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How much do you pay for dental cleaning?

  • Thread starter Thread starter alien amp pharm
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alien amp pharm

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Okay, I'm mainly curious about people without dental insurance.

My medical is paid in full by my job, but yet they do not offer dental insurance.
I had a cleaning this morning and it was fucking $90. Last time it was $70, which was still ridiculous in my opinion for some scraping, flossing, and a polishing - whoop-de-doo
 
alien amp pharm said:
Okay, I'm mainly curious about people without dental insurance.

My medical is paid in full by my job, but yet they do not offer dental insurance.
I had a cleaning this morning and it was fucking $90. Last time it was $70, which was still ridiculous in my opinion for some scraping, flossing, and a polishing - whoop-de-doo
for what they had to do to that mouth, i'd say you got a deal.
 
I pay 35.oo
 
alien amp pharm said:
with or without insurance?


That is with my insurance... My insurance pay's a certain amt for all my dental work that is nothing to do with cosmetics... they won't pay for braces and such ...

Actually... I say 35, but its my copay, for me and my 2 kids.. .and then I get one cleaning a year for us after my copay. so therefore, the rest are free.
 
Frisky said:
That is with my insurance... My insurance pay's a certain amt for all my dental work that is nothing to do with cosmetics... they won't pay for braces and such ...

Actually... I say 35, but its my copay, for me and my 2 kids.. .and then I get one cleaning a year for us after my copay. so therefore, the rest are free.

Thanks, you were no help at all.
 
stilleto said:
lol@aap pretending to take care of his teeth.







jerk

Well she only had 3 teeth to clean, why did she charge me the full $90 ????
 
stilleto said:
i'm gonna go smile at my dental insurance card with my perfectly formed, white teeth.

They are only white due to all the money-shots you take to the face on a daily basis.


tee hee hee
 
My dentist is an old friend and after he explained how pricing/insurance works I dropped my dental plan. Total and complete scam! You are much better off negotiating prices with your dentist and paying cash.
BTW.....$90 for an hour in the chair is a VERY fair price. You can't get your car serviced that cheaply most places anymore.
 
medical said:
My dentist is an old friend and after he explained how pricing/insurance works I dropped my dental plan. Total and complete scam! You are much better off negotiating prices with your dentist and paying cash.
BTW.....$90 for an hour in the chair is a VERY fair price. You can't get your car serviced that cheaply most places anymore.

Interesting. I think $90 for basically a brushing is ridiculous. If it's the going rate then I guess I have no choice, but I doubt it is.

I agree that dental insurance is a waste...unless your employer pays it and even then they only pay a VERY small percentage, and practically nothing on major dental work.
 
With insurance I get 2 free cleanings a year. No copayments.

I don't know without... BUT... We pay somehwere like $400-$600/year for just dental alone. That's a lot IMO. If you just did cleanings, you would still be ahead without insurance.
 
Lestat said:
mine are $150, insurance pays 130 i pay 20
Your insurance SAYS they pay $130 but I bet you they pay less than $50. Which means that if you offered him/her $80 cash you would both be better off.
 
medical said:
Your insurance SAYS they pay $130 but I bet you they pay less than $50. Which means that if you offered him/her $80 cash you would both be better off.
yeah, that makes a LOT of sense there!

I could pay $20

or I could pay $80.

hmmm did you go to college?
 
My insurance pays the whole thing. Cleaning and X-Rays are 100% covered 2x a year.

I think cleanings are around $90-100 though.
 
alien amp pharm said:
Interesting. I think $90 for basically a brushing is ridiculous. If it's the going rate then I guess I have no choice, but I doubt it is.

I agree that dental insurance is a waste...unless your employer pays it and even then they only pay a VERY small percentage, and practically nothing on major dental work.
Exactly...I'm telling you dental insurance is the biggest scam ever! The only reason dentists do it is because people go to the dentist more because they are "paying in advance" and don't want to miss out on their "free" care! My dentist no longer accepts any insurance because he said he felt guilty. Total scam I tell yas!
 
and medical, I looked up my claims info so we can talk about facts and not pure hypotheticals here, full of terrible logic.

When I go in, I get a cleaning and periodontal maintenance. This is covered at 100% by my insurance, but I go to an out of network dentist who charges more than the insurance company's reasonable and customary amount.

