ComplaintsforEnamel Dentistry

• Initial Complaint

  07/06/2023

  Complaint Type:

  Product Issues

  Status:

  Unanswered

  More info

  This business overcharges for procedures and then does not alert customers of refunds after sending info to insurance. This has happened to me twice at two different locations totaling over $1,000 being refunded months after the initial claim. They do not alert you and you only find out when they notice a credit during your next visit, which could be a year later. The different locations do not have the same policy in refunds which is very confusing.

• Initial Complaint

  02/02/2023

  Complaint Type:

  Product Issues

  Status:

  Resolved

  More info

  - Summary: The Enamel Dentistry deceived me by telling me that their clinics and providers are part of Delta Dental. I myself confirmed that by my insurance. Then 2 months later, they told me that the provider who did the root canal for me was not part of Delta Dental (considered out of network). And they said they apologize for that. They charged me $562 more than what they originally told me (that they are part of the network)- Date of Transactions: ************ - Root Canal - Name: *************************** - Provider ID: ************ - The amount of money you paid the business: $1200 - - Contacted the clinic by email, by person, and by phone multiple times. They first admitted the error from the clinic and told me they will have their billing manager connect with me. Then, the billing manager denied everything - Issue: I was misled by the Enamel Dentistry clinic about their affiliation with Delta Dental. I was told in person and on the phone that their clinic and providers were part of Delta Dental and that my out-of-pocket for a root canal would be ~$100-$120. The clinic even confirmed this with my insurance while I was there on November 28th. However, after receiving medication injections, I was asked to pay $1200 instead of the promised ~$100. The clinic assured me that they would file a claim with Delta Dental for 90% reimbursement, but two months later, I only received $553 after following up multiple times. I later found out that the provider who performed the root canal was not actually part of Delta Dental. They said that a provider is a contract at Enamal! The Enamel Dentistry admitted to making an error but claimed they cannot do anything about it, which I consider fraudulent behavior.

  Business response

  02/07/2023

  Hello, 

   

  Please see attached signed consent form, treatment plan and information signed by the patient to our Endodondist team. Treatment has successfully been completed as well as a full treatment plan was signed at the time of the procedure. Patient had been a difficult patient throughout her time with us. The patient was aware that we are out of network and sign. The treatment plan agreeing to pay in full. 

  Customer response

  02/09/2023

  Complaint: 18951664
  
  I am declining this reply because they instructed me to pay and sign a letter, claiming that I have coverage through Delta Dental and that their clinic is in-network. They stated that I would pay now and then they would file a Delta claim on my behalf and I would receive 90% of the total amount submitted ($1200), i.e., total out of pocket expense would be $100-12.  However, a few weeks later, they informed me that the provider was out of network! This contradicts their earlier assurance and gives the impression of fraudulent behavior.

  
  Note: The manager of Enamel Dentistry reached out to me on February 9th and we are working towards a resolution. Despite having signed the contract, it seems that Enamel is already aware of the error on their end. 
  
  Regards,
  
  *****************************

  Business response

  02/14/2023

  Hello, 

   

  We spoke to the patient and we have resolved the matter internally if you can follow up with her in this response. 

  Customer response

  02/14/2023

  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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