Complaints

• Initial Complaint

  09/02/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  04/2024, I had a routine cleaning and exam. I was told that I had a tiny little cavity on my lower right molar, which she had noticed in October, she decided to repair with a filling. On 05/2024, I made an appointment to look at the filling, because it was too high, and was told the pain should go away in a several weeks.In between the May and July appointments, I called the office, and was told that I could have pain for up to 6 weeks, which was normal.On July 29, 2024, made an appointment because I still had pain and sensitivity. The first thing that occurred, was that she pulled out the old X-Rays. She then said I needed a root canal, which was very confusing, since I was told it was a minor cavity. There was never an indication of a root canal during my April 29th appointment.Then I was told during this appointment, that in the next several weeks they would not be accepting ******** patients because they are not getting paid their full payment, only half. I asked her when she was going to inform her patients that they were canceling ******** and was told a letter would be going out in the next several weeks. As of today, August 30, 2024, I have not received a letter. She said they could put a cap on the tooth. I agreed to schedule in the next few of days so that ******** would cover the tooth before they cancelled their contract but was told that I would have to pay out of pocket, because they were not going to submit to ******** because they were not going to get paid in full by ********.I had to decline, She then offered me a prescription for a toothpaste, **** notified me that they needed prior authorization, so I contacted the dentist and was told that they do not do prior authorizations; and they refused, even after several calls from me and the pharmacist. I then spoke to the owner of the dental office and told them I had no other options but to contact the ****** They finally agreed.Is clear that this Dentist committed ********/insurance fraud.

  

  Business response

  09/10/2024

  To whom it may concern,
  Firstly, Metropolitan Dental Care refuses to accept any allegations on insurance fraud that has been committed or would ever be committed in the future. Our offices pride ourselves on providing the upmost care and professionalism to all our patients. Based on this specific patient we went above and beyond to satisfy all requests. The case was handled with adequate care and was resolved in a timely manner. To stay 100% compliant with HIPPA, we cannot discuss any further information regarding this patient or the case. It is our duty to protect our patients privacy and medical information. For further comments and questions please feel free to contact us. Thank you for your time. 

  Customer response

  09/11/2024

   
  Complaint: 22227899
  
  I am rejecting this response because:
  
  Sincerely,
  
  *************************

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