Usacomplaints.com » Health & Medicine » Complaint / Review: Western Dental - Insurance Fraud, Over Billing. #319043

Complaint / Review
Western Dental
Insurance Fraud, Over Billing

We went to the dentsit in Oct because Western Dental was listed as a participating provider with Delta Premier Dental on our Plan. I only had preventive services (xray, cleaning). My copay for preventive work is $0.00 with no deductible. My hubby had to have a special cleaning and some fillings done. His bill was around $1500.00. They wanted us to sign a payment agreement before they even sent it to insurance. We did because they had already started to fill the cavitiy. Our insurance has paid them. We've paid our $50.00 deductible, buthaven't sent another payment becuase they want payment in full. They are trying to bill the difference between what the insruance paid and their full price. Our Dental Insurance said that because they are participating providers that they MUST accept the allowable amounts from the insurance and cannot "balance bill".in th emeantime, Western Dental has sent $250.00 of my husband's account to collections (We've already paid $50.00 so the balance should only be $200.00 and they will not accept $200.00 onlythe $250.00.

ANDthey sent $79.00 to collection for me - eventhough my EOB fromt he insurance says I owe nothing! I don't know what else to do short of taking them to small claims court or contacting the attorney general. Delta Dental even tried to settle the matter, threateneing to cancel or hold any furthre payments to this office, and they hung up on Delta Dental!!!


Offender: Western Dental

Country: USA   State: Arizona   City: Phoenix
Site:

Category: Health & Medicine

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