Business Profile

Dentist

Coast Dental

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for Coast Dental's headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

418 total complaints in the last 3 years.
128 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

Initial Complaint
Date:01/31/2024
Type:Billing Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
11/29/2023 I was fitted for mouth guards for periodontal disease, which I DO NOT HAVE. No charge for fitting.The hygienist said it would resolve 1/2 spots of my level 4 bleeding.The hygienist took my credit card for payment in full, but never told me she did Not even try to run this through my insurance. (After getting a second option Im certain the insurance would have denied this claim because I dont have periodontal disease and this drastic measure is deemed unnecessary by insurance.). I was told they would contact me when the guards were completed in 3/4 weeks. My husband questioned why they didnt run through our insurance and why they ran payment in full, before completion. I then consulted with my old dentists office. I found out that the treatment that CoastDental insisted was necessary was actually NOT NECESSARY. The treatment that COASTDENTAL prescribed is typically ONLY prescribed for patients with periodontal disease, stage 5 and stage 6 (I have only 1 or 2 spots of stage 4). THE NATURE IF MY DISPUTE IS THAT THEY TRICKED ME INTO BELIEVING THAT THIS $548.00 guard was medically necessary. Which, according to the second opinion I received is absolutely not typical dental protocol.After my consultation I called CoastDental and told them to cancel my order. I was told I had to speak with the office manager. She returned my phone call 1day later and agreed to cancel my order.My TMoblie bill confirms the calls I CALLED DEC.13TH, 8:58am ************ to cancel CoastDental office manager returned my call DEC.14th 5:21pm ************ I CALLED JAN. 3, 10:07am ************ I CALLED JAN. 3. 10:10am. ************ I CALLED JAN. 3. 10:16am. ************ emails from CoastDental my unpaid balance is due in full!Dates of emails from CoastDental: 12/28/23; 01/02/24; 01/09/24; 01/13/24; 01/18/24; 01/26/24; 01/26/24; and a third email also on 01/26/24.Note: CoastDental rating on YELP 1.2 OUT OF 5
Business Response
Date: 02/08/2024
Please provide signed HIPAA. Thank you
Initial Complaint
Date:01/31/2024
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I visited Coast Dental for a routine cleaning on 7/3/2023. After having X-rays a couple weeks prior, where I was told my teeth were in excellent condition. I was told I required extensive cleaning, which included anesthetic, antibiotic, etc. They ran my insurance and said I would owe $1,311.78 after insurance. I paid and they performed the services. After, I receive a bill for $451.20. I called Coast and they said my insurance denied coverage. I called my insurance, Detal Dental, and was told that Coast improperly filed. They are an in-network provider and my services would be covered, they need to file correctly. I called Coast to which they said theyd fix the error. Now Im receiving a final notice bill. The phone number goes to a full mailbox. I dont believe I should owe anything and definitely shouldnt be sent to collections for their filing error. They have been very shady about the whole billing process, acting like they had no idea why it was denied then claiming very quickly oh we can fix that. However, they have not.
Business Response
Date: 02/07/2024
NO HIPPA AVAILABLE TO PROPERLY DISCUSS ACCOUNT
Initial Complaint
Date:01/29/2024
Type:Billing Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
On or about November 6, 2023 I received a notice from *************** that I owed $67 for a procedure that Coast Dental ****** Beach did on my teeth on April 19th, 2023. I had not received any prior notices from Coast Dental about this charge. Coast Dental rarely answers their phone and rarely returns calls. So I went to the office personally to ask about the charge and why it was sent to collection. I was informed that supposedly four notices were sent to me July 6, July 30, August 29 and Sept 28 before the charge was sent to collection. I informed them that I had not received any of those notices. I contacted my insurance company to verify the additional charge and it was confirmed legitimate.. So I paid *** $67.43 on Nov. 19, 2023. On November 22nd I received notice from Coast Dental that I had an outstanding balance of $67 for a procedure done on April 19, 2023. I took copies of the paper work into the Coast Dental Office and gave them to them. They said they would take care of it. I continued to receive notices. So I contacted Health First, my ***************** who contacted Coast Dental and demanded that they resolve the issue. CD promised to to do so but I continued to receive notices. I wrote a letter to the dentist just before Christmas and had not received any further notices from them until last Friday January 25, ****. It is damaging to my credit when charges are turned to collection but I am at a loss as to how to resolve this issue. I am concerned that by refusing to pay the current charge they will turn it over to collection again. Then I will be dealing with a third party company that has no interest in this.
Business Response
Date: 01/29/2024
I Have provided the account ledger along with the signed Treatment Plan. The Treatment Plan's Disclaimer states the subtotal represented in the insurance column is only an estimate of coverage. The guarantor on the account is responsible for all treatment and fees not covered by insurance.
Customer Answer
Date: 01/29/2024