The dentist bills the insurance $145
The insurance pays him $133
I pay $12

I used to have to pay $24 because insurance only covered $121

Still think I should just pay him $80 so we both lose?
 
also, my dentist offers NO cash discount on cleanings, however he'll cut you a 10% break on any major dental work, fillings, onlays, inlays, crowns, bonding, bridges, and any costmetic services.
 
Lestat said:
and medical, I looked up my claims info so we can talk about facts and not pure hypotheticals here, full of terrible logic.

When I go in, I get a cleaning and periodontal maintenance. This is covered at 100% by my insurance, but I go to an out of network dentist who charges more than the insurance company's reasonable and customary amount.

The dentist bills the insurance $145
The insurance pays him $133
I pay $12

I used to have to pay $24 because insurance only covered $121

Still think I should just pay him $80 so we both lose?
I 100% guarantee you that your dentist did not get $133 from the insurance company. He got maybe $70. MAX.
 
medical said:
I 100% guarantee you that your dentist did not get $133 from the insurance company. He got maybe $70. MAX.
I'm normally not this rude, but you are a fucking idiot, I am looking at the statement now and a check was cut to my dentist for $133, you can argue all you want, but its true. He is NOT contracted with my insurance so he doesn't discount his fees whatsoever. $133 is what my insurance considers reasonable and customary for the service.
 
but medical, since you did say you "guarentee" me, what are you willing to back that guarentee up with? How about you cover all of my dental co pays for 2007?
 
I hate dentists. It's another thing that they overcharge for simply because it's something people have to have done.
 
alien amp pharm said:
I hate dentists. It's another thing that they overcharge for simply because it's something people have to have done.
i don't know about yours, but my dentist doesn't do cleanings, there is a hygenist that does. I don't think $150 is unreasonable at all for what they do.
 
Some of you have some pretty good dental insurance. The ones I've seen pay at most 25 %.


(btw HH and Stiletto, please go mop or something & make yourselves useful)
 
alien amp pharm said:
Some of you have some pretty good dental insurance. The ones I've seen pay at most 25 %.


(btw HH and Stiletto, please go mop or something & make yourselves useful)

we're mopping up this abortion of a thread, yo.
 
Lestat said:
i don't know about yours, but my dentist doesn't do cleanings, there is a hygenist that does. I don't think $150 is unreasonable at all for what they do.

Well yes the hygentist does the cleaning, but all that is involved is picking with that tool, flossing, and a brush polish.

Hell I can do that on my own for $5

The only benefit I see is catching a cavity early on.
 
my insurance pays 100% for cleainings
80% for fillings
50% for everything else

no co pays or deductibles unless you go out of network (which I do) so I have a $50 per year deductable.

I'm getting an onlay next month. Dentist charges $1200, I pay $600 - 10% discount.
 
alien amp pharm said:
Well yes the hygentist does the cleaning, but all that is involved is picking with that tool, flossing, and a brush polish.

Hell I can do that on my own for $5

The only benefit I see is catching a cavity early on.
my hygenist does a lot of shit that I can't do. deep cleaning of my gums, I can't polish either but I agree with you that isn't worth serious $$$.

She scrapes off tartar I can get off though and helps get stains and what not off.

She also checks my mouth for cancer, gums for disease, and looks for decay.

$150 isn't much considering how much time and money it costs to get trained to do that. The overhead of the building and equipment. The insurance, etc.

Many people here go down to mexico for cheap dental work, a lot of it is decent quality, but I like my dentist, he's very high end.
http://www.martinpabelardds.com/
 
my insurrance doesnt cover dental :(
i havent had a checkup in like a year.

its dumb because IT contractors tend to get screwed and get low pay and no dental. maybe if im lucky a college or nice company while hire me permanently, and give me a good health plan.
 
alien amp pharm said:
Okay, I'm mainly curious about people without dental insurance.

My medical is paid in full by my job, but yet they do not offer dental insurance.
I had a cleaning this morning and it was fucking $90. Last time it was $70, which was still ridiculous in my opinion for some scraping, flossing, and a polishing - whoop-de-doo
My cleanings are free every 6 months
 
Lestat said:
my insurance pays 100% for cleainings
80% for fillings
50% for everything else

Mine is similar, except for "everything else" it is 60%.

