Clem, This is Jeff Tomcsik the Manager of Tidewater Dental. First allow me to apologize for giving you a headache. I assure you this was not our intention. While I obviously cannot speak specifically about your situation in a forum due to privacy issues (HIPAA), I can address a few things that you brought to the site. First, I apologize for past billing issues. Many of our patients have multiple dental insurance plans. For instance a patient might have primary insurance through Aetna and Secondary insurance through BCBS. When this is the case we submit to primary and must wait for them to pay us before we are allowed to submit to the secondary insurance. This is very tedious and time consuming (because of this most dental practices do not submit to secondary on the patient's behalf) and may be the cause of some of these late bills that you are receiving. Without looking at your ledger, this is only a guess. In these cases we try to exhaust all efforts with the insurer before trying to collect from the patient. Regardless of why we sent you these bills I am sorry for the difficulty it has caused you.
I understand your frustration with your insurer not covering your PAN. I would be frustrated too, however I will say that our protocol of taking a PAN every three to five years is directly in line with the minimum standard of care that the ADA recommends. Our doctors believe that this is the correct diagnostic protocol to ensure the safety of our patients. Without X-Rays and Cone-Beam Computed Tomography we can miss any number of conditions that don't present to the naked eye that can cause you significant pain, cost, loss of teeth, loss of life (cancer). With this said, if we as health care practitioners, make decisions based on the dental insurance coverages allowed by your insurance company we are putting you, our provider, and the practice at risk. This is unethical and against our standard of care. Now, our failure in all of this was proper communication and education on the part of our staff so that, regardless of the cost, you saw the absolute value in the service we were providing. Incidentally, if you refused x-rays, our protocol would be to dismiss you as a patient if it causes you to fall outside our "minimum" standard of care. This is not because we are cold. It is because we care and we know the importance of diagnostic technology. It is an absolute fact that patients who follow the diagnostic and preventative recommendations of a fair and ethical dentist (which we pride ourselves on being) will spend less on dental care over the course of their lives than those patients who fail to.
What I take offense to in your post is the "Watch out for Tidewater Dental" title. This is truly unfair. While we may not be perfect, we go through great effort to accept nearly every insurance plan so that we can take care of our community (much to our financial loss). We keep our practices up to date and modern with technology and safety precautions that keep you safe at our cost. We invest in Continuing Education for every one of our employees to make sure you are getting the best care (not a practice most dental offices provide). And by your own admission in a later post, we do not over treatment plan and upsell. It is not our model. We truly care about our patients, not just for them. We want patients for life, so we don't try to upsell every hot, new cosmetic procedure. We give teeth whitening away for free to all of our good patients of record ($400 value). But yes, we are not perfect. Clem, please give me a call at your convenience if there is anything I can do for you to make you feel better about your experience. Thanks, Jeff 301-862-3900