Drs Nicolas and Asp dentists | ExpatWoman.com
 

Drs Nicolas and Asp dentists

9
Posts
EW NEWBIE
Latest post on 15 July 2012 - 09:33
Hello everyone - just wanted to add an update to this thread: Dr Nicolas from Drs Nicolas and Asp dentists contacted me following this thread and offered their apologies for not letting me know which parts of my treatment were and were not covered by insurance. They were concerned that the medical side of my treatment was not up to the standards they expect - I told them, as I have already stated on this thread previously, that all the dentists I saw were great and I had absolutely no complaints as to the quality of care offered. As a complementary gesture, they have offered to fit a crown on my extracted molar. They have also stated that they've made a review of their internal procedures and will now make sure that all patients are told which parts of their treatment is covered by insurance before the treatment is done. It was not my intention to get a 'result' out of starting my thread; I simply wanted to warn others that this may happen to them if they did not research their treatment beforehand. Although my mistake will still affect me financially, I have learned a very valuable (and expensive) lesson, and I am very happy that the dentists took my complaint seriously and took action to remedy it. Thanks to all for reading and commenting.
9
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EW NEWBIE
Latest post on 07 July 2012 - 22:12
Shoegal - It's great to hear you had a good experience at Drs N & A. I wish I had researched the dentists, and even, as you suggest, each surgeon and implantologist at each clinic, but with two kids and a full time job, time constraints meant this was not possible. What I did instead is put my trust into a clinic I had heard good reviews about before, hoping that they would be medically and ethically sound. ( As I've said before, I have no complaints about the medical side of it at all.) You had different options explained to you, and were told which treatment was and was not covered. I was not so lucky. It would be one thing if this was a matter of a few hundred dirham, but this is 10,000 dirham I'm talking about. It's not small change for me. I'm also not convinced by the 'buyer beware' argument. If you choose to spend a good amount of money buying from a company that markets (and prices) itself as a high quality provider then you expect a certain level of service in return. I did not receive that service. Being naive about dental procedures in general (which is why I went to this particular dentist and put my trust in them), I did not know which questions to ask. And, I paid the price.
2192
Posts
EW EXPERT
Latest post on 07 July 2012 - 11:37
Sorry to hear your grief absmur, hope others can learn from your misfortune - too late for you unfortunately. I had toothache and have attended Dr Madhu in Karama (found him from this forum, big thanks!) for the last few weeks for root canal treatment and ceramic crown, total cost AED 3500 which is comparable with my UK private dental practice. I got prices from him before we went ahead with treatment. I have BUPA medical excluding dental but emergency dental is covered up to 800 USD, still have to submit the bill to them for refund, no guarantee I'll get it back but if not I can live with it - I'd be looking at no hols too if it was a 10,000 bill. I always say the most painful thing about the dentist is the bill. Ive just paid the exact same amount for the same procedure at Dr Joys. I did think that perhaps them being based in Jumeira i might have paid more but phew ! glad to read that i wasnt ripped off !
82
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EW NEWBIE
Latest post on 07 July 2012 - 10:00
Let me add my experience with Drs N&A... they are very expensive but I do not think you get what you pay for... DH went to get a tooth extracted - it was a mess and he was in pain for two months after that! DS does braces there... the dentist does regular checkups which is included in the package, but I was surprised and shocked when I took DS to another dentist for cleaning and one cavity, he discovered SIX cavities that were quite obvious to him as soon as DS opened his mouth! I would have expected the orthodontist to at least mention the cavities to me!!! but nothing, nada...
88
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EW NEWBIE
Latest post on 07 July 2012 - 09:27
Hi, My husband and I have been using Dr N & Asp and have absolutely no complaints. On the medical side and also in terms of explanation of treatment plans & costs. I am sorry the OP has had a different experience. We have tried a few other dentists here and a lot of 'cowboys' in my opinion. Yes, Dr N & Asp are more expensive for some treatment but, like everything in life, you get what you pay for. It is the patient's responsibility to check with their insurer definitely. Typically, the dentist will say when things may or not be covered. My husband has had extensive treatment at Dr N and on all occasions they have explained everything, given different options if appropriate, provided a full treatment planned (which both parties sign) and so on. He is currently getting an implant, and part of it will be covered by insurance, as it is restorative following on from surgery, and not solely cosmetic. His surgeon and the various other specialists involved have all been excellent and do not charge if he just needs to see them for a brief check-up or discussion relating to his treatment. They have been very fair and professional. What I have also found excellent is the way the various specialists all work together for you and it is clear from your conversation with say your implant guy has had detailed conversations with the person who say did your CT scan and your general dentist and so on. Maybe its just the dentist & specialist you get? Or indeed choose. We did do a lot of research before going there initially and choosing which general dentist to visit, never mind when deciding which surgeon and implant specialist to use, as there are several at the various Dr N & Asp clinics. It's like everything else, you do need to do your research, especially when it comes to your teeth. To be honest, this is nothing different to what I have done in the past in the UK if ever I have needed anything more than a normal check-up. Just my story, which is the absolute opposite of the OPs. I do hope you get it sorted out. S
9
Posts
EW NEWBIE
Latest post on 06 July 2012 - 20:51
Sorry it's taken me so long to respond Hiccups. 3500 dirham for a root canal and crown?? My god, I'm going to be charged at least twice that much at Nicolas and Asp I'm sure! They've already quoted me 5000 for the crown, and the root canal cost in the vacinity of 2500. And to think I chose them because they're included in my insurance coverage ..I think I may try this Dr Madhu after all.
