31 Jan, 2021 → by ClaimboUser264228
Scam, you can’t get anything done!

1

Update by user Mar 02, 2021 I had to ask for a fair earring and I’m waiting for a date Original review posted by user Jan 31, 2021 Has your dentist told you that the deep cleaning is not covered by medicaid? Not true! Has your dentist told you that they submitted the request for deep cleaning and it was denied? Not true! Medicaid payes for the deep cleaning, it is covered (code D4341), but they pay the dentist $20.00 per quadrant, $$80, and the dentists dont like that, because they usually charge around $500 and most private insurances pay them that much. So what do they do? They attach code D9630 IRRIGATION, which is just an antibiotic mouth wash they spray on your gumms at the end of the cleaning, 1 minute procedure and it not covered by medicaid. They charge you between $60 and $40 per quadrant ($240/$160!!!) and they will not perform the deep cleaning if you dont pay them out of your pocket! This is blackmail! They are not happy with what medicaid pays them, so they want us to pay the difference. If we are medicaid recipiants, that mean we are poor, probably on SSI, we dont have that kind of money! Therefore we cannot have the procedure done. Same thing with the fillings, they are covered, they receive $51.00 from medicaid, but they dont like that so they attach D9910 APPLICATION OF some decation which is NOT necessary and its not covered and they charge you $60!!! More than the filling! And, again, they will not perform the procedure you need unless you pay for the gimmic. For example, Quantum Dental (Boynton Beach), When I tried to get a deep cleaning done, first they told me that medicaid always denyes the requests, so I called the insurance company and they told me it was not true. The first time they submitted the wrong request so I had to go back and do it the right way so that medcaid would accepted it. The second time, they told me it was denied again, but when I called the insurance company, they said that it was covered. When I called them again, they changed their story and said that I would had to pay up front and may or may not get reimbursed, but that I had to pay for the medications (the fluid they spray after the deep cleaning a 2 minuts procedure), which was not covered and it was $37. I told Judy that I had no problem paying for the medication but I would call the insurance again about paying the deep cleaning up front. When cnfronted with the insurance agent, she changed the story again saying that I didn't have to pay for the deep cleaning but the medication was now $300 with a 50% discount!!!!! Now we all know that a deep cleaning ANYWHERE, even without insurace, with medication is never higher than $600!!!!! Evidently they are not hapoy with what the insurance pays them for the deep cleaning and they were going to get more money one way or another. They should be out of business!!!! Another dentist I went to see, hoping that would be honest,(Royal Dental Boynton Beach) did practicly the same thing, only that they wanted $240 for the irrigation. The insurance company called several other dentists, and they are all practicing this scam to get paid what they actually want for the procedures and not what the insurance pays. Bottom line, people on medicaid in Florida cannot have any kind of dental procedures. I know for a fact that in Oregon is not like that, you can get fillings and deep cleanings for free, period. I hope medicaid people will read this and write to medicaid, congressmen, anybody, and get this scam resolved!
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