On 10/06/2009 I went to Wheatland Dental office to have my teeth cleaning.
Since this year I have a limited dental insurance coverage, I specifically
asked my hygienist, Natalie, to perform a regular cleaning ONLY. I also
specified the procedure code D1110. Natalie said OK and did the cleaning.
I need to stress that I'm going to this office for more than 5 years and
Natalie have a very gentle and nice hands. She is great hygienist.
My problem is with the billing office of that clinic and specifically
the OVERCHARGING me. To my surprise, they billed my insurance for more
expensive procedure D4910 (Periodontic Maintenance) and the coverage was
denied by the insurance company (as I expected). I stopped in the clinic
on 10/16/09 and talked to someone from the billing department and I was
promised they will sort out quickly this problem. Two weeks later, no
response, no amendment claim to my insurance. On 10/30 I went again to
Wheatland Dental and spoke with Sue from billing department. She was not
very cooperative and she told me that since I has some periodontic problems,
they can charge the insurance company the different code for a practically
same procedure. She promised to take a look at my files and call me within
one day. One week later I call Sue, and she promised again to reply within
one day. No reply as of today.
I did called my insurance company and I was told that now this problem is between
me and the dental clinic.
Pros: good hygienist
Cons: poor billing and customer relations
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