Complaints

• Initial Complaint

  01/25/2024

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  I originally went to Beaches Gentle Dentistry because of pain in tooth. *** ***** ***** informed me I'd need a root canal ASAP and started my procedure with a 'baby root canal.' I was told I'd need to put $1000 down on my procedure and then when scheduling my root canal I'd need to pay the remaining $1300 before I could have the procedure. I felt pressured by Beaches Dental Dentistry into paying for the procedure. They told me that I would get refunded the difference of the procedure by my insurance. After leaving the dentist and paying $1000. I talked to a rep at Delta Dental and I was advised by Delta Dental to go to a different dentist to finish my procedure because Beaches Gentle Dentistry was sending me out of network for my root canal and the cause of having to pay so much money out of pocket. At the advice of the Delta Dental Representative I talked to over the phone, I ended up getting my root canal and crown through a completely different provider, *** ******. When *** ******'s office submitted to insurance for my crown, they could not do so because according to my insure "I'd already filed for a crown with Beaches Gentle Dentistry and I can't file again on the same tooth for five years." With this being the case they asked me to pay in full for the crown I received. I'd never gone back to Beaches Gentle Density and they're claiming the insurance money for the crown as if I'd received it. Insurance advised me to contact Beaches Gentle Dentistry to remove the claims and refund the remainder of my initial $1000 payment. After talking to Beaches Gentle they said they would refund me the difference of $450 but not take back the claims from insurance.This is is INSURANCE FRAUD. I now cannot file for the crown I actually received with *** ****** and Beaches Gentle is keeping the money from insurance for a procedure I never had. After further research on *** ***** ***** it has come to my attention that she has gotten in trouble for a similar issue in the past.

  Business response

  02/04/2024

  Dear BBB,

  Please see attached. Please feel free to contact me if I be of any other assistance in regards to this matter.

  Sincerely,
  ***** ******
  Office Manager
  Beaches Gentle Dentistry
  ************

  
  
  

   

  Customer response

  02/14/2024

  Good afternoon, I apologize for not responding. I’ve been trying to gather more information for the complaint. My main complaint is that Beaches Gentle Dentistry is not taking back the claims from insurance. I am more than happy to pay for the work that’s been done. But they are refusing to remove the claims from insurance for work that I never received. 

  Customer response

  02/15/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because: Good afternoon, I apologize for not responding. I’ve been trying to gather more information for the complaint. My main complaint is that Beaches Gentle Dentistry is not taking back the claims from insurance. I am more than happy to pay for the work that’s been done. But they are refusing to remove the claims from insurance for work that I never received. 

  Regards,

  ******* *****

  
  

  Business response

  02/15/2024

  Hi *******, as we shared with you, you need to come in and sign the paperwork to cancel your treatment and receive your refund. Upon your signature, we are obligated to inform your insurance that you have cancelled your treatment and we are not seating your crown and refunding them directly. We can not give the insurance company’s money to you or others. On issues related to payment to your other dentists, you will need to follow up with your insurance company. Please text our office at ************ and let us know what day/time works best for you. We will provide you with the copies of refund letter to you and to your insurance company so you can follow up with your insurance company directly. Please bring an ID with you. 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. ↩