Friday, August 12, 2011

How do you pick a dentist?

I detest looking for a new dentist. I received a letter yesterday advising me that my dentist is quitting due to health reasons. I do not have dental insurance and have, unfortunately, found that many dentists appear to pad the bill or add unnecessary procedures with that assumption. I have also found practices that push specialty periodontal stuff when the dentist at the dental school says I absolutely need nothing like that. So, let's say I have trust issues due to bad experiences. Anyway, I'm on the search again and would like some tips. Oh, I have been going to Univ. of MN dental school, but I need some place much closer.
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Make a list of questions and ask for an interview appointment. If they don't have time for this, you don't need 'em. Also, ask your peers, co-workers etc for reccomendations. Here's a few suggestions; 1. Do you give cash discounts or have interest free payment plans? 2. Can you give me two or three references from currrent or former patients?(If they do, call them!) 3. Do you refer all specialty work such as peredontics, oral surgery etc? (If they try to do all this themselves, that's a red flag) 4. Do you utilize a formal marketing plan? (again, could be a red flag geared to marketing, not patient need) 5. Can I bring in my exrays from my former dentist to save money? I'm sure you can think of others. To me, the hygenist is more important than the choice of dentist. Be sure you have an experienced one who is focused on prevention rather than enhancement. You may have to make several trys to find the right person. I use a female dentist that gets tons of continuing education. She is always willing to answer questions without brushing me off. (no pun intended). Good luck! peace
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Question about Braces?

Im going to school to become a Dental Assistant and I need alot of work done on my teeth since my family did not have dental insurance for me till I was 17 yrs old. I have alot of cavities one that probebly needs a RC, and my front teeth stick out from sucking my thumb when I was a young child. I have an impacted bottom wisdom tooth that I refuse to get removed since its not causeing me any pain, but I really want braces. Would an orthodontist let me get braces on even with my teeth having an impacted wisdom tooth and alot of cavities? I do plan on getting fillings one by one but I really want to work on getting my teeth straight, Its going to be so embaressing working in a dental office with unperfect teeth
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I agree. Idk about the cavaties and such, but ask your ortho luck!
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Having an issue with a tooth abscess?

Thursday night my tooth started hurting (I have horrible teeth, and this one is a broken tooth) on the left side, on the bottom of my mouth. I brushed my teeth really good and took a few Ibuprofen and went to bed, hoping it was just a piece of caught food and I would feel better in the morning. I woke up at 4am on Friday in pain and was unable to get in to see a dentist so went to the Urgent Care. They gave me a prescription for antibiotics (Clindamycin) , an immediate IM shot in the hip, and pain killers (hydrocodone). I have been taking them as prescribed and my face was really really swollen as well as half of my lip. To the point that I had trouble talking right and couldn't create suction with a straw. It has a hard section in and it is hot to the touch but I have been icing it down. The swelling went down a bit overnight and the next day I was able to use a straw and mostly talk okay. But I also got sick last night and threw up after a dose of medicine (but had thrown up before that too, being sick and having a hurty mouth I haven't wanted to eat much so I think my stomach was just upset) and I had a horrible headache. I noticed some redness from cheek to my neck but not too bad and it was a little swollen. Today my cheek and lip has had the swelling go down a lot though there is still a hard lump in my cheek but now my neck looks a bit redder and feels a little itchy and tender to the touch. It doesn't really hurt when I swallow though and the redness/soreness hasn't seemed to spread or get worse since I noticed it around 9pm tonight and it is now 1:30am. I know that sometimes swelling and redness is present in the neck with a dental abscess but I have never really experienced it (tho I have had Abscesses before) and I am nervous that maybe it isn't okay or part of the healing process? It isn't affecting my breathing or anything either and is only somewhat tender to the touch on the outside like I said it doesn't hurt when I swallow. Am I gonna be okay? Should I be freaking out? Or is this common or expected with some dental abcesses. I have been on Antibiotics since Friday night around 7pm and I am not sure how fast this should be healing or what. I am continuing to take my medicines but any advice or personal experiences are appreciated, I can't afford another emergency room or urgent care bill unless I absolutely have to and I have no health or dental insurance. So is this something I can just watch and continue taking my meds or call a doctor/dentist tomorrow and ask or do I need to go see the ER or something. Oh also I do not have a fever. And I feel pretty good right now all things considered. I still have some pain in my jaw and my tooth and my whole neck issue but I don't feel sick to my stomach or dizzy or anything like that. Thanks so much in advance for your responses,
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I am going through the same situation right now...i have a broken tooth with an abscess....was on amoxcillin with Oxycontin (percocet) and after 5 days of horrible pain ..they switched me over to Clindamyacin and hydrocodone (vicodin)....They also prescribed me 800mg Motrin..it is going on week 2...within days of being switched to the clindamyacin i have been feeling a bit better every day...i have to say...the Motrin is what has helped the most outside of the antibiotic...Motrin is an anti-inflammatory...and worked far better than both narcotics....i have to have a root canal done soon...in the mean time...while experiencing intense pain....this is what i have done...take the motrin...along with some anbesol...i also even tried to suck on a clove near that tooth..and that worked well too...the clove oil has a numbing kind of effect...sipping on ice cold water was a GREAT pain relief...salt water swishing is good too.. if after 4-5 days you are still in great pain...call dentist...you may need to switch antibiotics...but honestly it is painful and it sounds like your doing ok..i know it seems a bit scary with swelling and pain...but it will subside and be tolerable soon..honestly..last week...i thought i would rather die...had pain up to my ear...headache...the whole 9 yards...this week much much better...hang in there...
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Question about Braces?

