ComplaintsforDC Pearls Dental Boutique

• Initial Complaint

  11/13/2021

  Complaint Type:

  Order Issues

  Status:

  Unanswered

  More info

  I'm writing to file a complaint regarding billing issues. I received dental services on 7/30/21. I paid $922.00 total for this service - a deposit of $150.00 on 6/10/21 and $843.00 on 7/30/21 (later noting that $70.80, rounded up to $71.00, of the $843 was towards services rendered 6/10/21). My EOB for 7/30/21 reflected I am responsible for $263.20. (ATTACHMENT 1). Despite this, I received an itemized bill that includes an additional fee of $264.00 (ATTACHMENT 2), reflected as gingival irrigation per quadrant for four quadrants. When I inquired about the additional fees, I was told by their receptionist that the fees, would not be covered by [my] insurance and therefore wouldn't be documented on EOB. Regardless of if the services would be covered or not, they should be reflected in the EOB, particularly as I am an in-network customer. I also must note that after months of contacting the dental office, they only submitted a claim for these services on 9/11/21 while I was on the phone with them, after weeks of consistent follow up. I can confirm this with a screenshot of my claim history provided by them on 10/2/21. (ATTACHMENT 3) I also paid $171 for services rendered 8/27/21 and when I called my dental insurance company on 11/12/21, they confirmed the dental office never submitted a claim for the services and that explains the lack of EOB in my record for that date. My dental insurance company noted that Dr. Pearls had a history of charging me the out-of-network cost and neglecting to file claims and they encouraged me to pursue legal action and report them to the American Dental Association. When I emailed the dental office on 11/13/21 to follow up about the 10/27/21 claim, they brushed off my inquiry. (ATTACHMENT 4) I have followed up with detailed receipts and requested the business refund me the additional $435.20.

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