For example - I just got two new crowns - would have cost around $3K without insurance. I am paying $1,100.
 
Im calling Fragadelic right now to dispel all the rumors about dental insurance fraud!

Frag was very cool when he extracted my molar a few yrs ago, he agreed to charge me only the portion that my insurance would pay, so no out of pocket for me - outside of the $25 co-pay! best dentist ever!
 
Daisy_Girl said:
Mine is similar, except for "everything else" it is 60%.

For example - I just got two new crowns - would have cost around $3K without insurance. I am paying $1,100.

hey, i havent seen you on here in awhile! :)
 
alien amp pharm said:
Okay, I'm mainly curious about people without dental insurance.

My medical is paid in full by my job, but yet they do not offer dental insurance.
I had a cleaning this morning and it was fucking $90. Last time it was $70, which was still ridiculous in my opinion for some scraping, flossing, and a polishing - whoop-de-doo
Mine went up ...$105 as of last month...I pay nothing!
 
p0ink said:
do they have to use those butchers on post?

god, they are the worst.

The family members choose a participating civilian dentist. I use military dentists and hygienists, but I have no complaints. Same training. Same standards.
 
im really due for a cleaning soon. im contemplating just paying it all out of my wallet.
not like im going to have good health insurrance for awhile.
 
Lestat said:
I'm normally not this rude, but you are a fucking idiot, I am looking at the statement now and a check was cut to my dentist for $133, you can argue all you want, but its true. He is NOT contracted with my insurance so he doesn't discount his fees whatsoever. $133 is what my insurance considers reasonable and customary for the service.
I may well be an idiot but I make my living dealing with insurance companies and once again I 100% GUARANTEE you your dentist did not get paid what was shown on that statement! Insurance companies don't pay claims individually. They show that on the statement but then they pay (for example) 80% at 120 days, 70% at 90 days, 60% at 30 days. That is for all claims submitted in a quarter. No provider ever gets paid what is shown on your statement.
No insurance company ever cut a single check to a dentist for $133! lol... What world do you live in, bro?
 
medical said:
I may well be an idiot but I make my living dealing with insurance companies and once again I 100% GUARANTEE you your dentist did not get paid what was shown on that statement! Insurance companies don't pay claims individually. They show that on the statement but then they pay (for example) 80% at 120 days, 70% at 90 days, 60% at 30 days. That is for all claims submitted in a quarter. No provider ever gets paid what is shown on your statement.
No insurance company ever cut a single check to a dentist for $133! lol... What world do you live in, bro?
lol. not sure who you are working with, but that is 100% NOT how this works.

I've seen the checks my dentist gets because I've had to go through a lengthy reconciliation process for them before with my FSA account for co-pays and what not.

You are making blanet statements that are dead wrong.

Just to reiterate, when I see my dentist for a cleaning, he gets a $133 check from my insurance company.

I am more than willing to prove this out to you, provided you make it worth my while, say $1000? I'll pay you if I am wrong, but I'm not so it won't matter.

I know for a fact my dentist gets paid monthly from my insurance management company (First Dental Health). They usually get checks less frequently than that though since I don't file claims monthly.

http://i10.tinypic.com/2im7r89.jpg

My dentist was cut a $133.00 check for this claim.
 
medical said:
I may well be an idiot but I make my living dealing with insurance companies and once again I 100% GUARANTEE you your dentist did not get paid what was shown on that statement! Insurance companies don't pay claims individually. They show that on the statement but then they pay (for example) 80% at 120 days, 70% at 90 days, 60% at 30 days. That is for all claims submitted in a quarter. No provider ever gets paid what is shown on your statement.
No insurance company ever cut a single check to a dentist for $133! lol... What world do you live in, bro?
dude what are you talking about? I dont know what insurance company you work for but it Aint Delta Dental or Cigna. My dentists have clearly gotten paid in individual checks over the years - several different dentists and two different insurance companies. Ive seen the check stubs in my son's file at his previous dentist and Ive talked to my current dentist who has been clear that she has rec'd specific amounts via check just as it says on my EOB.