Im going to school to become a Dental Assistant and I need alot of work done on my teeth since my family did not have dental insurance for me till I was 17 yrs old. I have alot of cavities one that probebly needs a RC, and my front teeth stick out from sucking my thumb when I was a young child. I have an impacted bottom wisdom tooth that I refuse to get removed since its not causeing me any pain, but I really want braces. Would an orthodontist let me get braces on even with my teeth having an impacted wisdom tooth and alot of cavities? I do plan on getting fillings one by one but I really want to work on getting my teeth straight, Its going to be so embaressing working in a dental office with unperfect teeth
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I agree. Idk about the cavaties and such, but ask your ortho luck!
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What Do You Really Know About the Salvation Army?

Did you know: The Salvation Army is not a charity! Rather a church with social service programs, who embrace a cult environment, use their church status to discriminate, their denomination; Salvationism! or that: The RED KETTLES you see in front of Wal-Mart & other locations, are a 6 week church fundraising campaign (the church, aka cops community centers are not self-sustaining) for a Salvationist church, that primarily caters to its Salvationist members, a lot of which are on the payroll. Knowing this, why wouldn't we just give to our own church... so it could expand its outreach programs? Each local Salvation Army Corps (church) community center has a red kettle campaign (with a few exceptions). The money raised will be used to fund that centers (church) budget for the year. The Salvation Army does use some of the donated money to assist people; however, the percentage of money used is very small compared to the donations received. Most of the bell ringers are hired as seasonal help. And on top of that: The Salvation Army "Officers" benefits package looks like this: All expenses paid, complements of you, the donor! "Nice" home, health insurance, dental insurance, vision insurance, vehicles, gas, heating, electric, phone, cell phones, Internet, cable, uniforms, daycare, trips, computers, retirement & cash salaries. They live very well! The national average for all of the above is about $73,000.00 per year or more; depending on rank and kids- you get more cash if you have kids
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DOCTRINES AND BELIEFS The goal of the Salvationist is to win converts. "The belief in sudden conversion is 'in his blood'—anywhere, any time, any person," a Salvation booklet explains. Even social and relief work is part of a program that keeps the Salvation Army religion before the minds of the public. But what are their doctrines and beliefs? Are they based upon the Bible? The teachings of the Salvation Army are almost identical with those of most fundamental Protestant churches. The third of the eleven cardinal affirmations that every convert must sign to become a Salvationist, says: "We believe that there are three persons in the Godhead, the Father, the Son, and the Holy Ghost, undivided in essence and coequal in power and glory." And the eleventh affirms: "We believe in the immortality of the soul . . . and in the endless punishment of the wicked." The Faith of the Salvationist explains: "The Salvationist believes in Hell. His vocabulary contains the phrase 'eternally lost' though he may refrain from the vivid and imaginative language of his forbears when speaking on this subject." But does the Bible teach the trinitarian belief that God, Christ and the holy spirit are coequal and that they are three persons in one essence? Neither Jesus nor his apostles taught such a doctrine. In fact, Jesus confessed: "The Father is greater than I am." Never did Jesus seek to usurp his Father's superior position in order to be equal to him, as the trinity doctrine falsely teaches that he is. Professor E. Washburn Hopkins observed in his book Origin and Evolution of Religion: "To Jesus and Paul the doctrine of the trinity was apparently unknown; at any rate, they say nothing about it." Arthur Weigall notes in The Paganism in Our Christianity that "nowhere in the New Testament does the word 'Trinity' appear." He adds that "the origin of the conception is entirely pagan."