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Walked out on my dentist today (1 Viewer)

I had a teeth cleaning today and the gal finished up and told me she was going to get the doctor.  I said come on, nobody really considers them true doctors.  She laughed.

 
Baloney Sandwich said:
I had a teeth cleaning today and the gal finished up and told me she was going to get the doctor.  I said come on, nobody really considers them true doctors.  She laughed.
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I don't even introduce myself as Dr. XXX,   I just introduce myself by my first name.

I know my place.

 
Also, do you see a lot of bad work.   Dropping about 4k on repairing old work(2 crowns) over the next few months.  Months because of insurance limits.

 
FatUncleJerryBuss said:
Also, do you see a lot of bad work.   Dropping about 4k on repairing old work(2 crowns) over the next few months.  Months because of insurance limits.
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 Do those teeth need root canals also?   4k is a lot for 2 crowns unless you're on the east coast or something.

Our crowns here are like $900 each... with "buildups" it might swell to $1100 a piece.

I see bad work from chains.  Most individuals who have their reputations are on the line do pretty nice work.

I do see when people seek out the lowest prices on things that they also are surprised to fine out that a filling isn't necessarily a filling and a crown isn't necessarily a crown.  People want us to be commodities and individuals use very different materials and have very varied skill sets which lead to different outcomes.

 
Dentist said:
 Do those teeth need root canals also?   4k is a lot for 2 crowns unless you're on the east coast or something.

Our crowns here are like $900 each... with "buildups" it might swell to $1100 a piece.

I see bad work from chains.  Most individuals who have their reputations are on the line do pretty nice work.

I do see when people seek out the lowest prices on things that they also are surprised to fine out that a filling isn't necessarily a filling and a crown isn't necessarily a crown.  People want us to be commodities and individuals use very different materials and have very varied skill sets which lead to different outcomes.
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Canal was already done on one.   Got the temp in now.  Well, lets see if the bill translates.

Date Patient Provider Transaction Tth Surface Fee
10/24/2016 D2740 - CEREC CROWN
(Standard Fee $1,325.00)
(Adjust $224.00)
(Fee $1,101.00)
(Est Insurance $525.50)
31 $1,101.00

 02950 - Core Buildup, Including Any Pins
(Standard Fee $329.00)
(Adjust $92.46)
(Fee $236.54)
(Est Insurance $118.27)
31 $236.54

, RDH 00415 - Collection of Microorganisms for Culture
(Standard Fee $41.00)
(Adjust $0.00)
(Fee $41.00)
(Est Insurance $41.00)
$41.00

 RDH 00417 - Collection And Prep Of Saliva Sample
(Standard Fee $85.00)
(Adjust $0.00)
(Fee $85.00)
$85.00

, RDH 00418 - Analysis Of Saliva Sample
(Standard Fee $85.00)
(Adjust $0.00)
(Fee $85.00)
$85.00

 RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
(Est Insurance $0.23)
UR $247.52

 RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
LR $247.52

, RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
UL $247.52

, RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
LL $247.52

I am near Raleigh, is it high?

 
FatUncleJerryBuss said:
Canal was already done on one.   Got the temp in now.  Well, lets see if the bill translates.

Date Patient Provider Transaction Tth Surface Fee
10/24/2016 D2740 - CEREC CROWN
(Standard Fee $1,325.00)
(Adjust $224.00)
(Fee $1,101.00)
(Est Insurance $525.50)
31 $1,101.00

Standard Fee $900

Adjust - I don't accept any insurances, so none

Fee:  $900

 02950 - Core Buildup, Including Any Pins
(Standard Fee $329.00)
(Adjust $92.46)
(Fee $236.54)
(Est Insurance $118.27)
31 $236.54

Fee $160
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, RDH 00415 - Collection of Microorganisms for Culture
(Standard Fee $41.00)
(Adjust $0.00)
(Fee $41.00)
(Est Insurance $41.00)
$41.00

I've never used this code, this is interesting.  This is a bill inflater code.  Good to know, I'll use this moving forward.
Click to expand...


 RDH 00417 - Collection And Prep Of Saliva Sample
(Standard Fee $85.00)
(Adjust $0.00)
(Fee $85.00)
$85.00

Another bill inflater code I've never used in 15 years.  Another good one I'll keep in mind
Click to expand...


, RDH 00418 - Analysis Of Saliva Sample
(Standard Fee $85.00)
(Adjust $0.00)
(Fee $85.00)
$85.00

Another bill inflation code.  This is great information I really appreciate it.. I"m leaving hundreds on the table.

 RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
(Est Insurance $0.23)
UR $247.52

 RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
LR $247.52

, RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
UL $247.52

, RDH 04341 - Perio Scaling & Root Planing - 4+ Tth
(Standard Fee $304.00)
(Adjust $56.48)
(Fee $247.52)
LL $247.52

I am near Raleigh, is it high?
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I don't know the Carolina market that well...  but this is eye opening.   You see they feel like the adjustments are so severe on the PSRP that they pumped in about $200 worth of extra services to even up the score.

