ComplaintsforPevely Family Dentistry

• Initial Complaint

  07/18/2024

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  I purchase insurance from dentist office to save me money. I paid $249.00. The insurance cover two cleaning and 15% off any other procedures. Unfortunately, I had to paid another Dentist $400 to pull me tooth. I asked about my free cleaning and they refused until I got the deep cleaning done first. I would like to get my money back of $249.00,

  Business response

  08/05/2024

  This patient came in for an emergency and was referred to an oral surgeon. He paid $349 for services we gave him. Without the insurance, it would have been $372 so he saved $23. The oral surgeon extracted his tooth and that is what he is upset about. We offered him partial refund and he declined.

• Initial Complaint

  07/26/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I went to have my teeth cleaned. They told me other things they wanted to do. They were supposed to call to see if the scaling was covered under my insurance. They did not tell me prior that it will not be covered by my insurance before the procedure. I had the procedure on May 5th, but they did not call until June. They did not tell me about having to pay for this procedure.

  Business response

  08/09/2022

  I am responding in regards of a complaint that was given to us via one of our patients.  Two weeks ago I called the patient to discuss with her what was going on with the bill and what we could fo for her and why her insurance only paid what they paid.  I never received a call back to go over this with her. 

  
  

  I called her primary insurance first and was told that they do not cover what she had done at all, which blew my mind since it was common procedures, and the representative stated that the patient was made aware of this when the plan was purchased.  

  
  

  I then called her secondary insurance which is more of a discount plan compared to an actual insurance where a percent is covered.  I spent a lot of time on the phone with them trying to understand how this insurance worked.  The representative stated that they cover 100% of their specific allowed fee, and then the patient owes the difference between what they paid and the fee of the network we are in.  Also with the secondary she had a waiting period which is up in august 2022.  This waiting period is something the patient should be aware of by their insurance and something that insurance does not disclose this to us.

  
  

  I have talked with the owner on this situation and we decided that we will take off what the insurance would have paid. Her primary does not cover any of it.  So with her secondary we will go down to our in-network fee which will take money off and then we will take off what insurance would of paid per quadrant which is $45 per quadrant.  That being said it brings her bill down from $507.00 to $409.00.  

  
  

  If there is any more questions or concerns please reach out to me.

  
  

  Thanks,

  *****

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