—John 14:28; Phil. 2:6. Similarly, the belief in the immortality of the human soul and its eternal torment have been an integral part of pagan religions for thousands of years, but you will find no support for such teachings in the Bible. Greek scholar Benjamin Wilson noted in the appendix of his Bible translation, The Emphatic Diaglott, that in the more than 800 occurrences of the original Hebrew and Greek words for soul, "not once is the word immortal, or immortality, or deathless, or never-dying, found in connection, as qualifying the terms." However, the Bible reader will find many expressions similar to Ezekiel 18:4: "The soul that is sinning—it itself will die." And instead of teaching eternal torment for those who have died, the Bible says, "As for the dead, they are conscious of nothing at all."—Eccl. 9:5, 10; Isa. 53:12; Ps. 22:29. The Salvation Army also holds that "baptism and the Lord's supper are not essential to the soul's salvation, and it does not observe them." However, Jesus' explicit farewell command to his followers was: "Go therefore and make disciples of people of all the nations, baptizing them." The record of the apostles' ministry in the Bible book of Acts shows that they obeyed this command. Jesus also instructed his followers respecting the "Lord's supper," the final meal he ate with his disciples to memorialize his death: "Keep doing this in remembrance of me." These two things, baptism and the "Lord's supper," have a wealth of symbolic meaning for Christians, and Jesus put true Christians under obligation to observe them.—Matt. 28:19; Luke 22:19. Although many who have supported it in various ways may have viewed the Salvation Army as merely a social-welfare organization, a closer look reveals that it is primarily a religious movement having its own set of doctrines and teachings. And even though many of its officers and soldiers may display exemplary zeal, the message they carry to the people concerning Christ and man's hope for the future is not based on an accurate knowledge of God's Word.
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What are the typical stipends and benefits received during a Ph.D program?

Hi. I recently applied to a few Ph.D programs, and I am waiting for responses. I have been trying to research the universities' websites for health/dental insurance, stipend, and tuition/fee benefits descriptions, but they have been pretty vague for the most part. Most give full tuition and fees, but I'm curious about the stipends and insurance coverage. I'm married, and my wife and I both want kids in the near future. What is the typical insurance coverage for a Ph.D student? Can spouses and/or children get coverage as well? Also, what is the typical stipend or perhaps a general range that one can expect to receive? Thank you so much for all your help.
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Good question. I've been a PhD student for 5 years and I couldn't tell you what my insurance covers. I think I have a co-pay, and we just got dental last year, but no vision. I know I don't have to pay to see the doctors at our on-campus health center, and medications are cheap. Married friends of mine pay extra to cover their spouse; I think I pay about $700 a semester for my health coverage. That's out-of-pocket and not covered by your department.
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Does anyone really believe anyone can deliver a working low cost National Health Care Plan?