234
Posts
EW NEWBIE
Latest post on 06 July 2012 - 03:27
Sorry to hear your grief absmur, hope others can learn from your misfortune - too late for you unfortunately. I had toothache and have attended Dr Madhu in Karama (found him from this forum, big thanks!) for the last few weeks for root canal treatment and ceramic crown, total cost AED 3500 which is comparable with my UK private dental practice. I got prices from him before we went ahead with treatment. I have BUPA medical excluding dental but emergency dental is covered up to 800 USD, still have to submit the bill to them for refund, no guarantee I'll get it back but if not I can live with it - I'd be looking at no hols too if it was a 10,000 bill. I always say the most painful thing about the dentist is the bill.
9
Posts
EW NEWBIE
Latest post on 05 July 2012 - 22:26
Grumpy - the way it was explained to me was that I had to have a top back molar extracted. For the bottom molar to be of any use, it needs a top molar, so I needed to get an implant, which is like a small screw, which is what the crown will be fixed onto later. Is that really cosmetic? (genuine question) If so, it was certainly never presented to me that way. Cheeky Monkey - I had been booked in for an extraction and implant, so the receptionist knew what I was there for, and took my insurance card from me when I first arrived. I know my insurance requires pre-approval, and they would have had plenty of time to find out if the implant was covered before I actually went in. If it's as Grumpy says that implants are actually never covered, then they certainly should have told me this when going through my treatment plan. Deeva - the dentist did outline the costs to me before, but under my insurance I only pay 30%, so I thought I would pay that much. I was never told that the implant wouldn't be covered, which was 9000 dirham on its own. I'm not trying to shift the blame totally on them - it was my responsibility to check what was and was not covered, and through my ignorance, I failed to do so. I would have thought that they also bore some responsibility to let me know as well, however.
158
Posts
EW NEWBIE
Latest post on 05 July 2012 - 21:09
I must add that all costs at Nicolas and Asp in Healthcare City have been explained very well, (DS's having orthodontic treatment). Everything has been in writing and I had to sign off on the quotes.
173
Posts
EW NEWBIE
Latest post on 05 July 2012 - 19:28
I'm sorry but am I not the only one that would think an implant would not normally be covered by insurance? Most implants are cosmetic, thus not covered, except perhaps after an accident.
858
Posts
EW GURU
Latest post on 05 July 2012 - 19:24
I had to reply to this. There is what is called "treatment plan", where the dentist explains everything in steps, including the cost. He/she also gives alternatives and the cost. In the UK the treatment plan and cost estimate should be written and signed by both the dentist and patient. There is nothing called "on spot" implant. They definitely can't say its covered then say its not, and it is not your problem to check if it is covered or not. Insurance paper is sent for approval before the procedure, this is the duty of the practice. If they say its covered then it is. You have every right to refuse payment. This sounds like a scam. Just tell them you want to file a complaint to the DOH and see their reaction. But Dubai is NOT the UK so the same rules do not apply. Hardly anything gets put in writing... And as all insurance policies are different then it is not up to the dentist to know who is covered for what (although I agree he should not have said it was covered if he was not 100% sure of the OP's insurance, that was naughty). And a lot of insurance companies do not approve first, so not necessarily the duty of the practice to submit anything to anybody. We were with BUPA and you got what you wanted doing, paid for it and then claimed back so it was our responsibility to check what we could claim for... Unfortunate and a bit unfair though it is, as the OP says, it is an expensive lesson on the way some things work.
182
Posts
EW NEWBIE
Latest post on 05 July 2012 - 18:20
Ya here u really need to ask urself all this information and than they will give it to you because they have to but on their own they wont. Ive had drs telling me that im the only one who asks soo many questions and i simply say that im paying for their time and i better get my money's worth else i can just resort to google Its the same with most docs. I had last time a doc telling me i need to take omega 3 capsules so went to pharmacy and got schocked abt the price so went right back to doc and asked him if he cant maybe give me a prescription for it. And yes there u go.. Within only few min i got my omega 3 all free which saved me over 1000 dhs But ya its a hard lesson to learn that we can never count on them, we r the ones who need to simply act like a toddler and ask a million questions until we r satisfied.
