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-   -   I'm so angry - dentist charged for "behavior management"! (http://www.disboards.com/showthread.php?t=3175785)

ThisIsTheYear 09-21-2013 06:30 PM

My 15 month old daughter broke her front tooth and the dentist needed to put a bonding on it because it was sharp and also the tooth could have been sensitive. He instructs me how to hold her, which I did very well. They put the clamp in her mouth and for the next 5 minutes he puts on the bonding. She was screaming the entire time, they close the door and the assistant kept saying, "It's okay, shhh". So today I get a bill for $110 (it should have been $50 but that's another rant) and $35 of that is for "Behavior Management"! Seriously!? And while I'm on a tangent - why do bills always arrive on Saturday so I can stew about them all weekend!? :mad:

P.S. He is a "Pediatric Dentist"!

UPDATE: The lady in billing called back and said they dropped the fee. Lesson learned - if you bring your baby to the dentist, tell them not to cry. :rolleyes:

momrek06 09-21-2013 06:36 PM

Quote:

Originally Posted by ThisIsTheYear (Post 49629313)
My 15 month old daughter broke her front tooth and the dentist needed to put a bonding on it because it was sharp and also the tooth could have been sensitive. He instructs me how to hold her, which I did very well. They put the clamp in her mouth and for the next 5 minutes he puts on the bonding. She was screaming the entire time, they close the door and the assistant kept saying, "It's okay, shhh". So today I get a bill for $110 (it should have been $50 but that's another rant) and $35 of that is for "Behavior Management"! Seriously!? And while I'm on a tangent - why do bills always arrive on Saturday so I can stew about them all weekend!? :mad:

P.S. He is a "Pediatric Dentist"!


WHATTTTTTTTT?

I never heard of that. My kiddos are all older but they went to the dentist starting at age 18 months. My youngest was a p.i.t.a about it all. But I never paid a Behavior Management fee.

:headache:

DLgal 09-21-2013 06:39 PM

Time to find a new dentist.

ThisIsTheYear 09-21-2013 06:43 PM

Quote:

Originally Posted by DLgal (Post 49629378)
Time to find a new dentist.

Unfortunately that was the new dentist. My old wonderful dentist no longer takes our dental insurance. :(

ZehnJahren 09-21-2013 06:47 PM

Quote:

Originally Posted by ThisIsTheYear (Post 49629313)
My 15 month old daughter broke her front tooth and the dentist needed to put a bonding on it because it was sharp and also the tooth could have been sensitive. He instructs me how to hold her, which I did very well. They put the clamp in her mouth and for the next 5 minutes he puts on the bonding. She was screaming the entire time, they close the door and the assistant kept saying, "It's okay, shhh". So today I get a bill for $110 (it should have been $50 but that's another rant) and $35 of that is for "Behavior Management"! Seriously!? And while I'm on a tangent - why do bills always arrive on Saturday so I can stew about them all weekend!? :mad:

P.S. He is a "Pediatric Dentist"!

I would definitely be making a call on Monday and finding out exactly what "behavior management" means and why they think it's appropriate to charge it for a 15 month old! What was she supposed to do, have no problem with such a grown-up procedure?? I'd want an outline of what that was for, and then consider finding yet another dentist if this one expects a little one to make no noise with something scary going on.

kiki02 09-21-2013 06:54 PM

Quote:

Originally Posted by ZehnJahren (Post 49629454)
I would definitely be making a call on Monday and finding out exactly what "behavior management" means and why they think it's appropriate to charge it for a 15 month old! What was she supposed to do, have no problem with such a grown-up procedure?? I'd want an outline of what that was for, and then consider finding yet another dentist if this one expects a little one to make no noise with something scary going on.


NNOOOOO way. Horrible. CAn you report to BBB?

DvF Diva 09-21-2013 06:56 PM

You have GOT to be kidding!?! Since YOU were the one holding her, will they give you the Behavior Management fee? It sounds ridiculous to me.
How much does insurance cover? Does it sound like they're tacking on extra fees to try to wring more out of your insurance company?

In either case, I would not be comfortable with that and I'd find a new pediatric dentist. DS is only 3, so I don't know how often they're supposed to go. Once a year? Every 6 months? Our pediatricians do not recommend going to the dentist until they're 4.

IndianaPrincess 09-21-2013 06:57 PM

Aren't you suppose to approve things that are outside of insurance's coverage? That is wrong a many levels.

Southernmiss 09-21-2013 07:25 PM

Time for a new dentist. We went through 3 pediatric dentists. I finally just took the kids to our regular dentist. Much better care and no weird charges or procedures because they are kids.

seashell724 09-21-2013 07:34 PM

What?!?! That is crazy business. Of course your poor baby would be freaking out. Only 15 months old! I would go somewhere else right away. My daughter just went to a regular dentist that is very good with kids. I have heard that pediatric dentists charge so much more because they bill themselves as "pediatric". This is probably where this stupid charge came from. If the child's behaviour was dangerous to the dentist like biting or something then I can see them talking to you about future charges but still...
I'm even mad about this.

MinnieForMe 09-21-2013 07:41 PM

It's time to keep looking for a better dentist! I don't know why but the pediatric dentists are lousy around here too. We have had much better luck from a family practice.

How did they think a 15 month old would react? Open her mouth and say "please" and "thank you"? She's just a baby and her behavior was normal!

MinnieForMe 09-21-2013 07:42 PM

I also think you should call your insurance company and ask about this charge.

tvguy 09-21-2013 07:46 PM

I guess I could see being upset at that being itemized on the bill.
But stepping back, you got a dentist to do something that entire procedure for only $110? Not sure you could have a dentist do anything for just $50.

Actually, having a second to think about it, I can see a pediatric dentist, who deals with difficult patients, would have such a charge.

tvguy 09-21-2013 08:00 PM

Okay, you peeked my curiosity. So I googled it.

Behavior management fees are common, and accepted in dentistry. Government programs that pay for children's allow a charge for it. The ADA lists it as something a normal dentist's office would charge.

Many dentists with websites even got a step further and disclose it on their websites:

http://www.magicsmilesdds.com/office.../fees-policies

BEHAVIOR MANAGEMENT: In our practice we occasionally find it necessary to invest beyond standard appointment time in the Management of certain patients. This may be due to medical, emotional, or behavioral issues. We are more than willing to provide this service; however there is a charge of an additional behavior management fee on “kid time.” This fee is related to the cost of committing the time and staff to achieve the optimum outcome for more sensitive patients.

SamSam 09-21-2013 08:11 PM

Whether it's 'allowed' or not, it's rediculous. Post it on facebook, you should get enough responses that pediactric dentist's might take notice.


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