I work at an insurance company (not dental or medical) and our system clearly shows that Providers are cut checks based on individual claims (batches of claims sometimes) for specific services. Check numbers and amounts are included as well as date of the check - so Im confused by what youre stating here.
 
Lestat said:
my insurance pays 100% for cleainings
80% for fillings
50% for everything else

no co pays or deductibles unless you go out of network (which I do) so I have a $50 per year deductable.

I'm getting an onlay next month. Dentist charges $1200, I pay $600 - 10% discount.
Well that is just a peachy deal and I am glad you are happy! :)
 
Smurfy said:
dude what are you talking about? I dont know what insurance company you work for but it Aint Delta Dental or Cigna. My dentists have clearly gotten paid in individual checks over the years - several different dentists and two different insurance companies. Ive seen the check stubs in my son's file at his previous dentist and Ive talked to my current dentist who has been clear that she has rec'd specific amounts via check just as it says on my EOB.

I work at an insurance company (not dental or medical) and our system clearly shows that Providers are cut checks based on individual claims (batches of claims sometimes) for specific services. Check numbers and amounts are included as well as date of the check - so Im confused by what youre stating here.
We obviously live in different universes then.......I've never (at least in the last 15 years) seen an insurance company cut a check for an individual claim unless it was a disputed claim.
 
Smurfy said:
dude what are you talking about? I dont know what insurance company you work for but it Aint Delta Dental or Cigna. My dentists have clearly gotten paid in individual checks over the years - several different dentists and two different insurance companies. Ive seen the check stubs in my son's file at his previous dentist and Ive talked to my current dentist who has been clear that she has rec'd specific amounts via check just as it says on my EOB.

I work at an insurance company (not dental or medical) and our system clearly shows that Providers are cut checks based on individual claims (batches of claims sometimes) for specific services. Check numbers and amounts are included as well as date of the check - so Im confused by what youre stating here.
she's full of shit and a fucking idiot. My guess, a secretary for some private HMO or other small time insurance company.

We pay our medical providers upon claim approval for both medical and dental, we don't pay a certain % @ 30 days, then more at 60 days. None of my medical providers would accept my insurance if that was the case! Payment is DUE at the time of service, they give my insurance 30 days to process the claim and pay IN FULL or else I am responsible for it.

medical, stop trying to act like everyone runs their business the way your shitty employer does. I'm dealing with BIG INSURANCE companies here, United Healthcare and First Dental health. I'd suggest a job in the mail room for one of those may suit you better and you might learn something.
 
Lestat said:
she's full of shit and a fucking idiot. My guess, a secretary for some private HMO or other small time insurance company.

We pay our medical providers upon claim approval for both medical and dental, we don't pay a certain % @ 30 days, then more at 60 days. None of my medical providers would accept my insurance if that was the case! Payment is DUE at the time of service, they give my insurance 30 days to process the claim and pay IN FULL or else I am responsible for it.

medical, stop trying to act like everyone runs their business the way your shitty employer does. I'm dealing with BIG INSURANCE companies here, United Healthcare and First Dental health. I'd suggest a job in the mail room for one of those may suit you better and you might learn something.
Um, medical is a guy.
 
Lestat said:
she's full of shit and a fucking idiot. My guess, a secretary for some private HMO or other small time insurance company.

We pay our medical providers upon claim approval for both medical and dental, we don't pay a certain % @ 30 days, then more at 60 days. None of my medical providers would accept my insurance if that was the case! Payment is DUE at the time of service, they give my insurance 30 days to process the claim and pay IN FULL or else I am responsible for it.

medical, stop trying to act like everyone runs their business the way your shitty employer does. I'm dealing with BIG INSURANCE companies here, United Healthcare and First Dental health. I'd suggest a job in the mail room for one of those may suit you better and you might learn something.
I don't have an employer, worker bee.
 
medical said:
They show that on the statement but then they pay (for example) 80% at 120 days, 70% at 90 days, 60% at 30 days. That is for all claims submitted in a quarter. No provider ever gets paid what is shown on your statement.

to revisit this... can you explain exactly what you meant by this? Whatever it is, its false, but on top of being wrong, it doesn't make any sense.

So my insurance company pays 60% of the claim at 30 days, then 10% more 60 days later at 90 days, then another 10% (totalling 80%) after 120 days?

