Dentists are the devil

[Wreckem]

Originally posted by: KK

Originally posted by: jiggahertz

Originally posted by: KK
Heres my beef with orthodonist and my cigna insurance. On the insurances chart that lists what they cover and how much they listed all orthodonist at 40%. meaning that we are responsible for 40%. Well we get the bill and it is broken down into individual items. Here an example of one. The evualuation charge is going to be 46 dollars, of the we owe 40, cigna pays 6. I called the cigna and asked how 40% of 46 is 40 dollars. they said that they go off this national average crap and that the national average is 96 dollars, there for they would pay 56 dollars instead of 6 if the cost were 96 dollars. I then asked how'd they come up with 46 on the paper. They said it was what the orthodonist and cigna had agreed to charge. I think its bullsh1t.

That makes negative sense.

I agree. Supposedly our charge is 40% of the national average. The national average for this evaulation is 96 dollars. so we would owe ~40 dollars. Now the orthodonist and cigna has worked out an agreement that the orthodonist would only charge 46 dollars. But since we pay based on the national average and not based upon what the orthodonist charges, we would still owe 40 dollars, therefore cigna only will have to pay 6 dollars. It's a load of crap.

Well if you didnt have Cigna you'd be paying the full $96. Drs and Dentists negotiate prices with insurance companies.

 

[Sphexi]

Originally posted by: moshquerade

Originally posted by: herkulease

Originally posted by: moshquerade

Originally posted by: herkulease

Originally posted by: moshquerade
well then, if you don't understand what she did call up and ask. keep asking until you understand. if you were told you only had two cavities ask why 5 teeth were worked on and billed for. according to the bill you had composite (tooth colored and plastic-type material) restorations on 5 teeth.

the terminology you are using doesn't sound right to me. "formed the teeth around them" - not sure what that means.

That is what I found odd too. He claims to have only work done on two or was that two cavities. Yet gets billed for composities on 5 teeth. Plus I have no idea what mol/bi/ant is supposed to refer to. It can't be surfaces. I doubt system is different in canada. I would venture to guess molar/bicuspid/anterior but then it lists 26 as molar.

As for second part of OP,

dental school -> any college degree though its heavily populated by people with science degrees. But you'll need to take at least chem, ochem, bio, english, math. anatomy and physiology is often recommended. You'll need Bs or better. then score well on the DAT. I remember something about canada being different with US schools but I glossed over that. Then suck up during interviews.

COMP REST perm mol acid TH#26 $237.30
COMP REST perm bi acid TH#25 $167.10
COMP REST perm ant acid TH#12 $123.30
COMP REST perm ant acid TH#11 $155.90
COMP REST perm ant acid TH#13 $155.90
COMP REST perm ant acid TH#26 $123.30

mol - molar
bi - bicuspid
ant - anterior

but that wouldn't make sense since #26 is not a molar, #25 is not a bicuspid, and #11 and #12 are not anterior teeth.

mol could mean mesial/occlusal/labial or lingual but #26 is an anterior tooth and therefore it would be called the incisal surface not the occlusal surface.

i am confused. then again, i don't do any billing.

Exactly. I'm gonna chalk that up to them crazy canucks.

it's the only logical conclusion.

Like I said, that's exactly what's listed on my bill from them. I do know that one of the cavities was right between my top two front teeth, no idea what numbers those are, I'd assume they are 11 and 12 though. It was on the back side of the tooth, on the inside edge facing the other front tooth. The other cavity was on my left side top, 2nd to last molar (just before the wisdom/12-year molars).

My insurance has already processed it, and paid it in full, so I'm not worried, I just think it's a bit high for the amount of time and effort she put into it. Like I said, the work wasn't bad or anything, and I trust she did whatever she felt needed to be done to make sure my teeth would be protected, but I've never heard of someone having to spend almost a grand on an hour's worth of work, at least that didn't involve some form of nudity.

 

[moshquerade]

Originally posted by: Sphexi

Originally posted by: moshquerade

Originally posted by: herkulease

Originally posted by: moshquerade

Originally posted by: herkulease

Originally posted by: moshquerade
well then, if you don't understand what she did call up and ask. keep asking until you understand. if you were told you only had two cavities ask why 5 teeth were worked on and billed for. according to the bill you had composite (tooth colored and plastic-type material) restorations on 5 teeth.

the terminology you are using doesn't sound right to me. "formed the teeth around them" - not sure what that means.

That is what I found odd too. He claims to have only work done on two or was that two cavities. Yet gets billed for composities on 5 teeth. Plus I have no idea what mol/bi/ant is supposed to refer to. It can't be surfaces. I doubt system is different in canada. I would venture to guess molar/bicuspid/anterior but then it lists 26 as molar.

As for second part of OP,

dental school -> any college degree though its heavily populated by people with science degrees. But you'll need to take at least chem, ochem, bio, english, math. anatomy and physiology is often recommended. You'll need Bs or better. then score well on the DAT. I remember something about canada being different with US schools but I glossed over that. Then suck up during interviews.

COMP REST perm mol acid TH#26 $237.30
COMP REST perm bi acid TH#25 $167.10
COMP REST perm ant acid TH#12 $123.30
COMP REST perm ant acid TH#11 $155.90
COMP REST perm ant acid TH#13 $155.90
COMP REST perm ant acid TH#26 $123.30

mol - molar
bi - bicuspid
ant - anterior

but that wouldn't make sense since #26 is not a molar, #25 is not a bicuspid, and #11 and #12 are not anterior teeth.

mol could mean mesial/occlusal/labial or lingual but #26 is an anterior tooth and therefore it would be called the incisal surface not the occlusal surface.

i am confused. then again, i don't do any billing.

Exactly. I'm gonna chalk that up to them crazy canucks.

it's the only logical conclusion.

Like I said, that's exactly what's listed on my bill from them. I do know that one of the cavities was right between my top two front teeth, no idea what numbers those are, I'd assume they are 11 and 12 though. It was on the back side of the tooth, on the inside edge facing the other front tooth. The other cavity was on my left side top, 2nd to last molar (just before the wisdom/12-year molars).

My insurance has already processed it, and paid it in full, so I'm not worried, I just think it's a bit high for the amount of time and effort she put into it. Like I said, the work wasn't bad or anything, and I trust she did whatever she felt needed to be done to make sure my teeth would be protected, but I've never heard of someone having to spend almost a grand on an hour's worth of work, at least that didn't involve some form of nudity.

Here is a tooth numbering chart

Teeth #8 and #9 are your top two front teeth.

And if the other cavity was on the left side top, 2nd to the last it would be tooth #15 or #14 according to your explanation of "just before the wisdom/12-year molars". According to the billing you had no molars touched, and that tooth you described would have to be a molar.

Frankly, I am a bit leary of your situation. I am starting to wonder what exactly she did to your teeth. The story isn't adding up, but it could still be legit with the limited info that is being passed along I suppose.