I believe that the doctors will oppose it and with out doctors, the plan can't work. Many doctors (once they arrive at a very high level of competence) will do what many do now. You pay the bill (at what they charge) and then you have to deal with the insurance plan. Think about HMOs. All they had to work with were young fresh out of school doctors looking to eventually open their own practice. Then there is dental insurance, the same applies. Look at most specialist like endodontist (root canal) most charge twice what the insurance calls customary fees and you have to pay them up front. But there is no reimbursement of the extra cost. Serious opinions only
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Good Doctors just won't take government insurance and you'll have to be rich or privileged like obama to get good care. wake up america
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Please tell me if my dentist is trying to make some more money or is being serious?

I went for dental cleaning on wednesday. He took cavity tests and said there are no cavities and teeth are in very good condition. But then he said that a filling is coming off from my teeth and that needs to be done again. In 1992, i got a cavity filled in my rear tooth. The same filling still exists today too. The dentist said that the filling done in 1992 is dropping off and new filling is needed now or a cavity may result. As i don't have dental insurance, i want to know if the dentist was being serious or just trying to make more money? I don't see anything wrong in the filling and dental x-rays showed no cavities at all.
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Silver fillings "average life span" are 8 to10 yrs. I have had some fillings last much longer than that. I had two fillings replaced a few years ago, that were 20 + years old. The problem with amalgam (silver fillings) is that the fillings can pit and chip. It is especially easy to chip at edges. The dentist may see something that sees as a potential major problem. For example, when I had a filling replaced, not because of decay, but because the old filling was chipped, and compromised the structure and integrety of the tooth (I was risk of cracking that tooth when I chewed (lots of pressure). It is called preventive dentistry. The dentist helps you try to prevent major dental health problems, by fixing the minor, less expensive problems before they escalate. If you are really concerned, get a second opinion. It may help your trust issue.
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Looking for advice/opinions on Botox for TMJ?

I have very bad tmj and I clench my teeth at night. this leaves me with headaches that go into my ears, temples, and deep into my teeth/jaw, I don't have dental insurance and getting a mouthguard would be something outrageous like $500 or $900, and to visit a TMJ specialist, which my reg insurance doesnt cover ( *rolls eyes*) is insanely expensive. The receptionist quoted me something like $1500 for a visit without insurance. I read awhile ago that some people get botox injections for TMJ. Has anyone had experience with this or know much about it? Any MD's who could give advice? Would I need to go to a TMJ specialist to get the injection or could I get it from the doc at my local spa who does non-invasive procedures? Thanks!
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My dentist says I need a doctor to talk to about pain meds I'll need after recieving upper dentures?

I just lost my job last week. The first one I had with dental insurance for over 20 yrs. I was two weeks away from getting my upper denture( I've needed for years) and now I can only afford to keep my dental through COBRA but not the medical. My dentist says she needs to talk to my doctor about the pain medicine she should give me, but I cannot afford one. I called around and they want $175. - $200. just to do that. I've saved for two years just to get the $900.00 I needed for the dental work, but cant afford the doctor.
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I don't understand why you would need pain medication after receiving your upper denture. If it is done right, it shouldn't hurt much. Also, you are supposed to go back for adjustments once you receive the denture.
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I think my tooth filling came off, and i just got it today...?

