Forum Replies Created
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wagoodellSpectator5 years is nice service for the patient. 🙂
I’ll be calling my patient with yours and Ron’s protocols.
Thanks
Walt
adminSpectatorRonald Schalter DDS
808 N Maple Grove
Hudson,MI 49247
517-448-7130
517-605-2176(C,H)
sagoodellSpectatorSamantha Goodell
MDT, Michigan Rep
sagoodell@sbcglobal.net
600 East Grand River
Brighton, MI 48116
810-227-2121 office
248-890-8463 cell
517-223-7393 home
AnonymousInactiveDelwin K. McCarthy, DDS, CTO
Millennium Dental Technologies, Inc.
10945 South Street, Suite 302
Cerritos, CA 90703
(562) 860-2908
http://www.millenniumdental.com
John LeitnerSpectatorJohn O Leitner DDS
575 Robbins Rd.
Grand Haven, MI 49417
616-842-2850
john.leitner@sbcglobal.net
mymichigandentist.com
616-566-6601 (cell)
John LeitnerSpectatorRon, I would suggest just moving the whole Delta thread I started over to this site if you are concerned of wrong eyes looking at it. Breath of fresh air!! John
Michael AielloSpectatorMichael Aiello, DDS
43630 Hayes Road, Suite 230
Clinton Township, MI 48038
o (586) 263-6800
c (586) 260-1204
h (586) 786-7091
Michael AielloSpectatorRon, Sam, and Bob,
Let me know what letters to and from Delta would be useful to post here. I have detailed rejection letters that Bob has seen as well as the letters sent to Delta and the Ins commission.
Another option would to email them.
Mike
Robert Gregg DDSSpectatorBob Gregg, DDS
Private Practice
Millennium dental Technologies, Inc
10929 South Street, Suite 106-B
Cerritos, CA 90703O: 562-860-6587
F: 562-860-1799
C: 562-577-2454
Robert Gregg DDSSpectatorTo all of those “in Focus”,
I just want to thank Ron Schalter for setting this up. It is much easier to track the goings on and get the info together, and into one place this way.
Ron has always been a stand-up guy and supporter of laser dentistry, so thanks Ron.
Secondly, I would like to reassure everyone that if everyone “throws” into this effort, this will get sorted out in your favor. It may take some work, but I have never seen any 3rd party entity win these disputes as long as the Employer/Purchaser was on the patient/beneficiaries’ side and/or the and doctor’s side.
In my non-legal but well researched and versed opinion, when Dr. Jeff Johnson has a competitive financial interest in seeing LANAP vs his procedures fail, and his business partner/associate Dr. Tom McClellan is the Director of Dental Services for Delta that is facilitating this outcome—and only LANAP dentists are being targeted, then that is “anti-competitive” conduct and it is a violation of the FTC anti-trust Act and probably the Michigan State anti-trust laws.
It is illegal for two people or entities to enter into to any “agreement” or an “arrangement” whereby they agree to restrain competition for a lawful professional service. It is illegal for two dentists to do it to drive out another dentist in town or hurt the other’s business, and it in illegal when a entity that has “monopoly” power for a given source of money to enter into such an agreement with another person or entity to drive other competitor(s) out of business—or hurt their business.
Now, we just have to convince the legal, political and employer entities that this is going on and it is inappropriate if not a crime.
Best wishes for a speedy outcome.
http://www.ftc.gov/opa/2009/07/healthcare.shtm
Bob
adminSpectatorForms Attached Below or Linked.
FDA Clearance
Dentist Insurance Complaint Form (b2b)
Patient Insurance Complaint Form
Insurance Refund Case Law
Delta Dental Utilization GuidelinesFile attachments:
adminSpectatorHi all,
As none of my patients have ben contacted yet I’d like to send out a letter advising them of the situation rather than a reactive letter.
I’ve attached a rough draft that I’d like feedback on.
Feel free to use it if it will help you.
Thanks for all your help in this,
RonFile attachments:
Robert Gregg DDSSpectatorRon,
It’s a very good letter and has all the right ingrediants. I can only suggest that you include names and addresses of the State AG or the Dept of Insurance. But that isn’t really necessary at this stage.
Bob
Michael AielloSpectatorBob,
I don’t know Tom McClellan’s relationship with Jeff Johnston. It is Tom Fleszar the Delta CEO that is the former partner of Johnston.
Prior to taking over at Delta, Fleszar was one of the 2 lead partners in a 4 office Perio practice that is around my office (Johnston was the 3rd partner). For what it is worth over the last 15 years they have expanded by buying out the nearest offices to them and they now have 6 offices. My office is in the center of these six and there isn’t any other Perio specialty office nearby. Here is part of a press release in 2001:
OKEMOS, Mich.–(BUSINESS WIRE)–Nov. 7, 2001
Dr. Thomas J. Fleszar was appointed by the board of directors to become president and CEO of the affiliated Delta Dental Plans of Michigan, Ohio and Indiana, replacing C. Richard Seitz who is retiring at the end of this year.
Fleszar, of Bloomfield Hills, Michigan, joined Delta Dental in 1997 ….
Michael AielloSpectatorRon,
I don’t know if Delta will request money back. When I was put on focused review they said they found some cases that they paid that “in retrospect” they would not pay going forward.
For me, Delta did not demand any money back, they just refused to pay for 4260 going forward. It may interesting to see what they do now. If they allow you and others to keep the payments from claims prior to focused review this may raise more questions. It would be another possible example of selective enforcement since they haven’t paid us over the last year and a half (while on focused review) during the same time span.
Obvoiusly this isn’t a question I would raise to them being that it may put others at risk. On the other hand it is good to know for building our case. After all Delta had other means to notify dentists of their LANAP position rather than after the fact focused review.
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