ComplaintsforStation Dental Group, PC

• Initial Complaint

  12/05/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I was recommended to this dental by my previous dentist and at first the visit was okay. This place is a scam, they will only provide the work that they recommend and if you deny any work, they get an attitude with you. They ask to pay for at least half of the amount if you need to come back to get some work done. I had my daughter get some work on her tooth and paid the whole amount upfront and they still are trying to charge me that amount even to this day I have tried to contact this place several times and every time I get a different answer whether its billing or they state that someone will call me back and they don't. Every time I call, they try to minimize the charges and call it something else are for the charges. I just want to pay for what I owe and be done with it but I want it for be what I actually owe. BEWARE ON THIS LOCATION, DONT GO TO THIS LOCATION. YOU HAVE BEEN WARN.

  Business response

  12/08/2023

  When we are in network with insurance we are bound by our contract with that insurance company. Any deviation from what their estimate of benefits says is considered insurance fraud. We take patient portions ahead of time based on our best estimate of a patient's policy. If there are changes once insurance has paid, we have to honor those, even when it is a payment that is declined and leaves a patient balance, if the insurance company suggests that the patient is responsible. We do our best to estimate as closely as possible, and always present and have a financial estimate signed by the patient. This agreement clearly states that unpaid balances by insurance may end up as a patient responsibility. Our Director of Operations spoke with the patient when requested and sent a statement showing full accounting breakdown per the patient's request. Nothing about this was a scam but simply a normal patient balance after service and insurance payment.

• Initial Complaint

  07/13/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  This place is a SCAM. We have received 3 different bills of varying amounts. Insurance was charged incorrectly. Then 8 months after the visit we get a bill for $350+. We have insurance that covers a routine exam which is what my wife got. They charged her $91 the day of for something insurance didnt cover, checking for gingivitis and gum desease. Im pretty sure that is routine in any regular dental exam. My wife didnt know so she paid it. Im at a loss how a simple regular cleaning and check could cost us $450 out of pocket with insurance that covers a routine exam. Now we are being told they will do an audit of the bill to see why we are being charged. They cant tell us why we are being charged for things or why we paid $91. They keep saying you saw the iPad and agreed. The only iPad seen was one to pay. You all need to look into this place and get it shut down. They are scamming people and insurance companies out of money, claiming services provided that were not.

  Business response

  07/14/2023

  This is not from a patient of record and we are unable to discuss anything with them.

• Initial Complaint

  01/12/2023

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  I have informed this business that I no longer want to receive their services and they transferred my records to another dentist in June 2022. Despite transferring my records they continue to call, text, and email me requesting that I schedule an appointment. I am asking for your assistance in stopping this business from contacting me.

  Business response

  01/13/2023

  We did not hear from the patient that he did not want communication from us. There were no responses to text messages or emails and phone calls to the patient went to voicemail. We have marked him as an inactive patient and deleted his email so that he should no longer receive anything from us. We apologize for any inconvenience.

  Customer response

  01/24/2023

   
  Complaint: 18729300
  
  I am rejecting this response because:
  

   

  What the business is stating is false.  I specifically requested no further communication when I had my records transferred to another dentist.  They have repeatedly ignored my requests for no further contact.  This response is the first time they have agreed to not contact me again.

  
  Sincerely,
  
  ***********************

• Initial Complaint

  08/23/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  In March ************************ that I had to have a crown. Since then United Healthcare has been denying the claim because they said that a crown was not necessary. Today (8/23/22) I received a call notifying me of a $600+ balance on my account because they said insurance was not paying for it. As a ******** patient who fulfilled my copayment obligation, it is either a fight between the insurance company and the dentist or its malpractice. If patients have to question and get second opinions for crowns, its not even worth the $1500 per year that we are given for dental care. If insurance said a crown was not necessary and the dentist cant provide proof that it was, then the dentist should have to write off the balance or I need to file a complaint with the state and possibly file for malpractice. People on ******** dont have this kind of money.

  Business response

  08/25/2022

  None of the doctors at Station Dental are allowed to over-diagnose treatment to take advantage of patients, and they have regular chart audits with our Chief Clinical Officer to ensure this is not happening. Insurance companies are not who should dictate what treatment should and should not be done, it is the treating doctor that has to make this diagnosis and it is done with the patient at the time of service. After further review we fully support the need for this patient to have had a crown as his restoration. We have sent all supporting documentation to the insurance company and even though it has been over a year, we are still working this denial to try and get payment for the patient. If we are unsuccessful, the patient is also able to fight with the insurance company to try and get payment and we can provide all documentation to the patient. Unfortunately this is what sometimes happens, and in the instance where insurance does not pay it is the patients responsibility. We can never know who is reviewing cases and approving or denying payments. It is a very small percentage of cases where this happens, but due to the inconsistent nature of insurance reimbursement every patient is provided a full treatment plan with all estimated fees and a disclaimer that they must sign before any treatment is started. This disclaimer signed by the patient filing this complaint is attached for reference. Please do not make this document public. If any additional reference or context is required I am happy to be available. Thank you.

  Customer response

  08/25/2022

   
  Complaint: 17757600
  
  I am rejecting this response because:

  It is my understanding that in ********************************************************* in my case balance billing as I call it, by implementing new law.  I would like the following:

   

  1.) Explanation as to why this dental office feels they are not violating ******** Law.  Please reference C.R.S. 10-16-705(3).

   

  2.) I would like copies of all appeals to date to make sure the dental office met the contractual issue of timely filing of appeals.

   

  3.) I would like copies of all supporting documentation regarding my treatment.

  
  Sincerely,
  
  *******************************

  Business response

  09/21/2022

  This is not a case of surprise billing. A signed treatment plan is shown that we were as clear as possible with the patient about the fees and their responsibility.

  We have submitted multiple appeals to the insurance company and are still working this on the customer's behalf. We did just receive information this week that they will accept another appeal. Our insurance claims processor has apparently only sent the same information multiple times so we will be putting together a more robust package. After reviewing the patient records it is with 100% certainty by our treating doctor and Chief Clinical Officer that the treatment diagnosed and completed was correct.

  As far as patient responsibility, every insurance company has many different contracts and will usually dictate whether a patient is owed the remainder or not when something is denied. We are looking into the contract with the patient to see how theirs is written. Normally, as it also states on our signed treatment plan, unpaid insurance reimbursements do fall on the patient to pay.

  The requested information cannot be provided in the 7 day timeframe allotted by the BBB for response. Thank you

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