So my friend went to the dentist for a cleaning and was told she needed a crown. She agreed and got it. She then got a notice from her dental insurance saying the procedure was denied bc to be approved, there needed to be evidence that a filling wouldn't fix the problem and it would get worse...more technical than that, but close enough. She called the dentist and they said she had to pay the close to 500 dollar bill. Her insurance told her that the dentist should have gotten pre-approved for the procedure and she didn't have to pay. The dentist is telling her she owes the money and in thirty more days, they will turn it over to collection. Who is right, does she have to pay it, or how can she fight it? If it helps, it's United Concordia, military dental.
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You have a contract with the insurance company. Your dentist has nothing to do with their polices. He was doing what was best for you and what your tooth needed. The insurance company is just trying to get out of paying the claim so as to add to their profit. This is a game they play. There is no legal requirement for a dentist to need approval of an insurance company to do any procedure. The people in the insurance company are not even dentists and wouldn't know how to look at an x-ray. Who do you want telling you what treatment you should have? Your gripe should be with the insurance company rat finks and not with the dentist. You will need to pay the dentist and fight with them.
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Friday, March 11, 2011
If my dental filling fell out, do I need to be concerned for my internal health?
Today, my stainless steel crown covering a filling that was done over 10 years ago was pulled off by a taffy piece of candy. I won't be able to see a dentist until I can get my insurance figured out, which could take WEEKS. Because of the exposure of the inner filling "stuff," do I need to worry about getting sick?
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Yes - infection can set in. It also exposes the tooth to further damage causing possible loss. While what the first responder said is true, that should only be a temporary fix. Dental diseases can lead to other health problems if left unchecked. Go to your dentist and get it fixed - fairly simple procedure to replace a filling and not that expensive. However, the longer you wait the more difficult and expensive it becomes (fractured tooth, root canal, etc) to fix.
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Yes - infection can set in. It also exposes the tooth to further damage causing possible loss. While what the first responder said is true, that should only be a temporary fix. Dental diseases can lead to other health problems if left unchecked. Go to your dentist and get it fixed - fairly simple procedure to replace a filling and not that expensive. However, the longer you wait the more difficult and expensive it becomes (fractured tooth, root canal, etc) to fix.
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If an insurance company pays for an injury they are liable for, how long will they continue to be?
My son was hit in the mouth with a baseball seven years ago. His teeth had to be wired in place. One of the four damaged teeth was worse than the others. That one required a follow up root canal. The baseball insurance covered all expenses as we were uninsured at the time. Now, 7 years later, the tooth that had the root canal is still deteriorating, and we just had to extract the tooth and in 6 months will be doing an implant (after the healing completes itself). We do have dental insurance, however, it will only cover less than $1,000 of the costs. The total bill is going to be close to $7,000 or better. I feel the insurance company should still be liable to help with the expenses. The company says they only are liable for 156 weeks. They never told us that before. What can be done? We are not asking for pain and suffering (although with the pain he has been through, we SHOULD).
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I am sorry to say this, but think about it, how long is this insurance company supposed to be on the hook? For 156 weeks, that is over 3 years. You could go to the dentist for the next 20 years and provide a bill and expect them to pay it. Would you do this? Pull out the paperwork you signed. (Believe me, you signed it and most likely then not read it, or was told they would cover, but did not HEAR that it was for X and X amount of months). You were just happy they covered it and would pay for any other problems. As for the dental implant, that appears pricey, I have seen that the average is around $3,500, based on my own experience of doing claims. My suggestion is to call the dental schools where you live. Many will do procedures for over 50% less than a licensed dentist since they need the experience and have licensed dentist to oversee the procedure. Also, since you have dental insurance, see if they can find a dentist to do. Even though a dentist charges say $2,000, the contract with the insurance maybe they will allow only $1,500, meaning you would owe only $500. good luck
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I am sorry to say this, but think about it, how long is this insurance company supposed to be on the hook? For 156 weeks, that is over 3 years. You could go to the dentist for the next 20 years and provide a bill and expect them to pay it. Would you do this? Pull out the paperwork you signed. (Believe me, you signed it and most likely then not read it, or was told they would cover, but did not HEAR that it was for X and X amount of months). You were just happy they covered it and would pay for any other problems. As for the dental implant, that appears pricey, I have seen that the average is around $3,500, based on my own experience of doing claims. My suggestion is to call the dental schools where you live. Many will do procedures for over 50% less than a licensed dentist since they need the experience and have licensed dentist to oversee the procedure. Also, since you have dental insurance, see if they can find a dentist to do. Even though a dentist charges say $2,000, the contract with the insurance maybe they will allow only $1,500, meaning you would owe only $500. good luck
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What can I use/do to make me teeth stronger?
I chipped one of my front teeth while eating a cob of corn and now it hurts alot to bit on anything with my front teeth...that one in particular. Going to the dentist is not an option at the moment as I do not have dental insurance or enough money to pay him.
