- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
Dentist ripping me off
Posted on 10/14/14 at 2:49 pm
Posted on 10/14/14 at 2:49 pm
I think my dentist is trying to rip me off .
There are codes that they have that are not listed anywhere on my provider hand book . Talked to my provider and they said to bring my book to the dentist and they have to honor the book .
Dentist office said even though there codes don't show in my book I still have to pay there code costs .
Something doesn't seem right , I have a email out to my rep on the matter .
DHMO plan , apologizes accepted in advance for going HMO .
Code is "D9911 apply desensitiz resin "
This would be for fillings
There are codes that they have that are not listed anywhere on my provider hand book . Talked to my provider and they said to bring my book to the dentist and they have to honor the book .
Dentist office said even though there codes don't show in my book I still have to pay there code costs .
Something doesn't seem right , I have a email out to my rep on the matter .
DHMO plan , apologizes accepted in advance for going HMO .
Code is "D9911 apply desensitiz resin "
This would be for fillings
This post was edited on 10/14/14 at 2:55 pm
14
Posted on 10/14/14 at 2:51 pm to BearCrocs
How much is he charging you and for what services?
Posted on 10/14/14 at 2:56 pm to BearCrocs
Sorry to tell you this, but you have crappy insurance.
DHMO plans are never a good value for the patient or the participating provider.
I worked in a place that took Cigna DHMO and it was confusing as hell to understand what they paid for and what they didn't.
I refused to do root canals for patients that had this plan and here's why. Root canals on molars at the time were $850 and would take about one and a half hours to do. We got paid $100 from the insurance company for the procedure, I would receive 22% as I was paid on collections at the time.
So for 1.5 hrs of my time I got $22 and had to take 100% responsibility for the work. Guess how many root canals I did at this place? The endodontists in town loved me for all the referrals they got.
DHMO plans are never a good value for the patient or the participating provider.
I worked in a place that took Cigna DHMO and it was confusing as hell to understand what they paid for and what they didn't.
I refused to do root canals for patients that had this plan and here's why. Root canals on molars at the time were $850 and would take about one and a half hours to do. We got paid $100 from the insurance company for the procedure, I would receive 22% as I was paid on collections at the time.
So for 1.5 hrs of my time I got $22 and had to take 100% responsibility for the work. Guess how many root canals I did at this place? The endodontists in town loved me for all the referrals they got.
Posted on 10/14/14 at 2:57 pm to BearCrocs
Is your dentist Billy Cannon?
Posted on 10/14/14 at 2:59 pm to ruzil
So does that mean they are making codes up to rip me off
Posted on 10/14/14 at 2:59 pm to BearCrocs
Dental insurance is almost always a rip off. You would do much better putting about $25/mo in a saving account just for dental expenses.
Posted on 10/14/14 at 3:04 pm to BearCrocs
that code is for desensitizing resin. if your dentist placed a large filling, he was worried about you having sensitivity or requiring a root canal in the future. he placed the 'medicine' in an attempt to prevent you from needing further treatment. so you should thank him and call your POS insurance company and ask them to explain why they refuse to pay for treatment your dentist has deemed necessary.
Posted on 10/14/14 at 3:05 pm to BearCrocs
It means pay for it in cash and stop using that shite insurance bawww
Posted on 10/14/14 at 3:08 pm to BearCrocs
The beef is with your insurance not your dentist. Next time file your own insurance paperwork instead of letting the dentist office do it, if you think you are getting screwed.
Posted on 10/14/14 at 3:10 pm to BearCrocs
I think in the past 20 years Dental insurance has gone to complete shite. I stopped paying for it through work as the plans got worse and worse and then started with automatic deductibles and waiting periods. I love when there is a 1 year waiting period and my company switches plans every year. Just save money up and brush and floss.
Posted on 10/14/14 at 3:11 pm to BearCrocs
The dude needs to feed his family too.
Posted on 10/14/14 at 3:21 pm to BearCrocs
Posted on 10/14/14 at 3:30 pm to Thug On A Rug
Dental insurance is garbage. And its just going to keep getting worse. Check out this gem we recieved last week. I like how they tell us the coverages and such are going down like we should all be thankful and ecstatic about it.
Posted on 10/14/14 at 3:41 pm to RingLeader
All Dental Insurance Sucks !!!!!!!
Usually it's 50/50 up to $1,500 then it's all on you.
Usually it's 50/50 up to $1,500 then it's all on you.
Posted on 10/14/14 at 3:43 pm to BearCrocs
It's because you probably went in wearing Crocs... identified you as a rube.
Posted on 10/14/14 at 3:44 pm to RingLeader
Um, that highlighted area is due to Obamacare. Dental insurers still have the normal plans.
Get this, we have to offer lower coverage through obamacare. However, we still have our normal plans available. Make sense. Yeah, not to me either.
For the OP, not all dental codes are covered services with a DHMO plan. For those that aren't sometimes the policy allows you to receive non-covered services at a discount. The dentist nor the insurance company is ripping you off without further information.
Having said that, DHMO dentists are famous for adding services that aren't covered so that they can collect more $$$ from the patient. They try to make up for lost revenue from taking DHMO plans.
DHMO dentists are funny though. They love them some capitation checks but hate seeing DHMO patients.
Oh, what do you expect for $8-$16/month. Take the PPO plan next time.
Get this, we have to offer lower coverage through obamacare. However, we still have our normal plans available. Make sense. Yeah, not to me either.
For the OP, not all dental codes are covered services with a DHMO plan. For those that aren't sometimes the policy allows you to receive non-covered services at a discount. The dentist nor the insurance company is ripping you off without further information.
Having said that, DHMO dentists are famous for adding services that aren't covered so that they can collect more $$$ from the patient. They try to make up for lost revenue from taking DHMO plans.
DHMO dentists are funny though. They love them some capitation checks but hate seeing DHMO patients.
Oh, what do you expect for $8-$16/month. Take the PPO plan next time.
Posted on 10/14/14 at 3:55 pm to BearCrocs
Lol, I just googled "D9911" and fraud was the 2nd link that came up.
Posted on 10/14/14 at 3:57 pm to BearCrocs
That's why I get my dentistry and surgery needs done by the old barber down the street.
Posted on 10/14/14 at 3:57 pm to BearCrocs
and he would be justified if only for your ridiculous misuse of the english language.
Posted on 10/14/14 at 3:58 pm to Kingpenm3
quote:
Having said that, DHMO dentists are famous for adding services that aren't covered so that they can collect more $$$ from the patient. They try to make up for lost revenue from taking DHMO plans.
Page 1 of 2
Popular
Back to top
Follow TigerDroppings for LSU Football News