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Medical Forum / General / Dentistry / August 2006

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Is this charge reasonable for a filling?

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DaileyJohn.20.decij@spamgourmet.com - 09 Jul 2006 20:27 GMT
     I had one tooth capped (the second stage after a temporary cap
had been put on several weeks earlier.), and during the same session I
had a filling repaired.  To repair the filling, two grooves were made
in the old filling to make a better bond.  I was in the dentist's chair
for no more than 68 minutes -- a substantial portion of which was
devoted to removing the old temporary cap, which was stuck.  $168 for
this filling seems high to me (I live in Cincinnati), and I wonder what
others think.  I should add that the price of the filling was never
discussed, and I just assumed that it would be about $75.

JD
Jacob - 09 Jul 2006 21:02 GMT
If you have ANY questions about your dental treatment, they should be
discussed with your dentist.  Asking people here, who don't know exactly
what was done, really is useless.   ASK YOUR DENTIST!

>      I had one tooth capped (the second stage after a temporary cap
> had been put on several weeks earlier.), and during the same session I
[quoted text clipped - 7 lines]
>
> JD
DaileyJohn.20.decij@spamgourmet.com - 10 Jul 2006 03:50 GMT
Jacob,

       I want to be able to have an intelligent discussion with the
dentist.  He is obviously going to try to justify his fee and claim
superior knowledge.  If I can see what comparable charges are, I can
discuss it on a more equal basis.  Just to give you an example from a
different sphere.  About 12 years ago, a podiatrist told me I needed an
operation on my foot for a bunion.  I sought a second opinion from an
orthopedic surgeon, who told me that I could get by with occasional
medication.  Then on my own, I changed the type of shoes that I wore,
and my problem has been solved.  The idea that one would go to a
medical provider and ask whether his charges are reasonable without
first researching the matter is silly-- he is always going to say they
are reasonable.    It is possible that his charge is reasonable for
probably 20-25 minutes work, but maybe it isn't.

JD
> If you have ANY questions about your dental treatment, they should be
> discussed with your dentist.  Asking people here, who don't know exactly
[quoted text clipped - 11 lines]
> >
> > JD
Mark & Steven Bornfeld - 10 Jul 2006 15:14 GMT
> Jacob,
>
[quoted text clipped - 11 lines]
> are reasonable.    It is possible that his charge is reasonable for
> probably 20-25 minutes work, but maybe it isn't.

    Whatever YOU think, the dentist obviously feels it is reasonable for
HIM to charge it.
    Discussing details of treatment, even discussing difficulty paying the
fee are all perfectly OK to discuss.  Telling your dentist you think the
fee is unreasonable just means to me you should get a second opinion.

Steve

> JD
>
[quoted text clipped - 13 lines]
>>>
>>>JD

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Bill - 10 Jul 2006 01:30 GMT
> I had one tooth capped (the second stage after a temporary cap
> had been put on several weeks earlier.), and during the same session I
[quoted text clipped - 7 lines]
>
> JD
_____________________________

Indeed, there was a time when a filling could be done for only $75.
Those days are over, gone the way of $1.50 gasoline. (Remember way back
in 2003? I paid $1.50 for gas back then.)

In my town, the smallest fillings seem to go for over $100, and the
largest can be over $225 each. Thus the $168 seems to be in the middle
of the pack for a middle-to-large filling.

It is always best to ask the fee before proceeding with treatment.

- dentaldoc
george1234 - 24 Jul 2006 19:42 GMT
>      I had one tooth capped (the second stage after a temporary cap
>had been put on several weeks earlier.), and during the same session I
[quoted text clipped - 7 lines]
>
>JD

You'll need the ADA code to look up the fee an insurance company would
allow. Ask the dentist for the code. Here are the fees for the "GE
wellness plan " in the north east (2005 prices) .AOn this particular
plan the fees are ~2/3 what a traditional insurer, like delta dental ,
would allow

ADA     Description       
2140    Amalgam-One Surface, Permanent        $65.00
2150    Amalgam-Two Surfaces, Permanent        $83.00
2160    Amalgam-Three Surfaces, Permanent    $100.00
2161    Amalgam-Four or More Surfaces, Permanent    $122.00
2330    Resin, One Surface, Anterior            $77.00
2331    Resin-Two Surfaces, Anterior        $99.00
2332    Resin-Three Surfaces, Anterior        $122.00
2335    Resin-Four +Surfaces or Invl Incisal Angle (Anterior)$152.00
2391    Resin Comp - 1 Surf Posterior        $66.00
2392    Resin Comp - 2 Surf Posterior        $90.00
2393    Resin Comp - 3 Surf Posterior        $114.00
2394    Resin Comp - 4+ Surf Posterior        $135.00
DaileyJohn.20.decij@spamgourmet.com - 27 Jul 2006 21:43 GMT
George,

        Thanks a lot for your information.  I just received the bill
for the service.  I will check the codes and discuss the matter with
the dentist.

JD

> >      I had one tooth capped (the second stage after a temporary cap
> >had been put on several weeks earlier.), and during the same session I
[quoted text clipped - 27 lines]
> 2393    Resin Comp - 3 Surf Posterior        $114.00
> 2394    Resin Comp - 4+ Surf Posterior        $135.00
Bill - 30 Jul 2006 03:34 GMT
> George,
>
[quoted text clipped - 3 lines]
>
> JD
______________________________

JD,

Those fees in the list posted are FAR below the average fees in the
U.S. They don't even come up to the discount rates of most discount PPO
plans.

Don't be surprised if the dentist feels insulted by any suggestion that
he should work for far less than what the average dentist earns.

- dentaldoc
Shawn - 09 Aug 2006 01:12 GMT
> Those fees in the list posted are FAR below the average fees in the
> U.S. They don't even come up to the discount rates of most discount PPO
> plans.
>
> Don't be surprised if the dentist feels insulted by any suggestion that
> he should work for far less than what the average dentist earns.

I had a filling don today & the dentist did a great job. The normal
charge is $225.00, but she charged me $135.00 for the lower
fee schedule since I'm disabled & have limited income.

The best dentists are those skinny females from India.
 
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