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I think my dentist is ripping me off.
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<blockquote data-quote="wingsandsword" data-source="post: 7624432" data-attributes="member: 14159"><p>Remember that healthcare, including dentistry, in the US is almost entirely profit driven.</p><p></p><p>If a dentist can find a way to justify extra visits, at a more expensive billing code, they may very well use them.</p><p></p><p>Rather than 2 visits a year at ~$70 each, billing for 4 visits a year at ~$180 each and telling the patient it's medically necessary (as long as they can find some plausible way to justify that to the insurance company, even if it's not strictly needed) is something many dentists would do here. That way the dentist would be making about 5 times more off me a year than they would with normal, standard 2x/year cleanings that wouldn't cost me anything out-of-pocket from my insurance.</p><p></p><p>That's from his end, that's making $140 off me a year vs. making $720 off me a year. </p><p></p><p>From my end with my current insurance (which costs me about $80/month for dental insurance, which is completely separate from health insurance), it would be ~$0 out-of-pocket each year (for 2x/year regular cleanings), to paying ~$520 out-of-pocket a year (for the 4x/year "periodontal maintenance" visits he wants).</p><p></p><p>That's my suspicion. </p><p></p><p>(I know you live in the UK, I figured this might give some perspective on how it financially works here that is probably different than how it works there).</p></blockquote><p></p>
[QUOTE="wingsandsword, post: 7624432, member: 14159"] Remember that healthcare, including dentistry, in the US is almost entirely profit driven. If a dentist can find a way to justify extra visits, at a more expensive billing code, they may very well use them. Rather than 2 visits a year at ~$70 each, billing for 4 visits a year at ~$180 each and telling the patient it's medically necessary (as long as they can find some plausible way to justify that to the insurance company, even if it's not strictly needed) is something many dentists would do here. That way the dentist would be making about 5 times more off me a year than they would with normal, standard 2x/year cleanings that wouldn't cost me anything out-of-pocket from my insurance. That's from his end, that's making $140 off me a year vs. making $720 off me a year. From my end with my current insurance (which costs me about $80/month for dental insurance, which is completely separate from health insurance), it would be ~$0 out-of-pocket each year (for 2x/year regular cleanings), to paying ~$520 out-of-pocket a year (for the 4x/year "periodontal maintenance" visits he wants). That's my suspicion. (I know you live in the UK, I figured this might give some perspective on how it financially works here that is probably different than how it works there). [/QUOTE]
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