Aspen Dental

Issues to lead to this complaint, and possibly further action needed to resolve this problem and bring it to a satisfactory conclusion.
August 23, 2019
ATTN: Aspen Dental Corporate Office
281 Sanders Creek PKWY
East Syracuse, NY 13057
(315) 438-4370
Customer Service:
1-888-809-5582
1-800-277-3367

Dear Sir or Madam:
I am writing this letter hopefully to resolve this problem to a satisfactory conclusion for all parties concerned; Because I Fill Aspen Dental business practices and polices are highly borderline of business fraud and medical negligence like the mafia and very unethical.
I am David Davis the husband of Tetyana G. Davis, which I am 100% disable veteran & retired that lives on a fixed income; so I have nothing but time to make several inquiries and complaints to the Texas department of consumer protection & advocacy, The Texas Attorney General Ken Paxton, and the Texas Better Business Bureau. I am going to recommend they investigate Aspen Dental business practices and procedures so Aspen Dental doesn't screw anymore of the public.
Issues or problem:
Aspen Dental
6603 W Loop 1604 N
STE #101
San Antonio, TX 78254
(210) 541-0155

Fraud is - deceit, trickery, and specifically intentional perversion of truth in order to induce another to part with something of value or to surrender a legal right. I feel Aspen Dental committed all of the above. Because Aspen Dental verified the patient Insurance on 05/21/2018, I feel they intentionally held out information about what is covered and not covered by the Insurance plan; Which is deception and manipulating the situation.
Full disclosure to the patient, Businesses have the responsibility of full disclosure to the patient of any changes not agreed upon or made aware of. If the Patient treatment changes for any reason; If the Insurance responsibility, or the patient responsibility changes for any reason, the patient is suppose to be notified before he or she signs the contract, or before any procedure or services are performed, this is known as full disclosure.
Aspen Dental verified the patient Insurance on 05/21/2018.

Aspen Dental Should have knew the Maximum yearly limit or amount allowed for the patient, and what is covered under the patients Insurance plan; so if something was not covered, the patient should have been notified right then, which the patient was not notified until July 2, 2019.

Amanda D. the Office Manager told my wife Tetyana on 05/25/2018 that she was paid up in full after she paid the $3, 228.88, which was the patient responsibility.
My wife Tetyana asked Amanda D. The Office Manager on 05/25/2018 3 to 4 times you sure that is all I have to pay and that there won't be any addition cost. And Amanda D. the Office Manager said I am sure; so my wife signed the patient responsibility.
May 28, 2019 my wife Tetyana Davis had an appointment with Aspen Dental for teeth Cleaning, we received a bill for $72.00 that she wanted to see what it was for. They at Aspen Dental front desk told Tetyana the $72.00 Dollar bill was a mistake and that she had a $0.00 Balance. This was the last appointment my wife Tetyana had with Aspen Dental.
We received a bill from aspen dental July 1, 2019 for $1, 535.69. July 2, 2019 we met with the new office manager Veronica of aspen dental to discuss this bill; So Veronica the Office Manager said that is wrong you owe $2, 950.96. I said So how do you explain going from $0.00 Balance and told your all paid up to all of a sudden told you owe $2, 950.96 when we haven't had any additional services performed, she couldn't explain it.
In a matter of a couple of days the cost grew $1, 415.27 from the bill of July 1, 2019 to the bill of July 2, 2019 with exactly all the same procedures, appointments, and services; so how do you explain the difference? If you wait a couple of days the cost will change even though no procedures, services, or appointments have been done.

So 07/23/2019 we received another bill from Aspen Dental for $1, 694.10. Since 05/25/2018 when my wife signed the patient responsibility form Aspen Dental has had 3 Office Manager as of 08/07/2019.

Summary of Events:
The day of 05/25/2018 the office Manager Amanda D. show my wife Tetyana Davis how much the Insurance pays which is $2, 809.20, and how much the patient responsibility is which she pays which is $3, 228.88.