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if u brush ur teeth more than twice a day, u should lower that and wait for ur enamel to get stronger... also, if ur using whitening strips, that could be why. when u brush ur teeth, brush up and down, not side to side. :)
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if u brush ur teeth more than twice a day, u should lower that and wait for ur enamel to get stronger... also, if ur using whitening strips, that could be why. when u brush ur teeth, brush up and down, not side to side. :)
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Question for DENTAL people?
How can I find a dentist who will do just a cleaning? I don't have dental insurance. I pay cash or check. I'm an easy customer. My teeth are in decent shape. In and out. ALL I want is a cleaning. My last dentist installed laptops in each hygenist area to quickly book additional appointments for additional mouthwork while the customer is in an awkward position on the chair. They were very nice people ten years ago. Now, they've grown quite ugly in their relentless push for selling upgrades. It took me a while to recognize that my "friends" at the dentist have gradually gotten meaner and greedier. I was actually getting scared on my last visit. Gentleness with the tools seemed to have disappeared. I understand they have bills to pay, but I don't want to have to fight to keep my $85 cleaning charge from ballooning up to $350 for all kinds of stuff I don't want. I did find a place, but they said the dentist will have to look at me first. What is that going to cost? I just want a cleaning. What is so hard about that? Any ideas on finding a dentist who will just do a simple, fair-priced cleaning? Thank you.
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They will recommend certain procedures because by law they have to. But you have the right to refuse services. But if they have to do an exam or xray first, then they must to protect themselves from any lawsuits and/or damage to a persons oral health. You could get an exam one day then 2 weeks later get an xray, then 2 more weeks later get a cleaning. Spread out your money so it does not have to be a lump sum. Maybe this site can be of good use to you: www.healthsavings.ourperfectcard.com I signed up online over 5 years ago now and they have saved me thousands of dollars over the years on all services. My benefits were even active in 2 hours and was able to use them the very same day.
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They will recommend certain procedures because by law they have to. But you have the right to refuse services. But if they have to do an exam or xray first, then they must to protect themselves from any lawsuits and/or damage to a persons oral health. You could get an exam one day then 2 weeks later get an xray, then 2 more weeks later get a cleaning. Spread out your money so it does not have to be a lump sum. Maybe this site can be of good use to you: www.healthsavings.ourperfectcard.com I signed up online over 5 years ago now and they have saved me thousands of dollars over the years on all services. My benefits were even active in 2 hours and was able to use them the very same day.
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Are discount dental plans/fee schedules really beneficial?
My family does not have dental insurance, and I am going to need some work done. I have some issues with my gums, and it has just been years I've been to a dentist. I've been looking online at a few discount plans, but I'm just wondering if they are actually beneficial. For my whole family, it would cost $160-$200 a year. I called a dentist's office that is listed and they said their normal cost for a crown is around $900. With the plan, it would cost $504. Has anyone actually used any of these discount plans? Please don't advertise your own website here. If you are a broker or whatever looking for business...look elsewhere please. I only want to hear from people who have actually used these plans or from someone who works at a dentist's office and knows how these plans work. Thanks!
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My advise to you is that dental plans are basically very costly and do not provide good value. In regard to your gums, I strongly suggest you do an alternative, low cost thing that will reap you great rewards. Go to: (800) 370 - 3447 and order two things: Neem Oil Neem Bark Mix these two items together and make a paste. Put the paste all over your gums first thing in the morning and before bed. It takes ONE day to stop all bleeding. You can reduce dental pockets and as bad as a grade 5 pocket within less than 2 months doing this. Your gums will become healthy. This will save you thousands of dollars alone. The next thing to do is to fix your diet that is causing the dental problems. I strongly suggest you seek out a Certified Nutritional Therapist that can advise you. They can test you for nutritional deficiencies and recommend supplements and a good diet that will put you on the road to health that will keep those teeth looking good. good luck to you
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My advise to you is that dental plans are basically very costly and do not provide good value. In regard to your gums, I strongly suggest you do an alternative, low cost thing that will reap you great rewards. Go to: (800) 370 - 3447 and order two things: Neem Oil Neem Bark Mix these two items together and make a paste. Put the paste all over your gums first thing in the morning and before bed. It takes ONE day to stop all bleeding. You can reduce dental pockets and as bad as a grade 5 pocket within less than 2 months doing this. Your gums will become healthy. This will save you thousands of dollars alone. The next thing to do is to fix your diet that is causing the dental problems. I strongly suggest you seek out a Certified Nutritional Therapist that can advise you. They can test you for nutritional deficiencies and recommend supplements and a good diet that will put you on the road to health that will keep those teeth looking good. good luck to you
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How much do partial dentures cost?
My boyfriend got into a car accident and got teeth knocked out. He's going to need 2 teeth pulled and a total of 4 teeth replaced. How much do you think this will end up costing? I am asking because he has no dental insurance.
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Probably about $1000-$2000 depending on what type of partial it is.
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Probably about $1000-$2000 depending on what type of partial it is.
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