Copper Creek endodontics keeps mailing me bills with the ammount but not an itemized description, they also billed my insurance two seperate claims.
Copper Creek Endodontics keeps sending me bills with just an amount due, it does not say what it is for, I have called them several times to find out what they charges are for and ask for itemized bills but have not received one. They also billed me for something my insurance does not cover without my knowledge or consent first. When I went into my appointment I paid my portion of what the insurance did not cover and then 2 months after the service they started sending the bills but won't tell me what it is for.
I don't want to pay anything additional to their business because I feel like I already paid for the service and feel like I already overpaid for the root canal.
Contact Name and Title: ******* ************** Manager
Contact Phone: XXX-XXX-XXXX
Contact Email: ****************@gmail.com
The patient came to our office to see our doctor for a consult and possible root canal on 9/26/12. Since the appointment was made just 40 minutes before she was to come in to our office, there wasn't enough time for our staff to call her insurance to get a more complete breakdown of her benefits. There are several codes we bill that are not advertised on their web portal. We gave her the very closest estimate for her treatment that we could of $480.00. ALL quotes in our office can only be estimates until the patient's treatment is completed AND the insurance has processed the claim. We always try to communicate this information to all of our patients. ******* had some swelling and pain and our staff did their best to resolve her issue and get her feeling better. She paid $480.00 on this date.
After a full evaluation, the doctor ultimately decided it was best to perform her root canal over two visits due to the large size of a lesion. We did not bill her on 9/26/12 for the root canal itself, we billed just for the consult D0140, x-ray D0220, and pulp vitality test D0460. The pulp vitality code D0460 is the code that apparently was not covered on the patient's policy--$45.00. (An endodontist MUST perform this test in order to determine if the tooth is vital or needs a root canal) Per the patient insurance Explanation of Benefits, her portion for this date of service was: $83.90
The following week, the patient returned on 10/3/2012. The doctor was able to complete her root canal and this is the date of service on which we billed her insurance company for the Root Canal D3330 and an x-ray D0220 for the completion. Per her Explantion of Benefits, her portion for this date of service was: $447.50.
*******'s total co-pay portion for her treatment in our office for tooth #3 was: $531.40.
Paid: $480, Bal $51.40.
We do not send statements until insurance has completed processing of the patient's claims. We recieved her first claim on 10/11/12 and her second claim on 10/30/12. Patient final balance shows $51.40 and her first statement was sent 10/30/12. On the first statement, all activites on the account are included for the most recent treatment--which for this patient was her only treatment. Insurance companies generally send explantions of benefits to the the patients as well, but if not they always make them available for the subscriber to review. Therefore, the patient certainly has access to the same explanations that we do.
The patient called our office on 11/15/12 with concerns regarding her account. Per our admin notes, she "said she was way over-quoted and doesn't know why she is getting a bill for the $51.40. She told her GP she will never come back to us and we were too expensive and she is reporting us to Better Business Burea for charging her too much and she has told everyone she knows how bad our office is and how unprofessional whoever collects money in the front and does estimates is". Our office is unsure the patient was unclear which service in our office was unprofessional.
******* recieved another statement sent 12/5/12 and a 3rd statement sent 1/4/13. On 1/8/13 she called our office once again. She insisted we'd never sent her a COMPLETE statement showing ALL her charges and she wouldn't pay until she did. She was offered a full/complete statement by e-mail which she refused insisting she wanted a hard copy. She was mailed a complete paper copy that same day with an offer to print it for her if at any time she wanted to come to get one.
******* also insisited we'd overbilled her by at least $200, according to her research. Our doctors would find this to be very suprising since we do regular analysis to make sure our fees are competitive. Not only do we feel we are competitive, our office offers state-of-the art technology and a quality of service way beyond our competitors. Our office is currently one of very few practicing endodontists in Utah equipped with a Kodak 3-D digital Conebeam machine--which offers the best imaging available to specialists. This technology is industry proven to give us the ability to offer the most reliable, longest lasting results. ******* recieved this image free of charge, a service that can cost $360+.
******* recieved excellent endodontic care in our office and has had absolutely no complaint regarding her endodontic treatment. Our staff tried to estimate her treatment as closely as possible. In the dental field, when there are insurance companies involved, it would be practically impossible for us to offer an exact estimate for treatment before an insurance company has processed claims.
As a courtesy we will send the patient an additional, FULL/COMPLETE itemized statement today 2/8/13. If ******* still has questions we'd be glad to help her at any time. In addition, she is welcome to contact her insurance company to verify the information we've submitted.
Final Consumer Response
(The consumer indicated he/she DID NOT accept the response from the business.)
I still have not recieved a detailed bill. The only billing statement I have it one with a notice saying that I am being sent to collections with a amount due.
My issues have never been with the dental care I revieced rather then with the billing. Why should I pay a bill when I have no idea what I am paying for?
Attached is the "bill" I recieved. I have waited several weeks for an actual bill and have yet to get one.
Final Business Response
We have sent you mutlpile statements, with itemized detail. Our most recent was sent 2/8/13, and we confirmed all the detail was included. Your account, however, has been turned over to an accelerator company due the amount of time that's lapsed for payment. Any statements received after your account was transfered over will only reflect amount due as we do not share that information with them. If you have any questions, we would love to go over your account. Please call us at XXX-XXX-XXXX.