BILLING RED FLAGS

A confusing bill deserves clear answers.

A warning sign does not always mean fraud. Pause, ask questions, and get details in writing.

01

A procedure you don’t remember

Ask the office for the date, tooth, ADA code, and fee in writing.

02

No itemized bill when you ask

Ask the office for the date, tooth, ADA code, and fee in writing.

03

Upcoding — a more complex service is billed

Ask the office for the date, tooth, ADA code, and fee in writing.

04

No written pre-treatment estimate

Ask the office for the date, tooth, ADA code, and fee in writing.

05

Pressure to decide today

Ask the office for the date, tooth, ADA code, and fee in writing.

06

The same service appears twice

Ask the office for the date, tooth, ADA code, and fee in writing.

07

Your copay is “waived”

Ask the office for the date, tooth, ADA code, and fee in writing.

08

Deep cleaning at the first visit

Ask the office for the date, tooth, ADA code, and fee in writing.

What to do if you were overcharged

1Request an itemized bill with ADA codes.

2Ask your insurer for the EOB.

3Compare what was billed with what you received.

4Dispute the charge in writing.

5Contact your state dental board.

6Report suspected fraud to your insurance commissioner.