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Phone 718-486-9076
Email
sdurante@earthlink.net
326 Leonard St., Brooklyn, NY 11211
3 blocks from the
Metropolitan Ave./Lorimer stop on the G & L trains |
Payment Issues,
including insurance, HMOs and PPOs
I am happy to fill out insurance forms - in fact, I
do most electronically, so that my patients are reimbursed more quickly.
I do not accept any insurance payments as full
payment. Under many insurance plans, to do so would be illegal. Suppose
I told the insurance company I charged $50 for a filling and they paid
me $27, and I did not charge you the remaining $23. If the insurance
company discovers that I'm willing to do the work for $27, they could
well reduce their customary fee to much less, say $12. With HMOs, a
dentist agrees to work for a flat fee, but it is a much reduced fee in
return for a promised increase in patients walking in the door. Often
the only way to make such an arrangement profitable is to rush patients
in and out as quickly as possible: half-hour or even quarter-hour
appointments are common, and delays in the waiting room are habitual.
Now consider that a simple filling has a minimum of
15 separate steps. Skipping or not focusing on any one of them may
result in eventual failure. Many dentists working for insurance
companies are hard-working and conscientious; but that doesn't give them
any more minutes in the hour or hours in the day. Hence the common
back-ups in the schedule whenever a complicated procedure is required.
Every month I see patients who have gone to
dentists who participate in their insurance plans, but who return
because the level of care and attention is not the same as in a
one-on-one relationship with one's patient.
I respect your time as well as mine. When you
schedule a visit, you will not become intimately familiar with my
waiting-room.
I
am proud to seek out the best in techniques,
materials and laboratory workmanship
for my patients.
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