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Dental
Date of service 5/25/2016 Patient: Raymond Forbes, Jr. dob 04/30/2009
Two teeth were pulled from my 7 year old grandson and they used nitrous. MetLife Insurance did not cover the nitrous, but the negotiated fee was $41 and they charged us $101. They said they could charge whatever they wanted to by state law. I would like to request a refund, and ask that they be held to negotiated charges. They also charged us $40 for a missed appointment with no forgiveness for first time. We did show up, but were a day late. Husband wrote it down wrong. We live an hour away, and they provided no reminder the day before. They seem like they are trying to milk every dollar they can from you.
There was one missed appointment. We just came to your office this past spring when we got custody of our grandchild. Your receptionist has a superior air, and I dont appreciate being talked down to. If I hung up on her, I guess we were done talking. No use beating a dead horse. We thought we would be getting superior care for our grandson, which is why we drove an hour to get there. I go by what was submitted to the insurance company, and what they say I owe you. This is also what I use for tax purposes. If that is wrong, then maybe you need the insurance companies to change that.
Misunderstanding of how charges are determined.
Lastly, in order to avoid any confusion, we could email you the two missed appointment dates with your reasoning.
As she was trying to tell you yesterday, MetLife does not cover nitrous, as such, under Illinois state law SB3242 which was amended in 2013 to add section 355.3, the insurance companies are not able to impose their fees on an item that is not covered. When something is not covered by the insurance company it falls to our office fee, not "whatever we wanted". The pertinent text is as follows:
"(b) No company that issues, delivers, amends, or renews an
individual or group policy of accident and health insurance on
or after the effective date of this amendatory Act of the 97th
General Assembly that provides dental insurance shall issue a
service provider contract that requires a dentist to provide
services to the insurer's policyholders at a fee set by the
insurer unless the services are covered services under the
applicable policyholder agreement."
With regard to the $40 missed appointment fee with no forgiveness: this is absolutely inaccurate. We always wave the fee the first time, which we did for you, however, when you missed the second appointment, we imposed the fee. When you decide not to show up for an appointment, not only is there an opening in the schedule, there are also other patients who would have like to have been seen at that time, but were unable to come in because we had blocked that time for you.
No refund is warranted, nor will one be offered.
As you know, you signed a treatment plan acknowledging the fee for nitrous. If you waive your Hippa rights we would be happy to post it for you.
http://www.aapd.org/assets/1/7/NonCovered-Illinois.pdf
Is The Loose Tooth Pediatric Dentistry legit?
The Loose Tooth Pediatric Dentistry earns 56% level of Trustworthiness
Average Trust Update: The Loose Tooth Pediatric Dentistry assessed by Complaints board with 56% credibility. Caution advised for personal and financial details.
We found clear and detailed contact information for The Loose Tooth Pediatric Dentistry. The company provides a physical address, phone number, and email, as well as 2 social media accounts. This demonstrates a commitment to customer service and transparency, which is a positive sign for building trust with customers.
By resolving 100% of 1 negative reviews, The Loose Tooth Pediatric Dentistry is demonstrating its dedication to customer satisfaction and effectively addressing customer issues. While there may still be some practical problems that need to be addressed, such as long wait times or unhelpful responses.
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The Loose Tooth Pediatric Dentistry phone numbers+1 (815) 267-7299+1 (815) 267-7299Click up if you have successfully reached The Loose Tooth Pediatric Dentistry by calling +1 (815) 267-7299 phone number 0 0 users reported that they have successfully reached The Loose Tooth Pediatric Dentistry by calling +1 (815) 267-7299 phone number Click up if you have UNsuccessfully reached The Loose Tooth Pediatric Dentistry by calling +1 (815) 267-7299 phone number 0 0 users reported that they have UNsuccessfully reached The Loose Tooth Pediatric Dentistry by calling +1 (815) 267-7299 phone number
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The Loose Tooth Pediatric Dentistry emailstltpediatricdentistry@gmail.com100%Confidence score: 100%Support
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The Loose Tooth Pediatric Dentistry address15041 S. Van Dyke Road, Suite 105, Plainfield, Illinois, 60544, United States
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