What Happened: I went to the dentist today for a small cavity filling. The cavity is no less than half the size of a small ant insect, so the dentists didn't make much of a deal about it. The filling was done in 5 minutes, and it was white. When i looked in the mirror afterwards, the hole in my tooth appeared to be gone. Now when i looked at it while brushing, it seemed to be back. I just read an article from 1800 Dentist which states that the filling i got, the white filling, doesn't last very long--apparently it doesn't even last a day?!?! The dentist i went to didn't do silver or gold fillings. Why Did This Problem Happen? I was really depressed in august and september--so depressed that i didn't pay attention to any aspect of my hygiene, which means i didn't brush. I know it was disgusting, and i don't do it anymore--i'm not as depressed. But i myself noticed the cavity appear there and i wasn't too worried about it--until now. My problem: My dad seemed really upset when he had to pay for the bill today. He said the dental insurance should have covered it. He had to pay 36 dollars out of pocket, when the bill for the filling was 145. Insurance covered most of it, but he thought it was going to cover all of it. He said that his insurance covered silver filling, and he asked for that one instead, but the dentists said nobody does silver filling anymore, and he got upset. So if my filling just disappeared less than 24 hours after the procedure, i'm scared to mention it to him. 145 dollars shouldn't last less than 24 hours My question: What should i do? I have the dentist's card, so i can call them and ask about it. But i don't know how to tell it to my dad without getting him upset. He's already juggling contacts with my brother, braces with my other brother, and doctors appts with my sick-and-pregnant stepmom, so he's the only income for the third quarter of this year. Should my cavity be a problem? Maybe i'm just overreacting, and the sealant is supposed to be temporary? I'm so stuck right now--please help
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this is very common prob ..he filled u with tooth colored material..u would have disturbed the fillin befor the final setting time..just relax go again expalin him ..he will make size of the cavity little bigger so tat the filling will get good retention
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I need help understanding my dental deductible. I'm pretty sure I was overcharged.?

My deductible is $100.00, I had a filling done and was charged $116.00, my dentist told me I had to pay the deductible plus 20%. I recieved my claim from the insurance company the filling cost 81.00 and 81.00 was applied to the deductible, it said my responsibility was 81.00, so I think I should have paid 81.00. It's my understanding that you pay the full amount of services until the deductible is reached and then your insurance covers a percentage of it, not the other way around. Am I wrong?
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Generally you are right. However, if your insurance doesn't have networks or if you went outside the network the dentist can charge whatever they want. The insurance company will only pay "reasonable and customary" charges. This means the normal rate for the proceedure in your area is $81. The insurance company applied this to the deductible and you are responsible for the rest. Next time you get work done you'll only have $19 left on the deductible.
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would a rare heart condition speed up the immigration process?

Will having a medical rare condition speed up the immigration process due to needing medical insurance/care? My husband was diagnosised with WPW which stands for Wolfs Parkinson White Syndrome which is a rare heart disease that people are born with. He is now 29 years old and he has been having some issues with his heart already since he was 18, and was dx with this -? main cause of everything. He is an immigrant, which are application is still pending, for some strange reason I can add him to my dental insurance at work, but not my medical insurance - I really can't afford to add him, but at this point I do not have a choice, He will need to have a pacemaker or defib and or an ablation done, we just spent 3 days in the hospital and we did apply to emergency medicaid but thats not a sure thing, and the doctors already said that even if he gets approved, it doesnt mean medicaid will pay for this type of treatment/testing, also the specialist he would need to see doesnt accept medicaid. This question is really several questions. Is this true Medicaid will not pay for these treatments? Is there a doctor that will do probono outthere? will his rare diagnosis speed up his process with immigration? should i contact an immigration lawyer to request a hearing? If there are any attorneys/doctors outthere is there or will this be possible? Any ideas of organizations other than the ones listed on the rare conditions that I can contact for assistants? sorry about being longwinded. If anyone wants to answer just a couple of things, please dont hestiate, I really need all the help i can get. my spouse works in contruction but has been unemployed for a very long time, and now with this diagnosis he will not even be able to return to his line of work anyways. thanks again in advance
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with such a sever heart condition im surprised he is able to immigrate,most countries would deny his application as he will be a drain on the medical system you should check if your medical plan will cover his pre existing condition
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How can I afford braces for my 15 yr old son?

