Dental Insurance and Obama Care: Who’s Right?

Dental Insurance and Obama CareThe National Journal is reporting that the National Association of Dental Plans is spending more than $1 million on a campaign to change a provision in the health care law that they feel will require some people to buy duplicate dental insurance coverage.

Let me repeat…The dental benefits trade organization is spending $1,000,0000 to hire a lobbying firm to convince the Obama administration to fix the provision by the end of 2011.

Is this a good thing? Click here for a 92-page white paper “Road Map” with Delta Dental as a co-sponsor.

The NADP is concerned that, starting in 2014, the almost 44 million people who receive pediatric dental coverage through small business employers will also have to buy coverage through the new health insurance exchanges. It is asking regulators to clarify that their existing coverage meets the law’s requirements.

“Truthfully, this is the No. 1 issue for our industry,” said NADP executive director Evelyn Ireland. “It is the most crucial thing for us to get done.”

NADP wants to ensure that people will be allowed to keep their existing dental insurance coverage under the new health care, a promise President Obama repeatedly made during the heath insurance reform debate.

For a multitude of reasons I have never been a big fan of Delta Dental. However, after reviewing the 92-page white paper I think there may be some merit to this $1,000,000 argument.

Before, I make up my mind, I would like some pro or con feedback from our readers.

Please post your comments below.

Dental Marketing: Negative Online Review Appears as a Facebook Page

negative dental page on FacebookIn the past The Wealthy Dentist has written about negative online reviews in such articles as Appeals Court Says Yes to Dentist Lawsuit Against Patient for Online Review andWhen a Dentist’s Relationship Goes Bad on the Internet — both stories about harmful dental critiques posted on review sites like Yelp and Angie’s List.

But in August of this year, Chris Cook of Bakersfield, CA, pushed negative online reviews to a new level.

It was reported in dental news site DrBicuspid.com that Mr.  Cook took his 5-year-old son to see Bakersfield pediatric dentist Edward Dove, DDS, for a tooth extraction. Mr. Cook claims Dr. Dove mistreated his son during that visit by extracting a tooth before the child was adequately sedated.

According to DrBiCuspid.com, Cook stated that his son vomited up most of the sedative, screamed, and urinated on himself while allegedly being held down by three dental assistants during the procedure.  Allegations Dr. Dove vehemently denies.

Chris Cook decided to take matters into his own hands and created the “I Hate Dr. Dove of Bakersfield” page on Facebook, attracting more than 200 members in its first 48 hours.

Luckily for Dr. Dove, Facebook does have a policy for pages with the word “hate” and considers them in strict violation of their terms of service.  They swiftly moved to shut down the dental hate page.

Cook was undaunted by the Facebook boot, turned around and created a second Facebook group page, “Bakersfield dentist DOES NOT ROCK!!!!!!!!!” which is still up and active.

Dr. Dove has handled the situation by defending his treatment in the press and pointing to his 23 years in practice without a single disciplinary action. He has chosen not to engage with Chris Cook on his Facebook page, and was quoted in Dr Bicuspid as saying, “I think my reputation will be hurt a little bit, but right now I just want to calm down,” Dr. Dove said, “This guy is going ballistic, he’s trying to smear me, and I’m getting bullied.”

But should Dr. Dove be more concerned?

Just how significant are bad reviews for the future of your dental practice?

A new survey by market analysis firm Cone, Inc., found that four out of five consumers have reversed purchase decisions based on negative reviews found on the Internet. Another survey by Ratepoint found that 40 percent of consumers indicated they are more likely to consider a local business when they respond to a negative online review.

In the case of a Facebook page being dedicated to hating a dental practice, a dentist has little recourse since the unhappy page creator would have to allow the dentist to join the group page in order to issue a response.

Dentists have had little luck in defamation lawsuits when it comes to negative online reviews since the courts tend to look upon unhappy reviews as free speech. In a recent defamation case in California, a dentist has been ordered to pay $80,000 in attorney fees to the parents who posted a negative online review.

So how do you combat something like a negative Facebook page?

By making sure your dental practice has more than one website that appears on the top pages of Google when your business (and personal) name is searched online. Also have your own Facebook page, or pages for each type of treatment you offer. Have a Twitter page and make sure your practice is listed in as many dental directories as you can find. The idea is to control what appears on the first page of Google about your dental practice. Regular press releases help with this too.

For solutions to multiple name search and directory listing go to: www.InternetDentalAlliance.com.

For more on this story see: Facebook Pulls Plug on Angry Dad’s Antidentist Page

Dentures: Do They Ever Fit Right?

dentures do they ever fitYou never know what kind of a reaction you could get when you upset a woman — especially one who is 85 years-old, unhappy with her dentures and sitting in your dentist chair.

