I'm so angry - dentist charged for "behavior management"!

Discussion in 'Budget Board' started by ThisIsTheYear, Sep 21, 2013.

  1. ThisIsTheYear

    ThisIsTheYear Too far from Mickey!<br><a href="http://www.disboa

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    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:
     
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  3. momrek06

    momrek06 DIS Veteran

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    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:
     
  4. DLgal

    DLgal DIS Veteran

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    Time to find a new dentist.
     
  5. ThisIsTheYear

    ThisIsTheYear Too far from Mickey!<br><a href="http://www.disboa

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

    ZehnJahren DIS Veteran

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    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.
     
  7. kiki02

    kiki02 DIS Veteran

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    NNOOOOO way. Horrible. CAn you report to BBB?
     
  8. DvF Diva

    DvF Diva Mouseketeer

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    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.
     
  9. IndianaPrincess

    IndianaPrincess Mouseketeer

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

    Southernmiss <font color=green>I am hazed everyday<br><font col

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    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.
     
  11. seashell724

    seashell724 DIS Veteran

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    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.
     
  12. MinnieForMe

    MinnieForMe DIS Veteran

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    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!
     
  13. MinnieForMe

    MinnieForMe DIS Veteran

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

    tvguy Question anything the facts don't support.

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    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.
     
  15. tvguy

    tvguy Question anything the facts don't support.

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    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-information/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.
     
  16. SamSam

    SamSam http://www.wdwinfo.com/dis-sponsor/index.

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    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.
     
  17. Pea-n-Me

    Pea-n-Me DIS Veteran

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    It's not personal - it's about providing safe and effective care and billing for such in certain circumstances, such as working on the teeth of a screaming child or adult. Whether you noticed it or not, your dentist and his or her staff were assessing your child and intervening in order to deal with the problem at hand. And it sounds like they did a great job if they fixed the tooth in just 5 minutes!

    No matter what pediatric dentist you see, they will use - and you will be billed for - behavior management, if it's an issue.

    This is accepted standard from the ADA and AAPD.

    http://www.aapd.org/media/Policies_Guidelines/G_BehavGuide.pdf

    http://www.greenepediatricdentistry.com/policies/index.php

    In the hospital we use a "scoring system" for patients' needs, and we also get credit if the patient, or a family member, requires specific extra time from the nurse because it does take more resources to do so, and those resources always have to be accounted for. That is the way health care is today.

    Your dentist did nothing wrong here. He is entitled to be compensated for the specialized care he provided. He and his staff have required specialized training in behavior techniques, and may even have yearly testing on it for accreditation purposes, etc.
     
  18. ceecee

    ceecee DIS Veteran

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    They aren't common in my area and I have been in the dental field for 25 + years! Sedation is a covered expense and the reason why we refer out some of our little ones. Since this dentist is "in" network, you may not have to pay for it. They agree to accept a certain payment and can't charge you addt fees in some cases. So check with them and see. Then change dentists, since he didn't use sedation, you can hold her just as well in a general dentist's office if he's the only pedo in town. Monday I will be looking in the ADA code book for that one. We spent 2 hours doing a filling on an 8 year old a few weeks ago. He came in for the second one last week and was totally different, his fear of the unknown was known! 15 months is so young hopefully she won't have bad memories of the visit.
     
  19. kymom99

    kymom99 DIS Veteran

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    I had to argue a charge with my son's pediatrician. We went in for a sport physical and I brought with me his prescriptions given by his dermatologist so that they could put them in their computer. I figured his primary doctor should know what he was taking in case of drug interactions, etc. So I get bill, which I shouldn't have because we get one well check per year, for a charge for a diagnosis of acne! I went to the office and talked to the person in charge of billing and told her we already paid a dermatologist to diagnose his acne and that I only mentioned it so that they would know about the medicine. She removed the charge, but jeez. They will bill for everything they can.
     
  20. Alesia

    Alesia DIS Veteran

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    I think that $110 is more than fair - I certainly wouldn't be complaining.
     
  21. bumbershoot

    bumbershoot DIS Veteran

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    The procedure took 5 minutes. That's hardly covered under that quote.


    OP, in my opinion pediatric dentists are bananas to a large extent. Finding a good one is like finding a needle in a haystack, and they are going to be the ones with the LONG waiting lists.

    DS had tooth problems from early on; possibly because of facial trauma at 6 months old or maybe because of his dad's family's tooth problems (or a combo), and it took us a YEAR to find a decent, sane dentist. All the while two of his teeth were rotting away.

    First one wasn't a pediatric dentist but talked a good game; we had 3 mini-visits to her (awesome idea, if she weren't over an hour away) to get him used to her, the office, and the instruments. But at the end she wasn't sure of dosing for doing the work, and wouldn't do it.

    The second guy, a pediatric dentist, had a GORGEOUS office, I mean deluxe. Went in, and he had DS diagnosed with bottle mouth without ever looking into his mouth. It was amazing, how he did that, despite the fact that DS had never had a bottle or juice. What he WAS doing was looking at DH and me, and making nasty assumptions that because WE were heavy, we were obviously feeding him absolute junk. He then judged me for leaving the room when it came time for the exam, and scoffed when I explained that we learned (in this 3 mini visits) that my ONE year old acted very babylike (what a surprise) when he was with me, but got all "I'm a big brave boy" when he was with DH. I was trying to make the guy's work easier and I got judged for it. He then diagnosed a whole bunch of things and said we'd need to coordinate with medical insurance to have a bucketload of work done, under General, in the *office*. Yeah, NO. General will be done in the hospital, and by the way, you're talking about taking out FOUR teeth from the front of his mouth and you're saying he won't have speech problems because of it? Oh ha ha ha. No wonder your office is so gorgeous from what you're charging.

    Got a referral to another pediatric dentist from mothering.com's forums (and also from a yahoogroup, veryyoungkidsteeth), and his office was wonderful. Went in for a quick visit. Went back to have a big filling done (where the other guy was just going to take out those teeth) and he used NO medication because it wasn't needed. His behaviour management was playing Finding Nemo in the TVs in the ceiling. :) Went back to have the two teeth removed; used a blip of lidocaine and had both out inside of 5 minutes. Their office is awesome. They aren't perfect, but it's just administration stuff (they think that HIPAA applies to patients' parents instead of them, and say "no cell phones" so that they can have conversations with parents in the waiting room in front of other parents...no...this was a problem for us because DH would take DS to appts but I'm the healthcare decision-maker and he HAD TO call me sometimes.)

    Once you find a good one the other ones just look ridiculous.
     

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