ComplaintsforHarmony Dental

• Initial Complaint

  08/05/2024

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  February 2024 I paid in full. Now 6 months later they want another ****** . This company also would not clean my teeth. I believe I do not owe this extra money.

  Business response

  08/06/2024

  Hello
  The *** that was billed to ************** was the *** that INS did not pay after the claim was submitted to the insurance on ****************** behalf. The insurance company denied the claim stating there was a waiting period. The insurance company did not inform the clinic about the waiting period when they were called regarding ****************** benefits.Had the clinic known, we would have informed him as well. It is never our intention to treat patients and have them stuck with bills that they cannot afford.

  Sometimes insurance does not provide us with all the information. The claim was appealed to help **************, but they did not agree. That was the reason for the second bill after a few months;it was because the appeal did not go through.
  The insurance is a contract between the patient and the insurance company. We send the claims to the insurance company as a courtesy to the patients
  

  Please see attached form from insurance citing the waiting period was not met and denying payment.
  

  The second attachment is the clinic policy which clearly states that we are filing the claims on behalf of the patient as a courtesy to the patient, but the contract is between the patient and the insurance.
  

  We did not schedule an appt for cleaning since we wanted to wait for the waiting period to end.
  

  I have called and explained the same to ************** in the past.
  

  Regards
  *****************************************
  Harmony Dental office manger
  

  
  

• Initial Complaint

  03/01/2024

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  Early this year I had a cracked porcelain cap that needed to be fixed, and a filling that needed to be replaced on another tooth. I came in for the filling replacement - a simple fix. At the end of the appointment I said multiple times that my bite felt too high. But the dentist said that it looked good based on the coloring she was getting and my bite should be fine. I went home, my bite was really high - all I could feel was the tooth that she had jsut replaced the filling for hitting. My other teeth don't touch. My next appointment she did the colored paper thing in my mouth again and said that she could see that that was the only tooth hitting. This was the first time that I felt a question about trust since she had told me the tooth wasn't hitting in my previous appointment. She seemed frustrated with me and kept repeating herself "if I take down the tooth anymore I'll take away the filling". I am not a dentist so I didn't know what to do with that information. I had to ask multiple times what I should do about it. She replaced a simple filling and now was acting frustrated and rude with me that my bite was way off. She finally said "I don't know what to do I'm going to give you a referral to a jaw specialist". I asked for her to contact the Jaw Specialist directly because a consultation would cost $600 out of pocket for me and it didn't make any sense to me that they would be able to help.She then didn't respond to messages from me for about 6 weeks. I contacted the Jaw specialist that she "referred me" to. I asked they said they needed more information because the referral was completely illegible, and coming to them to fix a bite didn't make any sense. She hasn't followed through with any help with getting the jaw specialist. She hasn't helped fix the problem she created. She left me with $1200 bill for doing damage to my teeth and refused to refund that even though I now need to spend massive time and money to fix the problem she created.

  Business response

  03/02/2024

  Hello
  The pt was first seen on Oct of 2023 for the filling, pt had an existing filling that was worn slightly due to grinding and filling was added to worn area. The tooth on the top was adjusted slightly to prevent it from wearing down fast. The bite was good when the pt was dismissed. The pt came back for a crown appt in Nov and complained the filling felt high. When the bite was checked,it was NOT the filling that was touching but ***************** structure,explained the same to pt, but natural tooth structure was adjusted until pt said it felt better. The pt came back in Jan with the same complaint. The filling was checked again with an articulating paper, it was not the filling that was touching but it was pt's natural teeth touching first on that side.The pt was informed of the same and a referral to *** was suggested since it was likely due to pt clenching and grinding at night through the store bought night guard.  The pt was not happy with the response and got up abruptly from the chair and did not want to hear anything else and ask send the referral by email. At no point was the dentist rude or impatient. If you check all the ****** reviews, the quality that is mentioned in that the dentist tries to explain everything in a patient and professional manner.
  This change in bite constantly is common patients that have *** problems. It was explained tooth pt that if ***************** was ground down it would start to feel sensitive. Hence a referral to *** specialist was recommended. The pt did call back and say she wanted a guarantee that the *** specialist could fix it. No specialist can make such guarantees until they have seen the pt and make an evaluation.
  Since the specialist was not in pt's network, pt was also advised to call her *** and get a name for an in network *** specialist and a new referral could be sent to the in network specialist to help with cost.
  The pt wanted a refund for the filling, the patient portion of ***** was sent to the pt which was cashed last week. The *** portion of ***** was sent back to the insurance.
  The *** of 1200 that the pt seems for want a refund for includes the crown on # ** that was completed and there were no issues with it.
  There was a long lag of response of 20 days once when there was a snow storm, other than that, all of patients emails were responded to.
  Please see all attached documents
  Regards
  Harmony Dental

  Business response

  03/02/2024

  Refund letter to ins

  Customer response

  03/07/2024

   
  Complaint: 21372312
  
  I am rejecting this response because: A problem was caused in the office that is costing me significant funds to fix. I was not cared for or responded to to help the problem as a patient. I would like a refund for the full amount paid to you for both procedures during the time period that my bite was ruined as they may have impacted each other.
  
  Sincerely,
  
  ***** ******

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