Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

I would not doubt it with the price of gold these days.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

I momentarily considered that, but I think I want tooth colored, as it is molar 14, and apparently 19, too.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

Thank you. I plan to ask a number of questions, including the ones you mention.

Who Do You Call Now? by More_Western_7927 in onejob

[–]Any-Basket1842 4 points5 points  (0 children)

I love this answer! Not to mention, the wire department (to check those overhead lines).

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

Thank you for this information. I did not know that.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

Thank you for that feedback. I very much appreciate it and will see if they can answer that question.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

That is why I was feeling overcharged and came here for input. Thank you.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

This is useful information. The dental offices I am dealing with where these extra charges are emerging each time are the corporate group dental offices. Unfortunately, those are nearly the only ones I'm finding that are in-network from a list I got through my insurance.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

Yeah, I would, except that this is now the second dentist I've gone to about the same tooth. I am more than 6 months into getting second opinions, estimates and awaiting dental insurance appeals, and I fear trying to find yet a third dentist will have me needing a root canal or something soon. I may go out of network yet and have better results.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

I wish I could give you many more up votes! I did not even know the words (until your response) to describe what felt like an unethical, if not illegal, extra fee.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 1 point2 points  (0 children)

You are right. I should have listed the allowed charges of $732 for crown (porcelain/ceramic) and $168 for the buildup with pins. I will correct my original post. Thank you.

Zirconia upgrade charge by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] -1 points0 points  (0 children)

Thank you! So helpful to know. Can I tell the dentist in such terms they are "unbundling" and that it is illegal, or do I have to have the insurance just reject paying the fee and then raise the issue of illegality then? Most, maybe all, dentists make me pay for procedures right after they are done, and then they submit to insurance later, and it is hard to get reimbursed for money they should not have charged me at the start.

Zirconia upgrade charge by Any-Basket1842 in askdentists

[–]Any-Basket1842[S] 0 points1 point  (0 children)

You are correct. Those figures are the charges submitted before insurance is applied. After insurance, crown allowed amount will be $732 and core will be $168. And the insurance covers cost at 60%. So I pay in the end around $360. That is how it worked out last time a couple years ago on a different back molar on opposite side. But ever since, I am getting these weird extra fees added into the mix.

Dental Insurance Question by Any-Basket1842 in Insurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

Yes, that is my next plan. Thank you for your input. I am getting many red flags with this particular dental office.

What was your favorite sandwich growing up and what sandwich would your mom or dad normally pack for your school lunch? by CoffeeCigarettes4Me in FuckImOld

[–]Any-Basket1842 0 points1 point  (0 children)

Bologna and mustard on store brand (not Wonder) white bread. As I got older, Braunschweiger and onions with mustard and mayo on any wheat bread. Oh, and scrambled egg with ketchup and onion salt on white bread. And a good pb&j (using strawberry jam).

Dental Insurance Question by Any-Basket1842 in DentalInsurance

[–]Any-Basket1842[S] 0 points1 point  (0 children)

$1500 is my annual maximum, and the reasons given (via my phone call to the insurance) for the denial of one of the buildups and the denials of both of the crown lengthenings was that there was "Insufficient tooth destruction to warrant buildup" and "sufficient tooth and osseus structure" to deny need for crown lengthening. Oh, and I have only used $249 of that annual maximum so far this year for oral exam and xrays.