New Reviewer

Not to be trusted.

On April 15, 2015, Cortnie Sanchez dropped a sharp diamond tipped drill bit down my throat. She said she was sorry. After more than two weeks of the drill bit being lodged in my small intestine and over $8000 in medical bills, the drillbit passed through my system. I sent her my medical bills. She had me go through her insurance company. They offered to pay $287 for my claim. I said no thanks. I spoke with Courtney Sanchez and she refused to take responsibility and directed me back to her insurance company. After more than two years, I can't find anyone to help me recover my financial losses.
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ID
#1057296 Review #1057296 is a subjective opinion of poster.
Location
Las Vegas, Nevada
Service
Summerlin Dental Dental Crown Service
Cons
  • Being physically injured
Reason of review
Physically harmed
Loss
$8000
Preferred solution
Full refund

OFFICE INSURANCE PERSON IS VERY RUDE

The receptionist was very nice, but the insurance person was discourteous, patronizing, and unprofessional in handling an insurance issue regarding a consultation. There are plenty of good dentists in Las Vegas, and none worth going to if the staff mistreats the patient before he/she even makes it through the door. On a side note, the fee for a consultation is $190 and includes a "full mouth visual exam" and sit down with the dentist. The fee is out-of-pocket or billed to your insurance. There are also plenty of good dentists in town that will not charge for a sit down and visual exam.
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ID
#490054 Review #490054 is a subjective opinion of poster.
New Reviewer

Dentist performs treatment not covered by insurance

I highly discourage using this dentist. I came in for a basic cleaning and after evaluation they suggested a different treatment for me. I told them that the treatment needed to be covered by my insurance because I am not in a position, financially, to pay out of pocket for services. After much discussion, they *INSISTED* that the work that I needed was covered by my insurance. however, my insurance denied their claim 3 times. I submitted my own appeal, and they denied mine. I now have over $400 in debt to this dentist, when all I came in for was a basic cleaning. When I asked why they didn't submit a pre-treatment auth for me, they said "Because it's not required by your insurance." I was told they can't suggest treatment based on what insurance covers, which is understandable. However, why didn't their team mandate a pre-treatment auth when their customer specifically told them he couldn't pay out of pocket expenses? The answer to that question is the reason why you should NOT go here.
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8 comments
#786236

Sounds like maybe YOU should know your OWN insurance benefits and not leave it up to the office to know your co share for every treatment. I would be upset as well to find out that I had an unexpected balance but at the same time you received a service.

I would much rather know if the office staff were professional, was the office clean, was the doctor knowledgable? Those are the areas people should be looking at when considering a dentist, not whether or not someone's estimation of payment was off..

#786292
@PissedConsumer786236

So, you're saying that before I go in for a basic cleaning, I need to contact my insurance company, learn what their standards are for the different procedures, and THEN get treatment? Does ANYONE do that?

Hindsight, I should have required the dentist to do a pre-treatment auth, but they should have known to do that to assist their patient.

When the patient is told, over and over, like a broken record "it's covered" and then it's not, that's not right.

They didn't even offer to work with me on the unexpected bill.

Staff was nice and professional. Office was clean, doctor was knowledgeable.

Staff will also help you make uninformed decisions by not pre-authing treatment. Beware.

#786299
@PissedConsumer786236

Estimation of payment? Perhaps my complaint was unclear.

3 separate people at the office told me the treatment was covered and that I qualified for it. I was very clear with the staff that I was only going to allow treatment that was covered. I made this so clear on several occasions, that they noted my account with what I had said.

They KNEW that there was a difference between what I could afford, and what I needed, yet instead of putting options on the table I get, "You need this, you qualify, do this. It's covered, we promise." The fact that the office was made aware of my financial situation, and chose not to pre-auth is *** customer service, which is why you should be careful when going here.

#748236

All you had to do was contact your insurance company and ask if the suggested treatment was covered under your policy before they performed it. Simple.

I assume, since you did not state otherwise, that the service(s)was successful and necessary. Paying $400 to keep your teeth is a worthwhile investment. The dentist made a mistake. People make mistakes.

You both did by not checking to make sure. When in doubt------

#748370
@John N Mzy

No, I did not contact my insurance company prior to receiving the treatment. Why would I? 3 separate people at the office told me the treatment was covered and that I qualified for it. I was very clear with the staff that I was only going to allow treatment that was covered. I made this so clear on several occasions, that they noted my account with what I had said. They KNEW that there was a difference between what I could afford, and what I needed, yet instead of putting options on the table I get, "You need this, you qualify, do this. It's covered, we promise." The fact that the office was made aware of my financial situation, and chose not to pre-auth is *** customer service.

I guess the mistake I made was trusting that 3 people at the office (including the dentist) weren't *** me. The lesson I learned here is that whenever a doctor/dentist recommends a treatment, that I need to have the pre-auth mandated. This was a completely avoidable problem had the staff done the right thing with the information they were given.

Additionally, I did not mention the necessity or success of the treatment because that is not relevant to my primary complaint. They said one thing, and did another, and now I am stuck with a bill that I was simply not prepared and thoroughly explained that I could not afford.

#786253
@PissedConsumer748370

Obviously the staff was told that the procedure would be covered by your insurance. Why would 3 people say otherwise?

Also, don't you think that what every person NEEDS and what they can AFFORD are two seperate things? Come on!

I can't afford Chemo but I NEED it, do I not get what is needed to treat my disease?? Sounds to me like you want to blame this on SOMEONE and you don't care how ridiculous you sound doing it!

#786297
@PissedConsumer786253

Obviously??? Perhaps I wasn't clear.

They were NOT told that the treatment was covered. That's the point you seem to be missing. They THOUGHT it was covered and they used their own information to make the determination that the treatment wouldn't cost the patient. They told me, like a broken record, you won't get charged, it's covered, but they didn't make that statement to me based on a pre-treatment auth, they made it based on their "hunch." So I accepted treatment based on mis-information which is why I'm pissed off, and why you should be careful when going to this office.

What they SHOULD have done was said, "Since we know you can't afford to pay out of pocket for treatment, we'll pre-auth what you need through your insurance.

If it's covered, we can proceed.

If it's not, we can then discuss other options that make sense for your health and your wallet." What occurred was, "It's covered..........NO WAIT JK JK JK, HERE'S A BILL"

Comparing what I needed to chemo is...wow...you say I sound ridiculous? lol

#786303
@PissedConsumer786253

Also, I did not discuss the success or necessity of the treatment because that is not relevant to my primary complaint of being mis-informed more than once. But you knew that because you read the comments, right?

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ID
#460055 Review #460055 is a subjective opinion of poster.
Location
Las Vegas, Nevada
Loss
$400

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