SCAMS BULLETIN Host Jay White is a volunteer attorney who provides free legal services for low income seniors in San Mateo County, California.
December 29, 2019
DENTAL SCAMS
Most dentists are both competent and ethical. Rarely will a dentist intentionally deviate from these standards. We trust our dentist because of his or her expertise. A visit to a dentist’s office is routine. We usually receive the expected service.
Occasionally, however, something goes wrong. The National Healthcare Anti-Fraud Association estimates that dentists are cheating customers and insurance companies out of about $12.5 billion every year.
How can that happen?
Treatment or Services:
* Causing damage to teeth and gums in one procedure that later requires further costly work. This may be done accidentally or intentionally, but the result is the same: you end up paying more than necessary.
* Replacing silver fillings. This is a controversial subject. Silver-looking “amalgam” fillings contain tiny amounts of mercury as well as other metals. A dentist might claim the mercury, which is poisonous at certain levels, is leaking and requiring removal of the tooth.
The US Food and Drug Administration (FDA), http://www.fda.gov, recommends replacing of amalgam only if the wearer is allergic to any of the metals.
If you’re worried about mercury in your fillings, see the FDA guidance: About Dental Amalgam Fillings.
* Upselling. In this case, the dentists outline the procedure and materials they plan to use, and then offer some sort of additional work which will considerably enhance the result, but cost more.
This is not strictly illegal, since the dentist is simple offering options, but you may feel under pressure to accept the “recommendation.” Some dentists have been accused of bullying patients into accepting more expensive procedures.
*A common trick is to tell patients their teeth need “deep cleaning,” which requires several visits to the dentist’s associated hygienist at extra cost. Unless you haven’t visited the office for a considerable time, deep cleaning is probably unnecessary.
4. Unbundling. This trick is aimed at insurers rather than patients. Complex dental procedures can normally be billed as a one-cost complete package. However, some unscrupulous dentists break the whole process down into its individual components and bill separately for each of them — which usually adds up to considerably more than the single bundled would cost. This process is regarded as illegal by the American Dental Association.
What to Do?
An important step is to check out the reputation of your dentist. Even if you’ve been seeing them for quite a while and they’re really nice folk, that doesn’t mean you’re not being ripped off.
Inquire of other people about your favorite dentist as well as any new dentist you’re considering using.
If you have dental insurance, your insurer may provide a list of approved and recommended dentists. Or you can use the search service offered by the American Dental Association at https://findadentst.ada.org.
You could also check with your state’s Board of Dentistry to learn if a dentist is officially licensed.
If you’re unsure about a dental diagnosis, or whether you need the treatment that is being recommended, you can get a second opinion. You’re free to go to any other dentist (or one within your insurer’s approved list).
If you still feel uneasy, you can talk to your insurer, or if you don’t have insurance, file a complaint with your state’s Dental Board, and the U.S. Food and Drug Administration http://www.fda.gov.
Attribution: scambusters.org
