical consultation with her physician because she was already taking methodone, oxycodone and lorazepam at maximum dosages and her pharmacist refused to fill more prescriptions because he also recognized this grave riskTherefore it is completely unacceptable for *** to assert that my communicating with her chronic pain physician and nurse was “none of my business”. The purpose of my communication was to protect her from fatal unintentional overdosing and NOT in any way to accuse her of drug abuse, as she erroneously accuses me of doing
As far as the billing for *** she claims that she received no statements or phone calls. Statements were mailed to her monthly from the time she had a balance on her account (03/08/thru 12/31/2013). All statements that were sent to the patient from 05/31/to 10/07/stated “***, we got payment from WDS, call Krista to discuss the balance.” On 06/10/2013, she called the office and spoke with Krista regarding the balance in which Krista told her why her balance was more than expected. *** also told Krista that she would be moving to Nevada in days and will call us with the new address once she moved. There is no record that she ever called to update her address. The statement on 12/03/stated “please remit to avoid collections.” Last statement sent to *** (12/31/2013) said that “if we do not hear from you by January 25, the account would be turned over to collections.” At that point, statements were suspended. On 12/01/2014, one last attempt was made to collect this balance offering a 40% discount if account was paid in full. The letter was returned to us by the USPS as undeliverable and that they could not forward
As for the treatment received and the bill she received following treatment: during the osseous surgery, DrM*** had to unexpectedly extract and socket graft one of her teeth in the area. EVERY patient that is seen for treatment in our office is required to sign a consent form stating: “I further understand that unforeseen conditions may call for modification or change from the anticipated surgical planThese may include, but are not limited to, (1) extraction of hopeless teeth to enhance healing of adjacent teeth, (2) the removal of a hopeless root of a multi-rooted tooth so as to preserve the tooth, or (3) termination of the procedure prior to completion of all of the surgery originally outlined.” We have this consent form on file, which was signed by ***
*** states in her complaint that she spoke to her insurance company in “which she found out that Theresa M*** submitted a claim for $and was paid out $4027.00”. This is untrue. Yes a claim was submitted for $but payment received from *** *** was only $1450.00. The approved charges were $4027.00; this is NOT the portion that WDS pays out***’s dental maximum was $1750.00, so the maximum the insurance would have paid out for this would have been $1750.00, but only $of her dental benefits remained, which was paid towards this claim. The dental explanation of benefits clearly states that ***’s balance was $(see below)
*Please view attached image
As for the “original paperwork” *** found, this was an ESTIMATE for treatment and did not include the financials for the extraction on the hopeless tooth DrM*** found while performing the scheduled surgery. As far as billing goes, everything was posted to her ledger according to the explanation of benefits received from *** Dental

Dear Revdex.com:
I have read with regret, the complaint against me from my former patient *** ***I and my staff tried repeatedly and with utmost care to improve her oral and periodontal health since Her general dentist referred her after years of frustration because
*** continually refused to have recommended standard of care services at her officeHer dentist implored me to try to motivate ***. The introduction of this response comes from me, her periodontist and the remainder comes from my staff, who help me make sure we take care of our patients’ treatment, consenting and billing processes to the highest degree of integrity
***’s diagnosis was severe generalized chronic periodontitis requiring root planing and surgical treatmentShe refused this treatment for years despite my warning that some teeth would eventually become impossible for me to save for herShe would only consent to dental cleanings every few monthsAt one point and because she would always say her refusal was financially based, I spent my personal time researching less expensive clinics such as the University of Washington School of DentistryShe refused the referrals
In the practice of dentistry and our professional code of ethics, it is imperative for me to know the comprehensive medical and health history of each patient I treatLikewise, it is the responsibility of patients to share this confidential information with their dentistOtherwise the patient is at risk for serious complication occurring with our treatments.
According to the Center for Disease Control and Prevention, Americans die each day from opioid medication overdoses. After each dental hygiene cleaning appointment in my office, *** requested opioid prescriptions I was compelled to seek a medical consultation with her physician because she was already taking methodone, oxycodone and lorazepam at maximum dosages and her pharmacist refused to fill more prescriptions because he also recognized this grave riskTherefore it is completely unacceptable for *** to assert that my communicating with her chronic pain physician and nurse was “none of my business”. The purpose of my communication was to protect her from fatal unintentional overdosing and NOT in any way to accuse her of drug abuse, as she erroneously accuses me of doing
As far as the billing for *** she claims that she received no statements or phone calls. Statements were mailed to her monthly from the time she had a balance on her account (03/08/thru 12/31/2013). All statements that were sent to the patient from 05/31/to 10/07/stated “***, we got payment from WDS, call Krista to discuss the balance.” On 06/10/2013, she called the office and spoke with Krista regarding the balance in which Krista told her why her balance was more than expected. *** also told Krista that she would be moving to Nevada in days and will call us with the new address once she moved. There is no record that she ever called to update her address. The statement on 12/03/stated “please remit to avoid collections.” Last statement sent to *** (12/31/2013) said that “if we do not hear from you by January 25, the account would be turned over to collections.” At that point, statements were suspended. On 12/01/2014, one last attempt was made to collect this balance offering a 40% discount if account was paid in full. The letter was returned to us by the USPS as undeliverable and that they could not forward
As for the treatment received and the bill she received following treatment: during the osseous surgery, DrM*** had to unexpectedly extract and socket graft one of her teeth in the area. EVERY patient that is seen for treatment in our office is required to sign a consent form stating: “I further understand that unforeseen conditions may call for modification or change from the anticipated surgical planThese may include, but are not limited to, (1) extraction of hopeless teeth to enhance healing of adjacent teeth, (2) the removal of a hopeless root of a multi-rooted tooth so as to preserve the tooth, or (3) termination of the procedure prior to completion of all of the surgery originally outlined.” We have this consent form on file, which was signed by ***
*** states in her complaint that she spoke to her insurance company in “which she found out that Theresa M*** submitted a claim for $and was paid out $4027.00”. This is untrue. Yes a claim was submitted for $but payment received from *** *** was only $1450.00. The approved charges were $4027.00; this is NOT the portion that WDS pays out***’s dental maximum was $1750.00, so the maximum the insurance would have paid out for this would have been $1750.00, but only $of her dental benefits remained, which was paid towards this claim. The dental explanation of benefits clearly states that ***’s balance was $(see below)
*Please view attached image
As for the “original paperwork” *** found, this was an ESTIMATE for treatment and did not include the financials for the extraction on the hopeless tooth DrM*** found while performing the scheduled surgery. As far as billing goes, everything was posted to her ledger according to the explanation of benefits received from *** Dental