overcharged???deep clean coupled with irrigation (chlorhexidine gluconate)

Discussion in 'Dental Archive' started by sanshi, Feb 11, 2005.

  1. sanshi

    sanshi Guest

    Thanks for taking a look at my message and replying with your comments.

    I was told by my dentist that I need a deep cleaning of my teeth. Later
    I found out that it was a periodontal scaling and root planning (my DMO
    insurance covers) coupled with "medical irrigation using chlorhexidine
    gluconate". The irrigation treatment does NOT have ADA procedure code
    and my insurance will NOT cover it. It costs $336 total. The treatment
    will be done in two seperated times ($168 each time). It will come out
    from my own pocket. I really want to get a second opinion about the
    price. It is the normal price for irrigation treatment? It is essential
    for this treatment?

    Thanks for all your inputs!!! I appreciate it very much!!!

    a guy from San Diego
    sanshi, Feb 11, 2005
    1. Advertisements

  2. sanshi

    JWN DDS Guest

    We do chlorhexidine irrigation at my office. There is a code for it. As
    for cost it would depend how many units were necessary.

    jwn dds

    JWN DDS, Feb 11, 2005
    1. Advertisements



    Scaling and root planing (4 quadrants. per quadrant) ........

    INSURANCE PAYS _ _ _ _ _ (per quadrant)

    plus YOU PAY _ _ _ _ (per quadrant)

    IRRIGATION _ _ _ _ _ per quadrant.

    Joel M. Eichen, Feb 11, 2005
  4. sanshi

    Fawks Guest

    While irrigation with Chlorhexadine sounds like a good idea, charging
    a hefty fee may be a little suspect. Some research suggests that
    the Chlorhexadine is no more beneficial than water when scaling and
    root planing. It is not effective in the presence of blood (which is
    all over the place if you really needed scaling and root planing in the
    first place) hence it's use for this purpose is dubious.

    Chlorhexadine is helpful as a daily rinse after scaling and root

    Fawks, Feb 11, 2005
  5. sanshi

    Dr. Steve Guest

    On 11 Feb 2005 06:20:46 -0800, "Fawks" <>
    It might be a DMO thing too. (wink)
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA

    I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
    Dr. Steve, Feb 11, 2005
  6. sanshi

    W_B Guest

    Ya think ? ;*)
    W_B, Feb 11, 2005
  7. sanshi

    sanshi Guest

    Scaling and root planning, 100% covered by my DMO insurance.
    Irrigation, no cover at all because there is no code for it (according
    to the dental office).
    $84 per quadrant.
    sanshi, Feb 11, 2005
  8. sanshi

    Dr. Steve Guest

    How do you spell Bait and switch?
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA

    I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
    Dr. Steve, Feb 11, 2005
  9. sanshi

    sanshi Guest

    Thanks a lot for all your replys.
    Could anyone here recommend a dentist for me? I am new to San Diego and
    have DMO insurance.
    I do not want to "TRY" every dentist to find out a good one. Very

    Thanks in advance!
    sanshi, Feb 11, 2005
  10. sanshi

    Dr. Steve Guest

    Step one, get rid of the DMO
    Stephen Mancuso, D.D.S.
    Troy, Michigan, USA

    I am writing on a Tablet-PC,so forgive me if the PC misreads my handwriting.
    Dr. Steve, Feb 11, 2005
  11. sanshi

    Bill Guest

    sanshi wrote:

    and later:

    Dear Sanshi:
    You wrote that scaling and root planing was "100% covered" by your DMO
    insurance. However, this is not entirely accurate in the usual meaning
    of the word "covered."

    What the DMO means is that YOU don't pay any extra for the treatment.
    In that sense, you consider it "covered." But instead of "covering" it,
    by which most people mean the DMO will actually PAY for it, the DMO may
    pay little or nothing to the dentist.

    Since the dentist obviously can't pay the rent if he's paid little or
    nothing for your treatment, it becomes a financial necessity for the
    dentist to do one of the following:

    1. Keep your treatment very short so you don't use much of his valuable
    time. How long could he stay in business working almost for free? How
    could you, or anyone, make a living working for free?

    2. Or, the dentist could give you the full time you need, but find a
    way to charge you extra for the procedure. That will make up for the
    lack of payment from the DMO, so the dentist can now afford to treat

    With regard to a DMO, every dentist I know recommends REAL dental
    insurance instead. I've been in San Diego for thirty years, but I have
    never yet seen a DMO worth joining. Your DMO will restrict you to
    choosing a dentist from a limited list of dentists who were willing to
    work under the conditions imposed by the DMO structure. It would be
    very difficult to recommend a dentist to you because all the better
    dentists I know refuse to have anything to do with the DMO schemes, for
    the reasons outlined above.

    Good luck. You should consider dumping the DMO and give yourself free
    choice of dentists instead. Have you thought about getting an
    independent second opinion to determine if any other dentists consider
    the proposed treatment to be necessary or advisable?

    Best regards,
    Bill, Feb 11, 2005
  12. Get the SRP and skip the squirting thing.
    You can do that yourself later.

    Joel M. Eichen, Feb 11, 2005
  13. sanshi

    sanshi Guest

    Thanks! The funny thing is that the dentist (at least the front desk
    person from that dental office) said that they do NOT do SRP/irrigation
    seperately. They told me that it is NOT grocery store that you can
    choose product!

    I think I'd better switch to OTHER insurance plan :)

    sanshi, Feb 11, 2005
  14. Oh you woulda known it!

    Too funny!

    Joel M. Eichen, Feb 11, 2005
  15. sanshi

    W_B Guest

    On Fri, 11 Feb 2005 17:00:29 -0500, Joel M. Eichen
    Keep it 'G' rated Joel.
    W_B, Feb 12, 2005
  16. sanshi

    W_B Guest

    Absolute truth.

    I would rather sit on my kiester and not get paid than
    work my tail off for nothing.
    W_B, Feb 12, 2005
  17. sanshi

    W_B Guest

    This is not Burger King.
    You don't get it your way.
    You take it my way or you don't
    get the damn thing.
    The cost of indemnity dental insurance, and the imposed
    waiting periods, far outweigh the cost of just paying for it
    W_B, Feb 12, 2005
  18. sanshi

    W_B Guest

    On Fri, 11 Feb 2005 18:55:54 -0500, Joel M. Eichen

    Yeah, and one of my pet peeves...
    People don't show up at the grocery store
    with no means to pay.
    W_B, Feb 12, 2005
  19. sanshi

    W_B Guest

    There is a code for irrigation.

    $84 is cheap.

    My fee is $250/quadrant.
    W_B, Feb 12, 2005
  20. sanshi


    Bill wrote:
    Sorry to divert this thread, but I happen to be in San Diego too, and
    I'm not limited by a DMO. Know anyone who does good crowns? I've
    asked people I know, but not a lot of them have crowns to begin with,
    and patient satisfaction doesn't necessarily tell the whole story. I
    had a crown done elsewhere, and later I was told it was a seriously
    poor fit and needed replacement. Up till then, I was perfectly happy
    with it. Hey, I'm a layperson, I don't know a good crown from a bad
    one. How do I pick a dentist?
    , Feb 12, 2005
    1. Advertisements

Ask a Question

Want to reply to this thread or ask your own question?

You'll need to choose a username for the site, which only take a couple of moments (here). After that, you can post your question and our members will help you out.