I chose Dr. Patel because of her location and that she takes Medi-Cal Denti-Cal insurance. She scheduled me for the next day for a cleaning. She is very nice and explained things--even saying that supporting Denti-Cal was her way of giving back to the community. I mentioned I had some pain on my right side that was deeper than previous tooth pain I had felt before.
I got my teeth cleaned and Dr. Patel patched up some composite fillings but I have some tooth decay at the base of my back teeth where they meet the gums so she recommended some desensitizing/anti-bacterial cream/ointment. She initially said this cream cost $95 and wasn't wasn't covered under my insurance so I was hesitant about getting it. As she cleaned my teeth, she showed how my gums bled and, at one point, put on my finger what looked like to me was a piece of plaque but she said it was bone, which I thought was odd. She again brought up the cream and I, reluctantly, agreed, thinking it could perhaps stave off infection, or whatever, because of the anti-bacterial qualities. I believe she also told me the cream would prolong decay but I wasn't sure because I was laying down and already fairly relaxed after at least 15 minutes of teeth cleaning. She got up to get something (I presume the cream), came back, and proceeded to patch my fillings and clean my teeth with the spin brush. She never flossed my teeth which I didn't even think about at the time and was only reminded by it when someone asked me if she did.
The major issue I have is the $195 charge for the application of desensitizing/anti-bacterial cream/ointment. She billed it as CDT procedure code D9999 ("unspecified adjunctive procedure, by report") but, after checking the CDT procedure codes, I found D9910 ("Application of desensitizing medicament") sounds correct. It's also only $40 SMA (schedule of maximum allowance). I called Dr. Patel to ask her if the cream she used fell under this CDT code but she said no.
I will be filing a complaint with Denti-Cal and just want to let others know about this potentially fraudulent hidden cost, since 1 other Yelp (and 1 Google) reviewer mention being charged for "anesthesia cream" (which is probably covered under a reimbursible CDT code). My bank statement also has 2 pending transactions of $195 from Varsha Patel, DDS so she better not have charged me twice for this bogus cream! read more