Complaints

This profile includes complaints for TMJ & Orofacial Pain Treatment Centers's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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TMJ & Orofacial Pain Treatment Centers has 6 locations, listed below.

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  TMJ & Orofacial Pain Treatment Centers

  2626 N 76th St Suite 101 Milwaukee, WI 53213-1137

• 

  TMJ & Orofacial Pain Treatment Centers

  W3132 Van Roy Rd Appleton, WI 54915-3982

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  TMJ & Orofacial Pain Treatment Centers

  6211 Durand Ave Mt Pleasant, WI 53406-4956

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  TMJ & Orofacial Pain Treatment Centers

  200 W Silver Spring Dr Ste 310 Milwaukee, WI 53217-5059

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  TMJ & Orofacial Pain Treatment Centers

  2727 N Grandview Blvd Ste 100 Waukesha, WI 53188-6100

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:12/31/2024

  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 am writing for formally file a complaint against TMJ Associates regarding deceptive billing practices delayed refund processing, inconsistent charges, and deceptive medical care. 1. deceptive billing/Overpayment Refund Delay I was required to pre-pay $850.00 for an appliance. The cost of the appliance took over 3 months to be submitted to my health insurance. After insurance paid the outstanding balance for the $2,200.00 appliance turned out to be a little over $100.00. Thankfully, I review my health insurance claims and noticed that I paid more than necessary. TMJ Associates did not reach out to me to advise me of this overpayment. I had to call on multiple occasions for them to "find" the error. This began the end of October 2024. It is now December 31, 2024 and I have still not received the overpayment refund. I have been informed that "it is being reviewed" or that "the check is awaiting the doctor signature". I would like this to be a warning to those who get an appliance from this business. You should carefully monitor your billing statements as they will overcharge you and illegally double dip and you will go through h*** trying to get your money back. 2. Inconsistent charges I was advised to do PT for my TMJ and there were multiple occasions where I was charged for a whole hour but the doctor only saw me for a short period of time. Once instance at the beginning of my treatment the PT saw me for 15 minutes to teach me "*******************" and I was charged over $300. 3. Deceptive medical care I was informed that for my very very mild TMJ i would need to wear an appliance for the rest of my life. After speaking to a different specialist I was informed that this is extremely dangerous as it can change your jaw alignment in a way where you will have lifelong issues. This business is purposely making you have treatment to ensure they keep you as a patient. They are creating more issues for you. Stay far away from this scam of a business.

  Business Response

  Date: 01/29/2025

  BBB of Wisconsin
  Attention: ****** B
  ***************************************************************************************************
  
  Re: **********
  
  
  Dear Mr. ****** *.:
  
  We are in receipt of a letter of complaint from ******* *****.  Thank you for giving us an opportunity to comment on this matter.
  
  Our office mailed out a refund check on 12/24/24 (check#*****) in the amount of $370.72.  A refund check was cashed on 12/31/24.  The claim for rendered charges was paid by the health insurance in November of 2024.   There was no refund due prior to health insurance company paying for the rendered services.
  
  Unfortunately,up until now we have not been made aware of the patients dissatisfaction with the services she has received.  Patients feedback is extremely valuable to us, as we strive to improve with each patient.  We pride ourselves on providing the best customer experience and do not like any of our patients to be unhappy. 
  
  I have enclosed a copy of our bank statement reflecting a refund check being paid on 12/31/24 and a copy of explanation of benefits from the insurance company that was received in November of 2024.
  
  It would be our pleasure to ensure that we address patient billing and treatment concerns. 
  
  Please do not hesitate to reach out to me directly with any questions at
  ************.
  
  
  Sincerely,
  
  
  **** *.
  

• Initial Complaint

  Date:05/29/2024

  Type:Sales and Advertising 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 wife needed a mouth guard for tmj issues. We went to tmj & orofacial pain treatment centers of Wisconsin our visits were covered by our insurance. We were informed that her mouth piece was $1200 and will need to be paid for out of pocket if not covered by insurance. After receiving pre approval from our insurance it was determined that the billing department never reached out to insurance for approval so I had to call myself. We then received an email directly from the tmj billing department saying the mouth piece was approved and covered by our insurance. So we went in for our next appointment to pick up mouth piece to which the billing manager **** stated we must pay out of pocket because they dont like dealing with insurance. This was not what they told us via the email they sent saying the mouth piece was covered. The billing manager **** was extremely rude and yelled at both myself and wife saying its not her responsibility to handle insurance issues. This was after we had already received pre approval for the mouth piece. After stating I would file a complaint with BBB she stated they will not be Threatened to which I told her Im not threatening her Im stating they are not following what they had told us in the email. I would be happy to also provide all written documentation about this issue.

  Business Response

  Date: 06/17/2024

  Better Business Bureau
  Attention: ****************
  Re: Complaint # ********
  
  
  Dear ********************,
  
  We are in receipt of a complaint letter from *****************************************.  Thank you for giving us an opportunity to comment on this matter.
  
  Our office verifies insurance benefits as a courtesy to the patient.  Per BCBS of IL policy TMJ/TMD non-surgical appliance is listed under benefit exclusions: Treatment of temporomandibular joint syndrome with intraoral prosthetic devices or any other method which alters vertical dimension..  Our office did advise patient and her spouse of no splint coverage on 4/17/2024.  *********** policy, as of the beginning of this year, has been updated to reflect no splint coverage for BCBS of IL.  Our office did offer discounted rate to the patient for the appliance.  However, patient spouse insisted we submit prior authorization request to his insurance for coverage.  BCBS of IL did approve services, however, it is also stated in the letter Approval does not guarantee payment. 
  
  The BCBS insurance representatives have confirmed that there is no coverage for TMJ/TMD splint through BCBS of IL.  Our office, including manager, have tried to explain this matter to the patient and her spouse.  The patient did proceed with the services and has paid the discounted price at the time of visit. 
  
  
  If there are any additional questions please do not hesitate to contact us.
  
  
  Sincerely,
  
  TMJ & Orofacial Pain Treatment Centers of WI
  
  
  
  
  
  
  
  Enc: Temporomandibular Joint Disorder (TMD) BCBSIL Policy

  Customer Answer

  Date: 06/17/2024

  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and have determined that this does not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
  
  My biggest concerns with the response received are first, they fail to address the issue of the unprofessional attitude of the billing manager ****. Secondly they state that they spoke to an insurance agent who stated the mouth piece was not covered. I have personally spoken to my insurance rep who has guided us through the process to get reimbursed for the cost of the mouth piece. Also informing us that we will be reimbursed directly through our insurance. There is a difference between telling the patient their insurance WILL NOT cover the mouth piece and telling the patient that the billing department is refusing to accept the insurance. Had it been explained from the beginning the office chooses to not accept the insurance rather than stating the patients insurance doesnt cover the mouth piece, this entire issue wouldve been avoided and we wouldve gone directly through our own insurance for reimbursement. The patient should be made aware of your new policy to not accept BCBS for your reasons stated rather than falsely stating the mouth piece is not covered. The reimbursement process takes anywhere from 6-8 weeks but Ill be glad to provide proof that our insurance covered the cost and has reimbursed us when it becomes available.
  
  Regards,
  
  *************************************