Dentist overbilling insurance

This is illegal overbilling and is fraudulent. Accepting your insurance as payment in full and disregarding your coinsurance, copayment or deductible in overbilling the insurance company. It’s against the law in many states and is viewed by the dental profession as unethical. While most dentists are ethical, it’s smart to remember that the degree on the wall isn’t a guarantee of honesty. The most frequent dental scams are inflating claims,.

Dear Dianne, As a dental hygienist for nearly years, I would like to address how much dental insurance companies are being overcharged.

It has been my experience that many dentists lack integrity and trust, and bill for procedures that are not actually performed on the patient. Your dentist receives a fee schedule, the insurance company’s fee schedule, at the time they contract. This amounts to overbilling the insurance company for the services rendered. If you are mostly interested in prevention, are young and have no significant dental problems, a plan that covers regular cleanings and check-ups is probably in your best interest.

These likely have lower annual premiums but may have higher deductibles. There are programs available that help people get adequate dental care when they do not have insurance or the money needed to pay for dental care. There’s a certain amount of indignation between dentists and insurance companies in general, because insurance companies have usurped much of the control in fee setting.

Doctors tire of hearing, “Just do what the insurance will pay, doc.

If these fees are waived for the patient, the insurance company will not be responsible for paying their portion. Dental Insurance Plan Participants. If you are pursuing this, you may also wish to file a claim a claim with the dental boar listing this as billing fraud. Fraud gets the attention of the dental board. From posting insurance payments to researching unpaid claims, our proven dental billing system ensures you collect from insurance companies what you produce.

Dishonest dentists do minor procedures such as routine tooth cleanings, but bill your insurance plan for costlier treatments such as phantom root canals or cavity fillings. They send the insurer forged bills for fake treatment,. Dentists bill insurers for treatments they never perform. If you are shopping for individual dental insurance , have individual dental insurance or have general questions, enter the state you live in. Even in the best dentist -patient relationship, a problem may occur.

First, discuss any concerns you have with your dentist. Many times this will help clear up the matter. Contact your state dental board. The Maryland Attorney General’s Office announced a settlement Wednesday with a dental practice in Laurel that faced allegations of overbilling its patients and not providing accurate information. Dentist Pleads Guilty to $780Overbilling Scheme.

A Glen Allen dentist pleaded guilty today to a four-year healthcare fraud scheme in which she fraudulently obtained more than $780from Medicaid and four dental insurers. According to court documents, Maryam E.

Zarei, 4 was the owner and operator. A contract between a dental benefits plan organization and a provider of dental care that states that, in return for the referral of dental patients, the dentist will provide services and procedures at a reduced fee or according to a reestablished fee schedule. We accept most major dental insurance plans to allow all of our patients to receive the quality dental care they deserve.

Yesterday, I paid $808. This was the discounted insurance price. I was told was comparable to what other dentists charge. My daughter died during the process of the first set.

All Aspen credited the.