My sons teeth are twisted in the front and its to the point now where they cause him pain to eat.His teeth are healthy otherwise just very crooked.I have dental insurance with a $1000.00 per calender year benefit and I also have decent health insurance.I can not afford what seveal orthodontists have quoted me which is up to $500.00 per month even with my insurance,but it is really weighing on me as this point as well as him..I live in the Charleston SC area so if anybody knows of anything or advice,please it is greatly appreciated.
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Try getting a loan at the bank. There you can get a lower monthly amount. I used to work for an orthodontist and many of our patients did that.
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How can I get healthy teeth and gum again?

My gumline had receded a noticeable level and the teeth now looks longer. What can I do to restore my gumline back to where it was? Also I hadn't been to the dentist in 5 years (mostly because I don''t have dental insurance) and finally went last week to a dental school to get x-rays and cleaning done by a supervised student. They looked at the x-ray films and told me I have periodontal (gum) disease. My premolar and molar pockets measured between 4mm-5mm with one 6mm and one 8mm pocket around the first molar on top left. They treated it with a scaling and rooting planning treatment(deep cleaning). Now my entire mouth feels much healthier. My gums don't bleed anymore and my mouth even taste better. I was told that if I did my homework (daily efficient brushing and flossing) and had regular dental checkups then the disease can be arrested and my gums will heal and attach again making the pockets smaller. Their bigger concern was the 8mm pocket which they are referring me to a specialist for. I made an appointment with one the next day but the appointment isn't for another 4 weeks. Do you think the specialist list can do anything for my disease? I would like to keep all my teeth. I have promised myself I will brush and floss daily along with using mouthwash and have regular visits with my dentist from now on.
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I would strongly encourage you to visit this great site: www.healthsavings.ourperfectcard.com I signed up online over 5 years ago and they have saved me thousands of dollars on all dental services. From root canals, xrays, extractions, exams, Deep Cleanings...etc. They even had my very affordable benefits active in 2 hours and was able to use them the very same day. Good luck and hope this helps out
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Should I seek a second opinion? I don't want to offend my new dentist....?

I'm away from home at college, & while I have a dentist at home, i'm having to go to a new dentist while away. My dentist is among those practicing in those dental chains (i.e. Castle dental),& I chose her because they offered a free exam&x-rays for first time patients,& since I pay out of pocket due to no dental insurance, this seemed like a good deal. Well, once I got there, they did the exam&x-rays,&then gave me a huge list of things I need to have done, totaling around $4,000 bucks. One high priced thing is some type of 2 part cleaning that I would have to make two visits for because apparently I might have gum disease. My regular dentist at home never mentioned anything to me about gum disease, so now i'm freaking out. I want to seek a second opinion but don't want to offend the dentist (i'm very non confrontational). Because of the low cost, i'd like to keep going, but how do I tell her if I don't want certain things done?
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Well I would certainly get a second opinion. If you do have a gum disease, it needs to be treated soon. If left untreated, you can lose your teeth. If you don't want a second opinion, just tell the new dentist you are unable to pay for all of that because of no insurance and you just want done what is absolutely necessary.
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although i made regular payments on my account, didn't have an unusually high balance, my care credit card ?

account has had the available credit severely cut back. (from what i've read in the papers, it was probably due to the economy, like other credit card companies have done.) The point is, i had an available balance of $4,000, now I have less than a thousand, and I have a crown waiting for me at my dentist's office, which costs quite a bit over a thousand. Now, my question is, does anyone know of any dental insurance where they pay their part of the claim up front? I found one, encore dental, but they reimburse you after you pay the full amount. Discount dental plans don't seem to help, as the ones I've come across offer only a 10 to 20% discount. If anyone knows of a plan that offers a 50% discount on a crown, that would be great.
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Call Care Credit and tell them you were in the process of having some dental work done and that the limit they decreased you to won't cover the work so if they would consider restoring your limit or at least enough for your crown.
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