Complaint: 21213916

I am rejecting this response because: I have verified the charges and agree with the charges. My dispute is that these charges were turned over to ***************. Please see attached payment receipt. Coast Dental claims they sent me notices on July 6, July 30, August, 29, Sept, 28 none of which I received. I received notice from *** on or about Nov. 6. And I paid it on Nov 19. I then received a notice from Coast Dental on Nov 22 that I owed this charge. This charge is fraudulent and should have been removed from Coast Dentals records when it was turned over to Collection in October.

Sincerely,

***************************
Business Response
Date: 02/05/2024
This patient no longer has collections notice on his account. There is a zero balance.
Initial Complaint
Date:01/24/2024
Type:Product Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I went to COAST DENTAL in Orange City on 09/15/2023 for an initial new patient consultation. I was told I would need a treatment for my teeth and gums. Total cost of the treatment was to be $736.99 - of which $530 included the cost of two dental trays needed to be made which would not be covered by insurance. The total cost of $736.99 was to cover the complete treatment and nothing else was to be owed. I returned on 9/19/2023 to receive the initial treatment as well as to create the molds for the trays and paid the amount in full of $736.99. My follow up treatment was scheduled for 10/25/2023 - however when I arrived for my appointment I was notified that there was a balance due of $98.57 and they would not proceed with the treatment until this was paid. They could not explain what this additional amount was for as the initial payment was to cover all charges. So I did not receive my follow up treatment this day. I was told ***** the office manager would call me later in the week to clarify. I never received a call. Two weeks later I was called for an appointment reminder - I asked them about the issue with the balance and they told there was no balance on the account and seemed to have no idea about any balance due. I agreed to go in for the next appointment in November to receive the dental trays - however the trays did not fit. They advised they would need to make new molds and create new ones. I already had a migraine that day and the office was very loud and I could not sit through this anymore. At this point due to these issues, I no longer trust the office, I requested a refund on the trays ($530) but they refused. I contacted ***** the office manager several times who refused to provide a refund for the service they never provided. I attempted to contact their corporate offices as well and still have not received any responses. The office seems poorly managed and shows a lack of good record keeping which I believe is red flag for any health care provider.
Business Response
Date: 02/06/2024
HIPPA NEEDS TO BE FILLED OUT TO PROPERLY ADRESS COMPLAINT
Customer Answer
Date: 02/07/2024
See Attached
Business Response
Date: 02/07/2024
****************, please accept our sincere apologies for any inconvenience caused. Allow me the time to reach out to the office and upper management to find a suitable resolution for you. Please understand that the trays are custom made to fit each individual, sometimes mishaps in the lab can occur. Though we understand it can be frustrating, we are able to remedy with new impressions so that you are able to do at home treatments to help treat gingivitis and hopefully preventing future additional costly cleanings. Again, we do apologize, and hope you may reconsider doing the impressions.
Respectfully.
Customer Answer
Date: 02/12/2024

Complaint: 21192551

I am rejecting this response because:
I no longer trust your office or feel comfortable there and no longer wish to continue with you all. Your record keeping is wrong and when I tried explaining what happened you told me your staff doesn't make mistakes. When I tried to request copies of my records so I could see what was recorded on your end I was told that there weren't really records that could be printed or copied for me and that the office could only give me the itemized bill I was previously given.
I have yet to hear from the corporate office despite my numerous calls to them and requests for them to call me back. I feel that being able to trust your healthcare professional is key and since I cannot trust your office I cannot continue with you anymore.
Sincerely,
***********************
Business Response
Date: 02/28/2024
**************** I am currently working with the District Manager to get you a refund.
Initial Complaint
Date:01/22/2024
Type:Product Issues
Status:
ResolvedMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
There is a remaining balance in my account that ********************** insurance paid back to Coast Dental, and I have been reaching out to Coast Dental for a refund, but they have not answered the phone or kept delaying for more than 6 months. I even went to the office in person and they are not able to refund me the remaining balance. (About $400)
Business Response
Date: 01/23/2024
**********, we would like to sincerely apologize for the delay on your refund and any inconvenience this may have caused. It's my understanding that you have provided the office with your credit card information. The office has updated your refund request and I have gone ahead and got the necessary approvals to be able to move forward with your refund. I expect your refund should be processed and finalized with the next two weeks.
Respectfully

Customer Answer
Date: 02/14/2024

Complaint: 21170114

I am rejecting this response because:
I got a notification from BBB that my case has been closed. Unfortunately, I still haven't received my refund even though they said they will issue the refund in two weeks.

