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

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

  1. Granny square

    Granny square Always planning a trip!

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    Exactly. Common sense has left the building. If you work with kids you have to treat them differently than adults.

    An yes my dentist works on screaming babies. I picked him because occasionally I had to take kids that I was working with to him. His staff was excellent in dealing with children. I was years away from having any but I respected his respect of even tiny people. :)
     
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  3. luvmy3

    luvmy3 <font color=green>When I drink I find its easier t

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    To be fair the OP's child is an infant and not quite a child. It can be much easier to work on a screaming 3 year old than it is to be working on a screaming 15 month old. Of course (some) children or babies have to be treated differently, hence the behavior management charge. ;)
     
  4. arihillfarm

    arihillfarm Mouseketeer

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    I agree!! I love our family dentist! He is very patient with kids and his staff and hygienists are just the best. They do everything they can to make a visit to the dentist a pleasant one. They even go so far as to give my kids (when the others were little and I still have a 2 year old as well) time to "ride" up and down in the chair each visit and "count" teeth (a short, "fake" exam, LOL!) before they become patients and they give out stickers and a goodie bag along with a stop by the prize bin.

    Being a family of 5, it makes sense for all of us to be scheduled together so my husband and I can swap out watching kids in the waiting room and the office is always accommodating, even going so far as to come out and play with them if my husband's and my appts. overlap by a few minutes. I just can't say enough good things about my dentist and after reading this thread, I am even more thankful to have found him. If anyone is looking for a good one in northern Ohio (west of Cleveland), let me know!!

    -Astrid
     
  5. 4luv2cdisney

    4luv2cdisney DIS Veteran

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    My guess is the charge is for the clamp used to keep the child's mouth open. If so, I wonder if the response would have been the same if the bill had said "mouth clamp" instead of "behavior management". Maybe the term just seems offensive.

    That clamp cost money and is either disposable (and you're paying for the entire cost + markup) or needs to go through some kind of disinfection procedure (and you're paying for that labor in addition to the usage of the device, chemicals, etc). It seems logical that it wouldn't be a "standard" tool built into the preset cost of the procedure.
     
  6. cel_disney

    cel_disney DIS Veteran

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    I would think that your dentist would have allocated the extra time/minutes and tools (like the clamp?) before the appointment happened. Maybe they expected/calculated your insurance company as paying for it. (If medicaid covers it - its a little surprising yours does not?).
     
  7. goofyintoronto

    goofyintoronto I really wanted to like it, but I didnt.

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    No way i would pay the $35 behaviour management fee! Are they joking? She's 15 months old! i'd march over to that office on monday, pay the fee (MINUS THE BEHAVIOUR MANAGEMENT FEE) and simply explain how ridiculous they are being. You helped hold her, what exactly did they do different to calm your 15 month old? seriously! :furious:
     
  8. Alesia

    Alesia DIS Veteran

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    The "behavior management" is probably the clamp (which is likely disposable.) Why is every so up in arms over this?
     
  9. goofyintoronto

    goofyintoronto I really wanted to like it, but I didnt.

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    Probably because her child is only 15 months old. What did they expect from a baby??
     
  10. Alesia

    Alesia DIS Veteran

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    But the use of a clamp requires a charge.
     
  11. crisi

    crisi DIS Veteran

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    Honestly, that they wouldn't do any procedures at all. Most kids don't need work done at fifteen months. They aren't eating a lot that makes for cavities, they haven't had time to develop cavities, and anything they get, usually can wait until the child is older - or even until those first baby teeth leave the mouth. So unless its trauma - like yours - they really avoid working on kids that age.

    My girlfriend's kids have genetically lousy teeth and had to have a lot of work done under sedation at young ages - she had $1500 worth of anesthesia plus operating room time. These are hippie children who drank no soda, drank very small amounts of juice and no refined sugar in their diet at all - but when your enamel doesn't exist in places on your baby teeth, they need to be capped. And insurance wouldn't cover it because "children that age don't need it."
     
  12. ariel71

    ariel71 Mouseketeer

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    No one has said the fee in question related to voice modulation. That was one example of a recommended technique; the guidelines didn't say anything about billing. We don't know exactly what aspect of the appointment generated the fee.

    And unless a parent cleaned up the vomit themself, I don't see why that would be a ridiculous charge.

    I think common sense has left the building when people take any rant at face value and as an objective description of the situation. I don't see any discussion as to how this practice has built its fee structure compared to an adult practice. If you're going to compare anything, it would have to be based on what transpired at THIS appointment versus a standard appointment. As others have pointed out, it could be for the clamp itself.
     
  13. JennyKS

    JennyKS Mouseketeer

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    It would bother me, the dentist was a pediactric dentist. They know they work on kids. Unless of course it was stated in new patient paperwork that they would charge it and then if they told me as my daughter was getting work done that they would be charging it, then I'd get it. But then if you are going to charge me, you hold her down.

    Someone mentioned earlier that their doctor doesnt suggest their kids going to the dentist until they are 4. Mine suggests they go as soon as they have teeth. The dentist (who is a pediactric dentist) doesn't really do much the first 3 or 4 times we go, just plays around in the mouth to get them used to it. Didn't charge much for those first few visits.

    If I get a filling in the back or work done on a back tooth, they use a clamp to hold open my mouth. I don't get charged extra for that.
     
  14. ameliasmommy

    ameliasmommy Earning My Ears

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    I would not pay for it! If it is a clamp and it is a disposable one, no way the Dentist paid 35.00 dollars for it.
     
  15. luvmy3

    luvmy3 <font color=green>When I drink I find its easier t

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    Its not about what they "expect", its about what they used during the procedure. If they used something that cost them money then obviously they are going to charge the patient for it. Would you prefer if they just charge more for infants in general, is it the actual itemizing of the procedure that has you bothered?


    :lmao: Have you ever looked at your dentist's or doctor's itemized bills? Does it really surprise you that things are way over-priced?
     
  16. timmac

    timmac DIS Veteran

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    Not sure that logic works out... even supposing the dentist "paid" $2 for it, the breakdown of that $35 is more like:

    Disposable Clamp: $2
    Putting it on, and knowing how to do so properly: $33
     
  17. luvmy3

    luvmy3 <font color=green>When I drink I find its easier t

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    Nobody knows what the charge is for until the OP comes back and updates. It may absolutely nothing to do with holding the patient down.

    My kid's dentist starts seeing patients at age 3. We have been going to him for almost 13 years. We got charged for our first visit.
    Just because your dentist doesn't do something (like charge you for your clamp or charge for a kid's first visit) doesn't mean that all dentist shouldn't :confused3
     
  18. pryncess527

    pryncess527 DIS Veteran

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    In fact it could mean the dentist is working the costs of the clamp into every appointment, even if it's not needed. So dentists that don't charge extra may effectively be charging everyone extra . . .
     
  19. luvmy3

    luvmy3 <font color=green>When I drink I find its easier t

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    Yes, absolutely. :thumbsup2
     
  20. DOREEN1779

    DOREEN1779 Mouseketeer

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    Come on OP...I need closure....Did you call?
     
  21. Granny square

    Granny square Always planning a trip!

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    Each piece of equipment has the cost of using it, etc in the use of it. Just like in the hospital. The aspirin doesn't cost $20 but everything has additional costs. Or when in a restaurant you aren't just paying for the food cost.

    If the behavioral management is code for the clamp then they might be better off explaining that. The op can't be the first to call about it.
     

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