Business ProfileforPinyan Dentistry

On 5/24/24 I had a dental appointment at Pinyan Dentistry for a routine cleaning and basic x-rays. I gave my Humana dental card to the receptionist at the time of my arrival and she told me she would file my insurance during my cleaning. She said my benefits stated that routine cleaning was covered, and reassured me that since "routine cleaning" was, in fact, the service being provided, that my insurance would probably cover it. My insurance also states that "bite wing" x-rays are covered. After my appointment, the receptionist told me that my insurance actually wouldn't cover any of my visit, because according to her, my benefits were only for people 19 years old or younger. She then gave me a faxed packet of my benefits from Humana, missing the first 7 or 8 pages. I was charged $400 for my visit and I paid half. When I called Humana later that day and spoke to several different representatives, I was told that my plan was indeed an adult plan, and not a children's plan like the receptionist had told me.When I spoke to the receptionist again I told her my plan was apparently for adults according to Humana. She said well actually, they still wouldn't be able to take my insurance because the service provided was actually called an "initial patient oral exam," and not a "routine cleaning" as stated at the time of the procedure. I said it wasn't my first visit, as I had had some extraction work done there in the past. She said well, it was your first cleaning so that's that. With the x-rays it was the same issue. It wasn't covered by insurance because of syntax. Googling bite wing it seems like a basic xray. I'm no expert on insurance or medical protocol but I've been swindled before and something about it just doesn't sit right with me. They keep hounding me for the other $200. I think it's absurd that I'm insured and still being charged full price. Doesn't the provider technically make more off of services not covered by insurance? Thanks for your time.