She never had a chance to read the contract; Amanda D. said sign and pay $3, 228.88, which she did with our American Express Card. my wife Tetyana asked Amanda D. The Office Manager on 05/25/2018 3 to 4 times you sure that is all I have to pay and that their wont be any addition cost;
And Amanda D. said I am sure; so my wife signed the patient responsibility. Amanda D. the Office Manager told my wife Tetyana on 05/25/2018 that she was paid up in full after she paid the $3, 228.88, which was the patient responsibility.
Except later they added $140.00 Dollars for anesthesiology, which my wife paid, because my wife Tetyana was scared without it. Never once did Amanda D. bring up if the Insurance doesn't pay it is your responsibility. If Amanda D. the Office Manager did tell us this, we wouldn't have gone through with the procedure, because we are on a fixed income.
Treatment Plan Summary
Accepted Treatment Plan $8, 343.00
Coupons/Discounts $0.00
Insurance Participating Discounts $2, 304.92
Estimated Insurance Benefits $2, 809.20
Patient Financial Responsibilities $3, 228.88
Payment Arrangements:
Method Of Payment Amount Terms Date
American Express $3, 228.88 None 05/25/2018
Outstanding Balance $0.00 Note: any outstanding balance must be paid before treatment is completed.

Tetyana picked up her permanent teeth March 15, 2019, all treatment, procedures, and services were completed by this date. Which according to their note should not have happened if there was an outstanding balance.

Patient Insurance Information
Plan Name Group Covered Deductible Individual/Family Annual Max. Individual/Family Verification Date
CAREPPO None $100.00/$0.00 $1, 500.00/$0.00 05/21/2018
DLTATRIEN2 TRICARE ENHANCED
4602/004 $50.00/$150.00 $1, 300.00/$0.00 05/21/2018
DLTATRIEN2 TRICARE ENHANCED
4602/004 $50.00/$150.00 $1, 750.00/$0.00 05/21/2018

Normal Ethical Business Procedure for: Hospitals, Doctor Offices, and Dental Offices.
1) Ask the patient or Customer do you have Health or Dental Insurance?
2) Then the Health or Dental Office is suppose to call the Health or Dental Insurance Company of the Patient to find out exactly the Maximum yearly limit or amount allowed for the patient, and what is covered under the patients Insurance plan?
3) Also the Health or Dental Office finds out the patient's maximum monetary limit per fiscal year for the patient. This has to be done for billing to accurately figure the Insurance cost, and the Patients Cost?
4) Full Disclosure to the Patient. Businesses have the responsibility of full disclosure to the patient of any changes not agreed upon or made aware of. If the Patient treatment changes for any reason; If the Insurance responsibility, or the patient responsibility changes for any reason, the patient is suppose to be notified before he or she signs the contract, or before any procedure or services are performed, this is known as full disclosure.
5) Aspen Dental verified the patient Insurance on 05/21/2018. Aspen Dental Should have knew the Maximum yearly limit or amount allowed for the patient, and what is covered under the patients Insurance plan; so if something was not coved the patient should have been notified right then.

This is normal procedure for most all Ethical Hospitals, Doctors Offices, and Dental Offices before any major procedure is performed. Also they will not start any procedures until they have all this information.
I feel there was a lot of fraud and medical negligence by Aspen Dental that should be investigated or least questioned.
Fraud is deceit, trickery, and specifically intentional perversion of truth in order to induce another to part with something of value or to surrender a legal right.
Summary:
Businesses any more, are like the mafia and have a license to steal; it's the public or customer that has no rights. Businesses have federal and state laws they are suppose to follow, but do not especially in Aspen Dental case. Also Businesses are suppose to have very ethical standards they are suppose to follow and comply with, as well as full disclosure to their customers; but in this case Aspen Dental business practices are very deceptive, intentional perversion of truth in order to induce another to part with something of value or to surrender a legal right.

Sincerely,
Tetyana G. & David Davis

14515 BUCKING TRAIL • SAN ANTONIO, TX • 78254
PHONE: [protected] OR [protected]