HobNailBoots1

HobNailBoots1 t1_ivixtj2 wrote

Delta pays dentists $69 for dental cleaning. Which normally takes up to an hour of chair time. RDA is $30-$35 an hour, doctor $100 an hour. DELTA always screws the dental practice.. delta will respond to a dentist saying patient active plan and eligible.. the dental bill gets sent in 9 times out of 10 comes back NO SUCH SUBSCRIBER. The dentist then fight for approximately 6 months for payment, payment eventually comes as you are not giving up however Delta will deny something on there such as an X-ray or deny consultation; dentist usually ends up with between $35-$69.

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HobNailBoots1 t1_ivixafb wrote

LOL you have no idea how much it costs a dental practice to sit a patient in a chair for an hour… insurance UCR fee reimbursement has not changed since the 1960’s and the yearly benefit max is still in 1960 at a $1000 and $1500 both of which claims are denied and suppressed… I have yet to see a patient benefit from yearly max

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HobNailBoots1 t1_iviwku9 wrote

As a DSO I can confirm you are wrong dentists do not control the insurance.. dental insurance is screwing with your dental health and your wallet. No dentist is going to give you the dental care you need if the dental insurance business will not cover it. Dental insurance are not in the medical care business they are in the insurance business. The “pennies” on the dollar they pay “never” cover the true cost of a dentists chair time.

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HobNailBoots1 t1_iviwbyf wrote

No dental insurance in the long term will leave you financially better off and with better dental health. Plans cover nothing if you know how to read eligibility sheets. Insurance is a business and could not care less about your dental health.. they will never spend more than what they can get out of you on a monthly basis.

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HobNailBoots1 t1_iviw0kq wrote

Dental insurance is a racket; I’m a DSO people pay monthly for useless policies that restrict their dental health… I could sit here all day listing off why having any monthly fee policy is simply clever smoke screen garbage.. And if you have the HMO plan then you may as well not go to a dentist at all if you can find one that will take a plan that pays a max of $1.50 to perform procedures on a patient.

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HobNailBoots1 t1_ivivd20 wrote

Insurance companies deny claims chisel UCR fees to a point where dentists cannot cover the cost of procedures that you might need so are reluctant to offer the treatments you need.. dental insurance companies deny claims all the time and then point the finger at the dentist so they do not look bad.. the fun part is as being a provider the dental insurance companies forbid in their agreements that dentists are not allowed to show what they were paid for a procedure.. example the ins co instead of denying a claim on your behalf will send a payment to the dentist D0120 FMX (X-rays) payment $0.. in the insurance industry that is classified as a paid claim in the amount of $0. The dentist then sends the patient a demand for $100 for example; the patient then calls their insurance who tell their customer who pays them monthly., no the dentist was paid. The patient then accuses the dentist of trying to scam them, the dentist cannot say we were paid $0 so the patient ends up angry and in collection.. support the dentist not the insurance business.

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HobNailBoots1 t1_iviuslc wrote

Your dental care is restricted by your dental insurance company. If you had no insurance you would get the real dental treatment plan needed to be of benefit to you.. when a patient comes in they usually do not want to spend a nickel out of pocket and just want what the insurance covers. So the dentist is generally restricted to a quick once a year prophy.. when patients start realising dental insurance is not only a garbage payment plan but is also detriment to their dental health they will start cancelling their policies. Save money improve your dental care by cancelling policies.

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