I have a feeling you don't even understand what you are talking about.
 
Lestat said:
to revisit this... can you explain exactly what you meant by this? Whatever it is, its false, but on top of being wrong, it doesn't make any sense.

So my insurance company pays 60% of the claim at 30 days, then 10% more 60 days later at 90 days, then another 10% (totalling 80%) after 120 days?

I have a feeling you don't even understand what you are talking about.
confusing to say the least...
 
Look, medical is a good guy. This is all clearly some kind of silly misunderstanding. Pretty soon we will all be naked and fondling one another. Let's just accept it and get no with it!
 
Smurfy said:
Look, medical is a good guy. This is all clearly some kind of silly misunderstanding. Pretty soon we will all be naked and fondling one another. Let's just accept it and get no with it!
lol. i doubt ever point made in that statement.

Well he could be a good guy, I'll give you that, just not so bright.
 
I'm obviously preaching to the seriously misinformed here. I admit insurance is a confusing matter but I am hardly uninformed on the matter: I am a private healthcare provider and am intimately familiar with how insurance companies pay claims. BTW, Lestat...I've never heard of either of those "BIG" insurance companies you mentioned.
I'm glad you are happy with your insurance provider.
Out.........
 
medical said:
I'm obviously preaching to the seriously misinformed here. I admit insurance is a confusing matter but I am hardly uninformed on the matter: I am a private healthcare provider and am intimately familiar with how insurance companies pay claims. BTW, Lestat...I've never heard of either of those "BIG" insurance companies you mentioned.
I'm glad you are happy with your insurance provider.
Out.........


http://www.uhc.com/
http://www.firstdentalhealth.com/

United Healthcare is one of the largest health insurance administrators.

I am informed on how MY person process works, not yours.

But then again, I'm not trying to tell you how your job and company works, just mine. You are the one trying to tell me how mine works.

I've had this insurance for 8 years now and dealt with a variety of health care providers and many claims, complex ones, I've see the checks that my providers get and they can be reconciled to the claims.
 
Oh, Lestat? I just checked with your dentist and they accept 55% of published price (that means what is shown on your statement) as full payment.
 
medical said:
I'm obviously preaching to the seriously misinformed here. I admit insurance is a confusing matter but I am hardly uninformed on the matter: I am a private healthcare provider and am intimately familiar with how insurance companies pay claims. BTW, Lestat...I've never heard of either of those "BIG" insurance companies you mentioned.
I'm glad you are happy with your insurance provider.
Out.........
Oh cool, youre a dentist?
 
medical said:
Oh, Lestat? I just checked with your dentist and they accept 55% of published price (that means what is shown on your statement) as full payment.
Tell me where this is documented. You can't make statements like that without proof.

I think what you might be confusing is that they accept a certain amount at the time of service, and will wait for the dental claim to be processed for the rest.
 
I do want to mention that one time my dentist submitted a claim to my dental carrier, and they inadvertantly cut the check to me, and I got this check in the mail. I was like hmmmm. I matched it up with the EOB I had rec'd and well, yeah it was paid exactly as it stated on the EOB.
 
Smurfy said:
I do want to mention that one time my dentist submitted a claim to my dental carrier, and they inadvertantly cut the check to me, and I got this check in the mail. I was like hmmmm. I matched it up with the EOB I had rec'd and well, yeah it was paid exactly as it stated on the EOB.
of course, otherwise those EOB would be useless!

When there is a discount given, it is show on the EOB.

I will upload some examples. medical is going to owe me for this valuable information.
 
Lestat said:
Tell me where this is documented. You can't make statements like that without proof.

I think what you might be confusing is that they accept a certain amount at the time of service, and will wait for the dental claim to be processed for the rest.
All of their billing is done through a TPA (Third party Administrator) that I also work with. To be honest, your dental office actually doesn't have any idea what they actually get paid per individual claim.
And you are right: although I could prove it I'm not going to open that can of worms here so you "win" I guess.
 
medical said:
All of their billing is done through a TPA (Third party Administrator) that I also work with. To be honest, your dental office actually doesn't have any idea what they actually get paid per individual claim.
And you are right: although I could prove it I'm not going to open that can of worms here so you "win" I guess.
dude, you are assuming that every dentist uses a TPA. That is just not true. My current dentist does not use a TPA, she does all her own billing on-site out of her office.

