Yesterday I made an appointment to see a new (to me) dentist today (I
asked for an "ASAP" appointment), and after a 30-minute visit
(including one small xray of my upper rear teeth)
the bill came to $130. I didn't read the bill until after I left, but
it had 3 items:
(1) x-ray: about $24
(2) "comprehensive exam" $55
(3) "pulp vitality test" $51
As far as i know, #3 was never done. Maybe you can enlighten me on
this though. First of all, I saw her because for the past 4 days my
upper rear molar has been very painfully sensitive to cold, with some
spontaneoius dull aching about 30% of the day (thoughlow doeses of
aspirin takes care of the pain so far). So, at the office today I
told her i was only about 80% sure what tooth was causing the pain, she
did a few tiests on all teeth in that general area (1)
trapping/touching then (2) applying cold. After determining which
tooth it is, she took an xray. At some point she also had me biting on
a hard thing to get any evidence of cracks (which she didn't see in the
xray). After a few minutes of studying the xray, she initially said i
should try a temp crown and see if that helps...then permanent. Upon
studying the xray more, she said she sees a probable lesion (though
"hard to see"), with a "ligament" that seems to have moved away a
little (from a spot of bacteria, perhaps) (?? maybe i'm garbling what
she said, but she did say irreversible pulp damage or pulpitis).....and
she now definitely thinks i should get get a root canal, and skip the
temp crown. She said there was no urgency for treatment AT ALL
(assumiing I can control the pain, and that waiting a month or more
wouldn't be a problem). Then we chatted for about 10 minutes about
general dental issues, etc.....and the bill came to $130. So there
was no "pulp vitality test", right? I'd like to hear what the
dentists here think is a fair price, and what I can expect to pay when
I go for a second opinion and bring my xray. And, of course, i'd love
to get your dental opinion on the diagnosis and treatment. For the
non-dentists, what is your experience with similar consulation costs?
letsconnect - 19 Mar 2006 03:41 GMT
sam wrote:she
> did a few tiests on all teeth in that general area (1)
> trapping/touching then (2) applying cold.
That's a thermal pulp vitality test.
> So there
> was no "pulp vitality test", right?
sam - 20 Mar 2006 01:03 GMT
> That's a thermal pulp vitality test.
In order to be 100% sure that we had the right tooth, she touched a
cold object on
a few teeth to narrow it down to the one tooth that was causing the
pain (sensitivity to
cold). This took a minute. You and her call that a "pulp vitality
test"? ($55 or whatever I wrote earlier). I guess I"m the one who
did the "PVT",
since I came in there telling her that I have pain from cold, and I
said i'm pretty sure it's
THIS tooth (and it was). So I knew the pulp was not dead, since it
HURT....so I guess I did the test.
Alexander Vasserman DDS - 19 Mar 2006 07:13 GMT
Sounds like a fair deal.
A lawyer would charge you $300 for an hour of his time so 30min that's
$150 and you paid $130 so you are $20 ahead of the game.
I am not sure if the comprehensive exam is what you got since that
would mean there were a full mouth x-rays taken, study models, oral
cancer screening and a complete record taking for a treatment plan. On
the other hand this was an emergency visit which in my office would
have cost you $150, then 1 or 2 x-rays at $25/xray. Then the vitality
test would be extra.
I think it is just symantics here, if it wasn't a comprehensive exam it
would have been an emergency exam which usually costs more. Most likely
the front office girl was trying to keep the costs down for you and
used a cheaper code because they like you.
Joel344 - 19 Mar 2006 23:09 GMT
I disagree. All people from all walks of life are
entitled to fair, compassionate dental care.
Joel
Alexander Vasserman DDS Wrote:
> Sounds like a fair deal.
> A lawyer would charge you $300 for an hour of his time so 30min that's
[quoted text clipped - 12 lines]
> the front office girl was trying to keep the costs down for you and
> used a cheaper code because they like you.

Signature
Joel344
Alexander Vasserman DDS - 20 Mar 2006 00:20 GMT
Joel
you disagree that an emergency walk-in office visit, diagnosis and
x-rays for $130 is not fair and not compassionate?
sam - 20 Mar 2006 01:06 GMT
It wasn't an emergency walk-in. I called on Friday, asked "when is
the soonest I can see a dentist". They said "you can come in tomorrow"
(24 hours later). Anyone think that's a fair charge (for,
admittedly, a fairly expensive part of the country in the Wash DC
area)?.
Alexander Vasserman DDS - 20 Mar 2006 07:45 GMT
"Yesterday I made an appointment to see a new (to me) dentist today (I
asked for an "ASAP" appointment), "
So what do you call an ASAP appointment??? it has to be an emergency
visit otherwise why ASAP???
The office had to possibly reschedule a non ASAP patient to accomodate
you.
Scheduled patients would get upset if their appointment was cancelled
that day or as they are on their way to the practice because they
probably had to take time off work so it makes sense that you ASAP
visit was the next day people like to have 24H notice minimum.
Either way I think you got a fair deal, and if it was a fairly
expensive part of the country then you got a terrific deal.