This is classic in network behavior.   People think they are getting a great deal going "in network"  but "in network" people can't absorb those discounts and make money, so they do anything they can to make the adjustment money back.

 
Dentist said:
I don't know the Carolina market that well...  but this is eye opening.   You see they feel like the adjustments are so severe on the PSRP that they pumped in about $200 worth of extra services to even up the score.

This is classic in network behavior.   People think they are getting a great deal going "in network"  but "in network" people can't absorb those discounts and make money, so they do anything they can to make the adjustment money back.
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Thanks for the professional insight, I really do appreciate it.   I run the financial side of the company I work for so this is interesting to me. 

To round out their items they charged me 60.00 for a water pik and 20.00 for each bottle they gave me of:

09630 - Other Drugs or Medicaments, By Report

There were 5 in total.   When they packed up these items for me I knew I was getting the worst of it there but figured the hygienist had to make a living too.  This is the antibacterial gum cleaner the goes in the water pik.   I found the bottles online for 13.00 so they are making 50% markup on that well, I am assuming they are marking up the pik at least 50% as well.

Thanks again.

 
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FatUncleJerryBuss said:
Thanks for the professional insight, I really do appreciate it.   I run the financial side of the company I work for so this is interesting to me. 

To round out their items they charged me 60.00 for a water pik and 20.00 for each bottle they gave me of:

09630 - Other Drugs or Medicaments, By Report

There were 5 in total.   When they packed up these items for me I knew I was getting the worst of it there but figured the hygienist had to make a living too.  This is the antibacterial gum cleaner the goes in the water pik.   I found the bottles online for 13.00 so they are making 50% markup on that well, I am assuming they are marking up the pik at least 50% as well.

Thanks again.
Click to expand...
Sweet jesus.    No wonder I don't really make that much money here...  I don't push any ####in' product

 
FatUncleJerryBuss said:
Thanks for the professional insight, I really do appreciate it.   I run the financial side of the company I work for so this is interesting to me. 

To round out their items they charged me 60.00 for a water pik and 20.00 for each bottle they gave me of:

09630 - Other Drugs or Medicaments, By Report

There were 5 in total.   When they packed up these items for me I knew I was getting the worst of it there but figured the hygienist had to make a living too.  This is the antibacterial gum cleaner the goes in the water pik.   I found the bottles online for 13.00 so they are making 50% markup on that well, I am assuming they are marking up the pik at least 50% as well.

Thanks again.
Click to expand...
Anytime I pitch anything people are going crazy look at line items and denying stuff.

Did the hygienist have monster #### or something?   How did you end up buying all this stuff?

Edit to say...  I didn't mean to make you feel bad...   it's not like anything they sold you is bad... the waterpik is a good appliance,  the irrigating rinse is good for you.

If they legitimately took a saliva sample and submitted it for microbial testing it's definitely possible that good information on your disease source could be found.

Maybe I'm not being thorough enough with my treatment planning and diagnosis.

I'm a bit jaded because so many corporate offices and offices that are better oiled machines are much better at sales than I am.

 
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Dentist said:
Anytime I pitch anything people are going crazy look at line items and denying stuff.

Did the hygienist have monster #### or something?   How did you end up buying all this stuff?

Edit to say...  I didn't mean to make you feel bad...   it's not like anything they sold you is bad... the waterpik is a good appliance,  the irrigating rinse is good for you.

If they legitimately took a saliva sample and submitted it for microbial testing it's definitely possible that good information on your disease source could be found.

Maybe I'm not being thorough enough with my treatment planning and diagnosis.

I'm a bit jaded because so many corporate offices and offices that are better oiled machines are much better at sales than I am.
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Yes, she has huge ####### and rested them on my head while cleaning my teeth and I loved it.    :D    But the before and after pictures of the back of my lower front teeth is what sold me.

Yes, they took samples and sent them off.   Found this guy through Google and had almost 100 reviews most good.  He is starting or just opened a second office but I am going to the original one.

 
Dentist said:
I don't even introduce myself as Dr. XXX,   I just introduce myself by my first name.

I know my place.
Click to expand...
My dad was a dentist and orthodontist.  The one time I remember him calling himself a doctor was when he showed up late for a piano recital I had.  It was past the time when they lock the doors, but he tried to pull rank to get in.  "Hi, I'm Dr. Tick.  My son is in there."  He got rejected, but it was a funny thing to try.

 
Mr. Pickles said:
Think of the opportunity cost of posting here. :mellow:
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no question about it.

If I could be busy enough that I never posted here it would be better for the pocketbook.

I'm a pretty darn good technical dentist, but a pretty lousy salesman and average businessman.

I once looked into getting out of private practice and into a corporation where you could just do the work and not be as responsible for the sales and marketing.

But I'm not sure I could've slept at night over-treating and over-billing people like I think they did.    And the worst part is that people flock to those places in droves thanks to convenient hours,  payment plans, and because they are in-network providers for your insurance.

 
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