I went to an endodontist (root canal specialist) , he said for #4 & #5 teeth he will charge $2491, when anywhere in usa for each tooth not more than $900, he is charging me $600, my insurance will pay only 50% of the procedure but according to their own price list , not according to dentist charge.
my question is dentists send a procedure code to the insurance company & insurance company pay according to their own price range. if the dentist dont participate that specific insurance company , but he takes whatever the insurance gives him, & the rest he charge to his patient......is it legal to charge $600 more than usual price range for a specific procedure?
is there any authority , where i can file a complaints for overcharge?
i will be happy if you answer my question
sincerely
Akm NY
my question is dentists send a procedure code to the insurance company & insurance company pay according to their own price range. if the dentist dont participate that specific insurance company , but he takes whatever the insurance gives him, & the rest he charge to his patient......is it legal to charge $600 more than usual price range for a specific procedure?
is there any authority , where i can file a complaints for overcharge?
i will be happy if you answer my question
sincerely
Akm NY