Dentist complaint in Texas. Who do I contact?

My dentist has improperly billed us for medical charges, then they billed the insurance company and was paid twice. They owed us $2600 for 2 months before finally paying. Plus the insurance company denied a $150.00 charge, the dentist finally admitted they billed it wrong and would correct it, I made them give it to me in writing that they would correct it. It has been a month and they have not resubmitted it to the insurance company. Who do I file a complaint to?





I'm not upset with the insurance carrier so I wouldn't file with the Insurance commisioner and the dentist performed proper work so I wouldn't file with the Dental state board. Right?





Who else could I contact other than the BBB?

Dentist complaint in Texas. Who do I contact?
Call your insurance company and tell them the dentist defrauded them. They have investigators and really love when a provider tries to swindle them.





You can also call the licensing board and report it as an ethical issue with them-they will send a letter to the provider which they have to respond to within xx days.





Then call the taxing authority and explain how the provider gained interest on your money and did not return it, hence it becomes income for him which more than likely was not claimed...
Reply:I'm a dentist.





Calm yourself down!





Lady, your story is choc full of holes, and it appears to me that you are nothing more than a problematic patient, i.e. someone who has a huge chip on her shoulder and is perpetually looking for trouble.





First off, how do you know the doctor "improperly billed you for medical charges"? There are some procedures we do that should be filed to medical insurance rather than dental insurance.





Second, how do you know they were paid twice for the same procedure? There are some procedures that are indeed done repeatedly and billed repeatedly.





Third, if they were paid twice by the insurance, they don't owe YOU $2600, they owe the INSURANCE COMPANY $2600.





Fourth, your demanding that they "give it to you in writing" is preposterous. We don't owe our patients any such documentation in writing. What we owe our patients is correct accounting and billing, and if a mistake has been made, we must correct it. So, you're barking up the wrong tree.





Fifth, if the dentist has to resubmit that $150 claim to the insurance, they will do it. From your post, it doesn't sound as though they billed YOU for the $150. So what is your problem?





Sixth, you need to realize that communication between the doctor's office and insurance doesn't occur instantaneously. How do you KNOW they haven't resubmitted the claim to the insurance? Maybe they did and the insurance hasn't processed it. If anything, dental offices are super-fast when it comes to submitting claims. After all, we don't get paid unless we submit insurance claims. It's the insurance companies that are painfully slow when it comes to processing claims, and they are notorious for dicking us around throughout the process--asking for written explanations for procedures, asking for more x-rays, etc. And all of these additional requests by insurance companies are made by snail-mail. We get a letter from them saying that they couldn't process the claim because they need such-and-such. It can take two months to get paid for our work.





Let us say, for argument's sake, that everything you claim about the doctor's office was true. You STILL don't have any material justification for filing a complaint with anyone. Mistakes happen, especially where billing is concerned. It's a complicated process, and the people to whom you'd file your little complaint are well aware of it. They will be hard-pressed to believe that the office tried to fraudulently bill for something. And furthermore, if the doctor's office has taken steps to correct their mistake, your complaint will be all but ignored.





All you will accomplish by filing a complaint, my dear, is make yourself look like a pain in the ***. Is that what you want?