ComplaintsforWest Davis Dental

• Initial Complaint

  10/16/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  I visited West Davis Dental for a routine cleaning on October 3, 2022. After never having a cavity in my life, this dentist told me I had five cavities that needed to be filled that week. I got a second opinion from my previous dentist who told me that I definitely don't have five cavities, if anything maybe one that isn't urgent. Then West Davis Dental had me talk to a treatment plan coordinator who told me that to fill the cavities would cost me $522 cash immediately, even though I knew my insurance deductible was met and any services would be covered 100%. After I questioned the amount, the coordinator told me she checked again with my insurance and that I still owe $200 hundred dollars. I called to confirm and my insurance denied everything the coordinator was saying. I believe this dental practice is saying I need more treatment than necessary and charging me cash that should be covered by insurance.

  Business response

  01/31/2023

  Business Response /* (1000, 7, 2022/11/08) */ After reading this review, we sent the patient her x-rays and had our senior dentist circle the areas of decay which indicated clear evidence of cavities present. While more conservative dentists may suggest the patient wait until the cavities worsen to treat, more proactive dentists will suggest immediate care to prevent further decay, expense, and pain for the patient. This is what our proactive dentist recommended. Furthermore, we sent the patient her printed treatment plan which indicated her portion would be $200 (not the $522 she stated), which was comprised of her individual copay. As we explained to her, her fillings would be covered at 100% after her copay was met. After further discussion with her insurance company, it was concluded their agent provided our staff incorrect information. Although her individual deductible had not been met, her family deductible had been met. When our front office asked the insurance agent if the patient would be required to pay the remaining individual deductible ($200) the insurance agent improperly informed our staff member that she would. We then turned the information provided to us by the patient's insurance company over to the patient in the form of her treatment plan. Please see the attachments to read the information provided to the patient. You will also see the information from her insurance company indicating her individual copay had not been met. The amount, as indicated in the treatment plan, is $200.

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