Sincerely,

*******************
Customer Answer
Date: 02/16/2024
HI ****, I just see they processed refund in my credit card account. I want to thank you for helping me out and get the refund. Regards.
Initial Complaint
Date:01/18/2024
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I booked an appointment to have my teeth cleaned on 11/02/23. When I got there , they proceeded to tell they had to do x-rays first and I would be responsible for $91 in which I pd while sitting in the dental chair with my debit card. They never did a cleaning stating I needed a deep cleaning first and that's fine but I'm still getting billed for $91.
Business Response
Date: 01/23/2024
NO SIGNED HIPPA TO BE ABLE TO PROPERLY DISCUSS ACCOUNT
Initial Complaint
Date:01/17/2024
Type:Customer Service Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I have been receiving text messages and emails regarding payment for services that I received in the Coast Dental in ************ ** location. I advised the office manager to submit the claims to my health insurance first, provided the insurance card with my information but they never did. I advised them to bill my primary health insurance and then bill my dental insurance. This has been going on since 3/2023. I like my doctor but I would like to get this issue resolved.
Business Response
Date: 01/23/2024
The office spoke with *************** on Friday, January 19, **** to discuss her complaint and is working with her to resolve. Thank you.
Initial Complaint
Date:01/17/2024
Type:Billing Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Cost dental keeps over charging me bills that I don't owe..on November 27th 2023 I paid them 57 .37 which was fee I owed all this is on paperwork..then a month later they charge me again _$60 and now it's $100 .. But thing is i have paid already and so did my insurance. ***y need to take back bill *** location is in ********** on miracle Mile there number is ************
Business Response
Date: 01/17/2024
Please provide the signed HIPPA Form.
Customer Answer
Date: 01/17/2024

Complaint: 21154819

I am rejecting this response because: I am sending the documents you all ask for But i want father investigation on this matter of this bill that I have already paid which I have proof of here . with me

Sincerely,

***************************
Business Response
Date: 01/19/2024
This patient was seen in our practice to establish care with our practice. At every visit they were advised of the fee's for each individual service as well as what was expected to be paid by the insurance company. All saigned FAAT forms and treatment plans have been successfully imported into the patients account. As for the claims that have been denied,we have not been able to submit any auth requests via the insurance portal due to not being able to change the provider. Envolve is aware of this issue and trouble tickets have been created in an attempt to rectify this issue. Claims previously denied by the insurance company are being appealed with all supporting documentation as well as a narrative regarding the issues with the portal.
Customer Answer
Date: 01/19/2024

Complaint: 21154819

I am rejecting this response because: Ok well here I have the proof I paid my parts .So I went in the ********** office today and Codie the manger advise me not to pay anymore bills because the bills that are coming to me are bots and should not be paid and that corporate should issue a refund for the bill which is what I want she also did a proof of payment sheet for me as well so you all owe me money on my card that I paid from.

Sincerely,

***************************
Business Response
Date: 02/05/2024
Please see response from office Manager ******
*************************** does not have a balance at this time as he still has claims pending payment with insurance and a $19.84 credit on his account. As for a refund, I don't see any reason why a refund would be issued to this patient.
Customer Answer
Date: 02/06/2024

Complaint: 21154819

I am rejecting this response because:

Sincerely,

***************************
Ok thanks for acknowledging that I do not have a balance and I am old a $19 credit.. but who said anything about a refund? I am old the refund of the $19 that is the only refund I am owed
Initial Complaint
Date:01/11/2024
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
On 08/10/2023 I went to Coast Dental Highland Plaza, for an evaluation of a chipped tooth, and a development of a care plan. They made a plan for my chipped tooth, which included a partial and referred ma to an oral surgeon. On this date they charged my husbands Care credit card $386.00, which I wasn't supposed to use, unknown to me or my husband, but as a business they should have known. When my insurance paid them, now I have a credit of $516.50. I was unaware of this, I tried several times to make an appointment with them, no one would return my calls. I called the call center three times and they sent messages to the office, requesting that someone call me, and nothing. I've had to find another dentist and pay for ($117) another set of x-rays because I couldn't get a hold of the office and no one sent my x-rays to the new dentist. After I left several messages requesting they do so. I only found out about my credit , after my new dentist appointment I drove to the office to speak with someone, they were very uninterested in speaking with me, they gave me corporates number. I've been trying to speak to someone at corporate for days, all the voicemails are full. The operator is unavailable, left 3 voicemails without response. I just need some resolution so I can put this behind me, and carry on with my new dentist. I would like my $117 refunded since they failed to send my x-rays to my new dentist if possible. Also, they continue to text my phone about getting my teeth cleaned, that they want to charge me $2150.00, the new dentist has a care plan set out to fix everything, deep cleaning, and replace the temporary partial, (that coast dental left me with, that I have to eat soft foods and soups again,) For a better price than Coast Dental's cleaning. For that price I can get half of my work done. Thank You for your time in this matter.
Business Response
Date: 01/22/2024
Please accept this as Coast's response to *******************. The office has attempted to reach you and left a voicemail requesting a return call. Can ******************* please contact the office back at ************** and select option 3? Thank you.
Customer Answer
Date: 01/22/2024

Complaint: 21120601

I am rejecting this response because: I requested a refund on January 5 ****. I've been trying to contact someone, anyone to talk to me and I get a message today stating that they will process my refund today. I'm behind on my bills due to this lack of money that they owe me. Almost got an eviction notice from my landlord this month, had to make payment arraignments with him. Now I have to borrow more money for my light bill this month. So this is unacceptable to me, I'm so disappointed in Coast Dental they are so unprofessional. Thank You for time in this matter.

Sincerely,

***********************************
Business Response
Date: 01/22/2024
Please accept this as Coast's response to *******************. A review of your account reflects that you paid for your visit using CareCredit, a refund of $290.50 has been requested and will be refunded back to the original payment method, CareCredit. Allow 6-8 weeks for processing. However, we would like to clarify that any issues regarding defaulting on payments due to the refund is beyond our control, as we received payment through CareCredit and not via cash or check. We ask again that you respond to the office's request to call them back if you have further questions. Thank you.
Customer Answer
Date: 01/22/2024

Complaint: 21120601

I am rejecting this response because: My insurance paid for my partial, that they want to charge me$323.00 for, that's on my EOB. I sent them a copy of my EOB to ************************************ I need a breakdown of how it went from $516.50 to $290.50. I appreciate the refund of $97.00 for x-rays. I will allow $212.00 to be put back on my care credit card, but the rest I need in a check form, as it's over payment from my insurance company. I'm not behind in my care credit card payments, as I'm still having work done. I just need my refund as requested on 01/05/2024. I need it to make sense or we can take this to small claims court, and explain it there and let a judge decide. No one can answer or return my calls from corporate, or make it make sense to me. I have all of my documents to prove my case in a small claims courts. I've tried everything else, if this doesn't resolve it. I'll see you in court. Thank You for all your assistance with this unnecessary matter.

Sincerely,

***********************************
Initial Complaint
Date:01/10/2024
Type:Order Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
How this company is still allowed to operate in the **************** is beyond me, and should this complaint not be resolved to my satisfaction, I will be notifying the appropriate authorities. In May of 2023 I went to Coast Dental's South *************** location. This turned out to be one of the biggest mistakes I've ever made. Upon arriving, I signed a financial agreement for the services that were to be rendered that day that would not be covered by my insurance. It was approximately $280. I had to pay this on the spot in order to have services performed. I paid this amount, and services were completed. I wasn't told until after I paid and was in the chair, that I would not actually be seeing a dentist, because they decided not to come back into the office after ***** and the practice was now strictly doing teledentistry.I returned for my follow up appointment in June, approximately 6 weeks later. I was given another financial agreement to sign, stating that my out of pocket expenses for this visit would be approximately $45. I reviewed the list of things I would be charged for, and declined one of the services, which lowered my portion to less than $30. When I left and went to pay, without telling me anything, they charged my card for $48.92. I asked why, because I had declined the additional service, and she told me that there was an additional balance from my previous visit. I spoke to someone claiming to be the manager and cancelled all future appointments. In December, when I had originally been scheduled for another visit, they began calling and texting me to confirm my appointment. I again told them I would NOT be coming back. I unsubscribed from their automated text messages at least 4 times before calling and threatening a harassment claim if they did not stop texting me. Now, more than 6 months after my visit in June, I received a bill! Not only is it more than 6 months later, it says it's past due! This place is a joke, and I will not give them a dime!
Business Response
Date: 01/16/2024
The local office confirmed that they spoke with *********************** and are working directly with *********************** regarding this complaint. Thank you.
Customer Answer
Date: 01/16/2024