Why do you assume everyone who bills insurance uses a TPA?

Also, are you a doctor?
 
Smurfy said:
dude, you are assuming that every dentist uses a TPA. That is just not true. My current dentist does not use a TPA, she does all her own billing on-site out of her office.

Why do you assume everyone who bills insurance uses a TPA?

Also, are you a doctor?
I am not a doctor. I own a medical firm that employs doctors. Lestat posted a link to his dentist and I am referring specifically to them. Their TPA accepts 55% of the claim as full payment from insurance within 30 days of service. That is not reflected on the statement patients receive.
 
medical said:
All of their billing is done through a TPA (Third party Administrator) that I also work with. To be honest, your dental office actually doesn't have any idea what they actually get paid per individual claim.
And you are right: although I could prove it I'm not going to open that can of worms here so you "win" I guess.
How do you know my dentist uses a TPA?

They have an MBA who is their "office manager" (gets paid 100K a year though) who handles all of the billing. I know this because I work with her ALL the time and have had to resolve some very complex billing issues that span multiple years.

So lets talk about how this works.

I go to my medical provider.
I get seen.
They file a claim to my insurance company (not a third party, my providers do it themselves, I go to people who have a group and usually have a dedicated person to handle billing)

Here is an example of an EOB.
2lvxyqo.jpg


You see how it is laid out? It shows the full charge, the amount paid, and the amount of the discount. It also shows the patient responsibility.

The insurance company cuts a check directly to my health provider for the amount stated. No additional reduction. No 60% now 10% later bullshit. No third parties.

Now, this is how MY insurance works, not whatever crackpot company you work for. Sounds like they make their money on technicalities and cheap labor.
 
medical said:
I am not a doctor. I own a medical firm that employs doctors. Lestat posted a link to his dentist and I am referring specifically to them. Their TPA accepts 55% of the claim as full payment from insurance within 30 days of service. That is not reflected on the statement patients receive.
please provide proof of this. You are making it up.

Its just like me saying that YOUR medical company hires morons! I've talked to some of their employees and they purposely hire idiots and keep them busy while they embezzel money.

I could probably prove that before you could prove either of theirs
1) that my dentist accepts 55%
2) that my dentist uses a third party billing company


Again, I have to explain what you think you know.

If you default on payment to my dentist, they send the claim to a 3rd party collection agency. This is only after multiple attempts by my dentist to recover payment, and at least 180 days of trying. After that its passed to a collection agency, and they very well could accept 55% of the total as payment in full, I wouldn't know and won't try to make that claim without documented proof.

By continually making statements as fact, but having zero proof, you discredited everything you way and weaken your argument.

I suggest you get facts, then get them straight, then say something.,
 
so medical, you work for a medical firm? Not an insurance company? Not a dentist? why do you claim to know so much about my insurance and dentist then? It sounds like wherever you work is the exception to the rule.
 
Smurfy said:
What exactly does a medical firm do?
We provide medical services: Drug testing (that is my primary business) immunizations, EKG's, insurance company physicals, audiometric screenings, wellness and fitness programs, smoking cessation programs, etc. We also finance medical practice start-ups, durable medical equipement purchases/leases, contract to provide respiratory therapy and O2 services/equipement, skilled nursing care for certain clients, Physician referal services, etc.
 
Lestat said:
please provide proof of this. You are making it up.

Its just like me saying that YOUR medical company hires morons! I've talked to some of their employees and they purposely hire idiots and keep them busy while they embezzel money.

I could probably prove that before you could prove either of theirs
1) that my dentist accepts 55%
2) that my dentist uses a third party billing company


Again, I have to explain what you think you know.

If you default on payment to my dentist, they send the claim to a 3rd party collection agency. This is only after multiple attempts by my dentist to recover payment, and at least 180 days of trying. After that its passed to a collection agency, and they very well could accept 55% of the total as payment in full, I wouldn't know and won't try to make that claim without documented proof.

By continually making statements as fact, but having zero proof, you discred everything you way and weaken your argument.

I suggest you get facts, then get them straight, then say something.,
I am stating that your dentist sets rates and accepts payments from insurance companies at a reduced rate through a TPA.
 
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