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Business Profile

Dentist

Mid-America Dental & Hearing Center
BBB accredited business seal
BBB Accredited BusinessA+Rated by BBB

Complaints

Customer Complaints Summary

  • 2 total complaints in the last 3 years.
  • 2 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

The complaint text that is displayed might not represent all complaints filed with BBB. 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.

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Complaint status

Complaint type

  • Initial Complaint

    Date:10/22/2024

    Type:Billing Issues
    Status:
    Answered
    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    Sept 11, 2024 I paid for my dentures with being told that however much my insurance paid I would be reimbursed. My insurance didn't cover the dentures I picked off of their sheet. Never was I informed which denture my insurance would cover when choosing. When I talked with the office about this they refused any form of reimbursement. 100% unsatisfied with this company as I have all my notes and even stood and talked with the lady that told me I would be reimbursed, which she didn't deny..

    Business Response

    Date: 10/23/2024

    At this time, Dental Centers, located at ********************************** & Hearing Center, can neither confirm nor deny ****** ******* is or was a patient at any of our facilities.  Please complete the attached Authorization form as to allow for Dental Centers to respond to this complaint if applicable.

    Customer Answer

    Date: 11/25/2024

    Was wondering if you received the disclosure info sheet please. Thank you. 

    Business Response

    Date: 12/23/2024

    On September 11, 2024, Mr. ******* presented to the office for Upper and Lower dentures as he was unhappy with a set he had received from another dental office in April of 2024. Prior to treatment, assistant A.B. reviewed the patients treatment options, estimated insurance coverage and any clinical issues that may affect treatment.  As only one of the four levels of dentures is typically eligible for insurance coverage, it is customary to inform patients that the Premium Complete Denture (*** codes 5110 & 5120) is the only denture service typically eligible for reimbursement. During this review, assistant A.B. brought in Dental Assistant Lead ****** help explain a clinical issue which would affect the fit if the dentures and explain insurance reimbursement.

    Mr. ******* select the Better Plus denture, which does not meet the *** definition of a Complete Denture and is internally coded as a 5111 & 5121.  The insurance code for those services is 5899.  Mr. ******* accepted and signed the treatment plan prior to treatment.  The treatment plan indicated the denture service did not meet the criteria for a Complete Denture.  Please see the attached signed treatment plan.  At a later date, the patients wife contacted the office requesting we change the codes to 5110 & 5120.  AS the services rendered do not meet the criteria for those codes, we are unable to change them. To do so would constitute insurance fraud.

    Customer Answer

    Date: 12/25/2024

    Complaint: 22459911

    I have reviewed the business' response and am rejecting it because:
    When I first contacted the office they were told the insurance company was to be reimbursed for prior dentures and their response was they would them rebill insurance and I WOULD BE reimbursed what the insurance allowed. Not one time was I told which dentures they would or would not cover. In signing the treatment plan once again they knew there was going to be a reimbursement to my insurance company then they would reimburse me, this was very much voiced at this time. The lady which did originally set my apt and tell me this would be reimbursed DID NOT deny what she had told me originally about my money being reimbursed when I confronted her at the office, I tried to talk with them about this to no avail as I said she did not deny to me she had told me this. I feel they are definitely in the wrong and I have been cheated out of monies owed to me. When I called my insurance company and told them we were waiting on the reimbursement to them to get our reimbursement they are the ones who informed and explained about the code that had been submitted, the office DID Not inform me of this. All I was shown is the attached document on cost no where did it explain the insurance coverage at all. Point blank I was told when insurance was reimbursed they would reblll and I would be reimbursed what the the insurance paid. I feel like they should reimburse me the monies owed to me as I had been told they would. The front office needs to be more accurate and correct possibly when telling customers what they would and would not reimburse as this IS what they told me.. 



    Sincerely,

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

  • Initial Complaint

    Date:05/01/2024

    Type:Billing Issues
    Status:
    Answered
    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    I had dentures made and I paid for my portion. They were supposed to bill insurance for the remaining amount. The insurance told me the wrong code is being used and MidAmerica Dental will not correct the code so that the insurance can pay for the dentures. I am now being sent to collections for the remaining amount which is not right.

    Business Response

    Date: 05/01/2024

    At this time, Dental Centers, located at ********************************** & Hearing Center, can neither confirm nor deny ***************** is or was a patient at any of our facilities.  Please complete the attached Authorization form as to allow for Dental Centers to respond to this complaint if applicable.

    Business Response

    Date: 06/26/2024

    I am unable to post the following in the response section of the complaint.  Can you please do so for me?

     

    As of May 7, 2024, the collections actions were terminated for the outstanding balance.  Furthermore, any unpaid balance after insurance payments will be written off.  Unfortunately, due to Aetna's actions, future patients who have *************** will have a limited selection of treatment options.

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