Complaint: 21117336

I am rejecting this response because:
The local office has not contacted me, I have not spoken to anyone there about this. The last contact I had with them was when they called me a month ago to confirm an appointment I had canceled six months prior

Sincerely,

*****************************
Business Response
Date: 01/17/2024
The office responded and informed that they have called and left a message to contact them. Please contact the office directly at ************** and select option 3. Thank you
Customer Answer
Date: 01/17/2024

Complaint: 21117336

I am rejecting this response because:
The office called and left me a message yesterday. They informed me that they have resubmitted my bill to my insurance company. This is nothing more than a stall tactic. My insurance already processed the claim. They applied this portion to my responsibility. The issue is not the way my insurance processed it, it is that I was required to pay my portion up front in both of my visits, and both times you were incredibly far off from what my portion would be. Then, you waited six months to even notify me of a balance due, and told me it was past due. How exactly is a past due balance my responsibility when you failed to notify me of it in a timely manner? During neither visit did I receive an accurate price estimate for my share of the visit. I absolutely will not call the local office to discuss anything, they have already demonstrated their inability to do things correctly. In addition, I recently had a visit with a new provider. I require a crown due to a crack in one of my molars. This crack has spread past the gumline and the tooth itself is beginning to turn grey. This is not something that happened overnight, or even over the last several months, he stated it has likely been slowly getting worse over the last couple of years. Perhaps if your providers actually came into the office instead of insisting that they work from home and treat patients over a computer screen, this would have been caught sooner before it became such an urgent situation.

Sincerely,

*****************************
Business Response
Date: 01/31/2024
Please accept this as Coast's response to ***********************. Regarding your billing concerns, we are to provide only an estimated cost for the service and to collect any fees that are estimated from the patient. This is standard business practice to collect upon providing services. The treatment plan was proposed to you which you agreed and accepted treatment. Treatment was completed. Claim was then sent to your insurance who then denied paying for the cleaning due to you already passing your allowable amount. On the treatment plan, we do advise that the subtotal represented in the insurance column is only an estimate of coverage. The guarantor on the account is responsible for all treatment and fees not covered by insurance. I have attached the signed treatment plan and the signed financial agreement which both discuss this. The claim for your cleaning was closed in November 2023 and the first bill went out to you December 2023. A 2nd bill was sent in January ****. You mentioned that you have had a broke molar, we did review the x-rays and we are not seeing any crack in your molar. Please provide a copy of the dental report of the crack molar from **************** so we can further review. Thank you.
Customer Answer
Date: 01/31/2024

Complaint: 21117336

I am rejecting this response because:
The claim was denied by my insurance because they only allow one cleaning every 6 months. There was no cleaning done or submitted prior to the date of service in June. The prior service was for an evaluation. Instead of contacting the insurance to rectify the situation, you simply resubmitted the claim which was subsequently denied as a duplicate. As someone with years of medical billing and coding experience, this is not the correct procedure. As an in-network provider, someone should have picked up the phone and made a call to my insurance carrier. Likewise, my benefits clearly stated that a cleaning was allowed once every 6 months. If you had knowledge that one of the procedures that was performed during the May evaluation would fall into the category of a cleaning, then you should have informed me up front that the actual cleaning may not have been covered. In addition, the *** from my insurance indicates that the cleaning from the 6/19 date of service was processed on 6/22, NOT in November as you claim. As for the molar, it is not broken, and I never said it was. I said it has a crack in it. Something that might have been caught before it became an emergency situation had I ever seen an actual dentist at your practice.

Sincerely,

*****************************

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Business Response

Customer Answer

Customer Answer

Complaint statuses

Business Response

Complaint statuses

Business Response

Complaint statuses

Business Response

Customer Answer

Business Response

Customer Answer

Business Response

Customer Answer

Complaint statuses

Business Response

Customer Answer

Business Response

Customer Answer

Complaint statuses

Business Response

Customer Answer

Business Response

Customer Answer

Business Response

Customer Answer

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