According to The Smoking Gun, dental patient Virginia Graham became upset when her dentist, Dr. Hammonds, tried to adjust her poor-fitting lower partial dentures.

The adjustment hurt enough for Graham to scream in pain and, remove the partials from her mouth and throw them at Dr. Hammonds.

She demanded a $900 refund, to which her dentist flatly refused, so she felt is (it) necessary to try and grab the dentures from the his hand. A “brief tug-of-war” ensued until, “Graham allegedly bent down and bit Hammonds hand forcing him to let go of the partial.”

Graham then attempted to leave the dental office, but Dr. Hammonds “got in her face and began screaming at her, causing her to fear that he would potentially cause her harm,” as reported by Sheriffs investigators. Deputies report that Graham stated that the dentist physically kept her from leaving his dental office.

Investigators documented “multiple bruising” on Graham’s upper arms and forearms, and her “left upper arm was bleeding due to her skin tearing when Hammonds grabbed her arm.”

Dr. Hammonds was booked into the Volusia County jail on charges of assault, battery, false imprisonment, and a variety of felony charges. He is out on $4,000 bail.

When I first starting working in dental consulting, over 25 years ago, there was a story about a dentist who tried to repossess an unpaid denture. The doctor tackled a female dental patient on the front lawn of the practice. The dentures popped out and he grabbed them in the grass.

The net of this incident was a lawsuit and, if I remember correctly, a $19,000 settlement against the doctor. This case has a lot more drama and it will be interesting to see how it settles out.

How would you have handled this situation?

To see more on this story go to: Denture Battle Leaves Dentist In Braces.

Your Gift… The New Patient Marketing™Machine

Your gift: The New Patient Marketing MachineJim Du Molin calls it the “New Patient Marketing Machine™“… and it’s his gift to you.

“I’d like to give something back to all the dentists who have helped make my life so great,” says Jim. “So I’m going to do something I’ve never done before…”

“I’ll give the first 1,000 dentists who sign up a general dental website… entirely free for one year. No strings attached,” he explains.

Enjoy the holiday season… and Jim Du Molin’s gift to you. Get your gift now!

Taxpayers Footing the Bill for Braces in Texas

the house that braces built WFAA-TVThe business of charging taxpayers for putting braces on kids’ teeth has exploded in Texas over the last three years according to a story by WFAA-TV in Dallas.

In 2010, Texas spent $184 million on Medicaid orthodonticsmore than the rest of the United States combined.

I want you to understand, right up front, that I’m tremendous proponent of just about any program that put dollars in dentist’s pocket for providing quality dental care. Time to be honest, this level of government pork could only have been arranged in a smoked filled back room in the dead of night.

While Texas struggles with its Medicaid budget, 34 dental organizations collected more than $1 million in Medicaid orthodontics last year.

Orthodontic treatment for children is generally an elective cosmetic procedure that many parents spend thousands of dollars on for their children. Very few dental insurance carriers cover orthodontics or elective procedures such as teeth whitening.

But in Texas, Medicaid pays dentists for orthodontics per procedure, instead of a lump sum for the “finished mouth” of straight teeth, according to WFAA-TV. This has made Medicaid orthodontia a lucrative dental business in Texas.

So much so that just three years ago, dentist Richard Malouf’s All Smiles Dental Centers of Texas collected $5.4 million from Medicaid orthodontics. Since that time, All Smiles’ Medicaid orthodontics billings nearly doubled to $10.2 million. This caught the interest of Chicago-based hedge fund Equity Partners who recently acquired All Smiles Dental for an undisclosed sum.

Now Texas dental clinics are being bought up by hedge funds, making Wall Street the ultimate destination for millions of taxpayer dollars as reported by WFAA.

The following is a video of WFAA’s investigative report –

Nowhere is the lucrative business of Medicaid braces more evident than with dentist Richard Malouf’s mansion in Dallas. It is a massive French chateau with a pool house, big enough for the average American family of four to live in. The Maloufs also own the mansion next door. According to tax records the combined value of the two properties is more than $14 million.

It is known as the house that braces built.

Dr. Malouf isn’t alone in offering Medicaid braces; there are five other dentists’ offices that provide Medicaid orthodontia on the same half-mile street in Dallas. Many of them advertise free braces under Medicaid. Jefferson Dental is one such dental operation and, according to WFAA, it is owned by hedge fund Black Canyon Capital of California.

During a struggling economy, many question whether this is the best use of taxpayer dollars. A Medicaid dollar that is spent on braces is a Medicaid dollar not being spent on fighting cavities and procedures most dentists feel are necessary.

It will be interesting to see how this story unfolds. I really want to see the which legislators initiated and signed off on this this piece of legislation and who the lobbyist where who pushed it through.

I not sure other state dental boards should hire them or hang them?

For more on this story see: Tax Money for Unneeded Braces Goes to Hedge Funds

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