ComplaintsforBradfordville Dental Care

• Initial Complaint

  10/12/2021

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  This newly opened dental office changed its practice dentists very frequently. In less than 2 years, at least 3 dentists have come and gone. The current dentists practiced in fraud. Back in March 2021, I saw one female dentist in this office to glue back my fal**ng front tenth veneer and paid in full of $100 by my own pocket without going through my dental insurance. Since the office was new and I did not want to switch my regular dentist before trying out. The female doctor did a great job, I decided to switch. However, after I switched in May and provided my dental insurance to them, I was told by the female doctor that she was going to leave soon. That day, I only did first time new patient exam which insurance covers 100%. However, starting in July, I have received multiple bills from new male dentist who try to illegally charge back to March for the service which I had never received from him. It is a severe business fraud. They refused to solve this issue after l call.

  Business response

  10/21/2021

  From: *********** ***** <*************************>
  Sent: Wednesday, October 20, 2021 3:50 PM
  To: Info <*****************>
  Cc: (FL) Bradfordville Dental Care <********************************>
  Subject: BBB ID ******** response

   

  Good afternoon, 

  Thank you for your inquiry. Patient ****** ** had a new patient **mited appointment on 03/25/2021, at that appointment patient had an x-ray, focused area exam and the recement of #25 veneer by Dr. ****** ***. This was the first time Mrs. ** was in our office and the doctor needed an x-ray to aid in examination of the tooth.

  <** style="color: black;">We billed her insurance for exam and x-ray of date of service 03/25/2021. This is normally covered by insurance at 100%, however they have a **mit of 1 exam per every 6 months. Ameritas (her insurance) paid for the x-ray and denied the exam for $61 due to frequency. Please see attached explanation of benefits attached.   This left her a balance of $61. <** style="color: black;">Mrs. ** returned for a comprehensive appointment to get estab**shed as a patient on 05/25/2021. She again saw *** *** and hygienist ******. We took a full mouth series of x-rays needed to diagnose any treatment, *** *** completed an exam, and a treatment plan was given for everything diagnosed that day.  <** style="color: black;">We billed insurance for Date of Service 05/25/2021 exam and Full mouth series of x-rays, again typically covered at 100% however,  Ameritas denied both due to frequency.  The Full Mouth Series x-rays are covered once in a 5-year period and again exams are only covered one time every six months. This left a balance of $174.  When added to her previous balance the total is $235. <** style="color: black;">Statements have been sent monthly to Mrs. ** since May 2021. <** style="color: black;">An electronic balance reminder text was sent on 08/11/2021. <** style="color: black;">A courtesy call was attempted on 09/23/2021 but voicemail was full. <** style="color: black;">On 10/12/2021 the patient called the office and asked why she had a balance. After being explained where it was coming from , she got upset and hung up. 

  We usually send 3 statements and make two attempts to contact the patient prior to sending them to collections. We have sent six statements at this time. I have included her explanation of benefits from her insurance from both visits as well as all x-rays taken at both appointments.  The $235 balance is coming from services she received in the office and her insurance denied; it is now patient responsibi**ty. 

  Please don't hesitate to contact me if you have further questions. 

   

   

   

   

   

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

  Practice Manager of Operations

  Bradfordville Dental Care

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

  email ***********@*************

  Business response

  10/25/2021

  Good morning, 

  At this time we have made an adjustment to Mrs. **'s account and inactivated her account. A copy of her zero balance is attached on her statement; I have also attached our financial po**cy which Mrs. ** signed understanding that we file insurance as a courtesy, the balance is all coming from items usually covered by her insurance at 100% however due to frequency **mitations they were denied. I recommend she look into this with her insurance so this doesn't occur with her next dental office. I apologize for the miscommunication and hope this adjustment of her balance meets her needs. 

  Customer response

  10/27/2021

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

  Better Business Bureau:

  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. 

  Regards,

  ****** **

   

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