Complaints

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:01/14/2025

  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.

  My dentist told me I need a medical procedure to and my tooth. The office manager contacted my insurance to get authorization for the work to be done. The told me the insurance company signed off of the work and I paid my copay and had the work done. The insurance company then refused to pay the bill. I contacted the company and they explained why it was denied, stating they need more information from the dentist. I called the dentist office and had them send the information. The insurance company still refused to pay. The dentist office now refuses to talk to me after calling asking why they didn't send what needed to be sent. All I want is to get them to do their job. This should never have gotten to this point. The insurance company said i have to file an appeal with the state.

  Business Response

  Date: 01/21/2025

  I spoke on the phone with the patient the evening of 1/14/25 after it was brought to my attention that the patient was unhappy. I explained to him that we have been going back and forth with the insurance company on this claim for months with the insurance company trying to get the insurance company to pay for the procedure. We received a few letters from the insurance company saying they were not going to pay since the insurance company didn't feel it was necessary based on the x-ray. I explained to the patient that unfortunately a majority of the time when you have a ************* it does not show up on the x-ray and the insurance company gives us a hard time even though it is a necessary procedure. We provided additional information to the insurance company and also sent a narrative explaining that the tooth was cracked and needed a crown and possibly a root canal. The insurance company still did not pay. I informed the patient that this is not uncommon and we have to go back and forth with the insurance company to try to get it paid. I told the patient that what I do if the insurance company does not pay is just write off the patient's balance in the account. We calculate costs based on what we think the insurance company will be and what the patient's out of pocket cost will be. The patient is responsible for their portion of the payment, not the insurance companies. So, at the end of the day when an insurance company does not pay, I take the loss. I explained to the patient on the phone that this was not his fault at all and we tried to do everything we can with the insurance company for them to pay their portion. The patient, nor any other patient will ever be sent an extra bill because the insurance company did not pay, I write off the account balances. I am very honest and only here to help my patients.