ComplaintsforRosewood Dental Associates, LLC

• Initial Complaint

  03/22/2024

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  My ex sent me a bill to pay half of my sons dental care. It seemed a little high as my son is covered by to insurances. I called them and told them I needed an itemized bill to show what was paid and what the left over amount should be after insurance. When I got the bill I noticed that there were several charges that they labeled "insurance adjustments". These were added after insurance paid the amounts billed for services rendered. Why are they billing extra for nothing. Adjustments should be done before they send the bill to insurance. It feels like they are scamming their patients for extra money. Is this office full of frauds? I want the extra $128 that was billed after insurance to be reimbursed back to my ex! There should not be any money owing as there was actually 3 insurances that paid the bill!

  Business response

  04/09/2024

  After reviewing the account it does appear there is a an adjustment that was done incorrectly & we have corrected that. On 10/5/23 the patient was seen for x-rays, cleaning & exam. We billed $193.00, the Primary insurance paid $184.00 & the secondary insurance paid $78.00 totaling $262.00 which is $69.00 more than we billed therefore we have to add that up in the claim per the insurance company. On 11/30/2023 the patient came in and we completed fillings. The total for the appointment was $404.00, we billed the insurance company $344.00 for fillings on teeth #'s 4 & 13 along with the nitrous oxide. The additional $60 was for the tissue management code which covers the bonding agent, isolation & hemorrhage control materials which are not covered by the insurance company. On this date of service we collected the patients portion of $100.00 which was for the tissue management codes which are not billed to the insurance company $30 x2= $60, along with the $40 for the nitrous oxide which we also know the insurance will not cover & they did not cover. After reviewing the account there was a $59.00 insurance adjustment that was put on incorrectly & after reviewing the EOB's that adjustment should have been $47.70 for the nitrous that was not covered but already paid for by the patient & an additional $4.70 that was not covered by the primary & secondary insurances. The patient should not have had to pay the $23.70 payment & the account after the adjustments should have been at a zero balance. We are refunding the $23.70 back to the patient in the form of a check and mailing it to the address on file. I have attached the corrected ledger along with all the EOB's & signed treatment plan that was reviewed prior to the treatment. We apologize for any confusion we have caused & that is never our intent to be deceitful in our practice. We are all human & unfortunately mistakes happen & we are working all the time to improve ourselves & learn from our mistakes. If there any additional questions we can be reached at ###-###-####. Thanks, Amberly @ Rosewood Dental

  Customer response

  04/09/2024

  
  Complaint: ********
  
  I am rejecting this response because: He did not address the insurance adjustments on the account of why they charged us an extra $128 dollars. He changed the $59 dollar amount to now only $40, but it still does not explain the charges. He talked about $69 that was an overpayment by the secondary insurance company and it looks like he charged us an extra $69 for that over billing! That should be a credit on our account or show that it was sent back to our insurance company, it should not have been billed back to us making out bill $404 plus $69 plus now $40. which brings us to a total of $513 for 2 cavities!  What is the insurance adjustments? I have talked to other dentists and those should be a credit to my account not a charge. Then there is the $30 per tooth for cotton! in my sons mouth, because the bonding agent should be paid by insurance. You charging us unethically and after this I am making a complaint the Division of Professional Licensing for over billing and insurance fraud! What you got over paid by the insurance companies was plenty without adding extra charges after you billed insurance. I am also calling my insurance companies to let them know you are double billing them instead of only billing what was not paid for by the primary insurance company!
  
  Sincerely,
  
  ******* *******

• Initial Complaint

  01/17/2023

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I received a bill for $100 for repair of an occlusal splint the end of October 2022. I contacted the business by phone, messenger and phone message. The device was made in May 2022. Isabell explained that there were no charges for any adjustments for 6 months. I went to the Tooele Office on September 12,2022 to make a different splint, Dr. Mike R******* made the occlusal device and stated there would be no grinding on the device. False!! Seabra refused to make a new splint. I was told the cost of the new device which wasn’t made. Seabra took the old device and made adjustments. The office staff never mentioned a cost when I checked out or during the visit. I’ve requested to speak to the owners and was told that wasn’t possible. I want my money back!! I mailed a check on January 18, 2023. I don’t want to be sent to collectors over this.

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