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April 23, 2007
Insurance fraud
I went to AspenDental, Woburn, MA for my routine cleaning for the first time on March 16, 2006. $47.80 was charged to my credit card for exam and x-rays and a treatment plan was laid out without any further discussion. I either walked away with what had paid and without teeth being cleaned or go along with their plan.
I didn't want to waste the $47.80 payment so I went the second time for teeth cleaning. On the first visit I told them I had two dental insurances, Cigna and Delta so patient's portion should be much less. They pretended they acknowledged that however they demanded the full payment and told me I'd get reimbursed once they received payments form both insurance companies.
Over half year treatments, I kept on paying the fees and never received a penny for reimbursement so I stopped going and started calling. It's been more than a year, with numerous phone calls and hours of waiting and conversion I got a bill for $132.40 instead. This morning I called again they said they made a mistake and would take a look later when they had a chance.
The total treatment charged by AspenDental was $471, insurance allowed amount was $341.60. I don't know what Cign , my primary dental insurance company had paid. However what I had paid, $167, and Delta, my secondary dental insurance had paid $311.60 had exceeded the insurance total allowed amount $341.60. In other words, AspenDental committed insurance fraud. Other than post the info here I am to write a complain letter to my DA office, and will cc AspenDental, Cigna and Dental.
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