9
Posts
EW NEWBIE
Latest post on 05 July 2012 - 13:01
That's quite a quote there MommyOfficially! High prices, which seem to be plucked out of the air, are one thing that makes me quite dubious about this dentist. But, I knew they were expensive before I went, so I accept full responsibility for that. I guess what I wasn't expecting was to be not given all the information I needed to make an informed decision. Actually, it seems to me there is a deliberate, company-wide policy to not tell patients if any cheaper options are available and to explain the benefits of both (the dentist never discussed with me an alternative to the ceramic crown, for example, nor was I ever told that I would be able to eat normally even without an implant and crown for the extracted tooth). The whole experience has left me quite bitter, I must admit. As patients, we don't always know what treatment we need and how best it's to be done, so we place our trust in these clinics, in experts, to do what is best for us. It saddens me hugely when I am betrayed by their greed.
182
Posts
EW NEWBIE
Latest post on 04 July 2012 - 23:38
Ohh man this sounds horrible. I have this habbit of always making sure i know about all costs even including the hidden emergency costs so i dont get any surprises But ya i was also in a shock when i went with my almost 3yr old who has quite bad front teeth and they told me it would be around 20k to fix his teeth since he would need full anesthesia and first to drag myself to jumeirah n see the guy who will put him under so we can have a full evaluation. So ofcourse that would again cost extra We freaked out. I mean seriously 20k for a 3 yr old teeth *_* We decided to wait n do it back home in a fraction of that price
9
Posts
EW NEWBIE
Latest post on 04 July 2012 - 22:34
Thanks everyone for your replies. Yes, I do understand it was my responsibility to ask, and it is a lesson I will not quickly forget. What irks me is th efeeling that they have a culture of not telling customers all the costs up front. If you'll allow me to bore you further with my story, I went back to Drs Nicolas and Asp after my extraction, as I had previously had a root canal on another tooth which requires a crown (covered, I checked). The dentist who did my extraction said I should wait before having the crown fitted on the root canal tooth as there was still some swelling in the area of the extracted tooth. I told him I had an appt for a crown about 3 days after, should I change it? No, he said, it'll probably be alright. So I went for my appt for the crown (trudging all the way again to jumeirah even though I live in Mirdif because the waiting list in Mirdif is 3 weeks long). The other dentist had a look at it, and said I should wait longer. 150 dirhams please. Oh, and sorry but your insurance won't cover a ceramic crown, which you should really have, so what we'll do is tell your insurance that you were fitted with an inferior crown and you can pay us the difference. I have started to think they are playing some kind of joke on me, I don't know what to do. I think now I will have to find another dentist to be honest, as I feel so much resentment towards them I don't think I can step foot in that building again. Perhaps I will make a complaint to the health authority. I know they are in the business of making a profit, but to me this reeks of profiteering more than anything else.
271
Posts
EW NEWBIE
Latest post on 04 July 2012 - 11:49
I had to reply to this. There is what is called "treatment plan", where the dentist explains everything in steps, including the cost. He/she also gives alternatives and the cost. In the UK the treatment plan and cost estimate should be written and signed by both the dentist and patient. There is nothing called "on spot" implant. They definitely can't say its covered then say its not, and it is not your problem to check if it is covered or not. Insurance paper is sent for approval before the procedure, this is the duty of the practice. If they say its covered then it is. You have every right to refuse payment. This sounds like a scam. Just tell them you want to file a complaint to the DOH and see their reaction.
2192
Posts
EW EXPERT
Latest post on 04 July 2012 - 10:04
thats very unfortunate. a good Dentist will and should take their time and explain all the treatments and costs and alternatives. Im currently having a lot of treatment done at Dr Joy's in Umm Suqueim under the care of Dr. Irene Elsa Noble An extraction and an implant. she explained my options based on costs and after care. so there are no hidden surprises.
326
Posts
EW EXPLORER
Latest post on 04 July 2012 - 08:49
Sorry you went through this but you should have checked with your insurance first before going for any treatment and not just assume that it would automatically be covered.
2383
Posts
EW EXPERT
Latest post on 04 July 2012 - 08:45
Sorry to hear what has happened but as unfortunate as the situation is, I'm afraid it is for you to check your insurance policy and know what is covered and what isn't. I really don't see that you can pursue it with N & Asp as it isn't their responsibility to give you this information. I agree that N & Asp aren't the best people at giving out information and they are expensive. I had an implant there and temporary crown fitted about 3 years ago at a cost of 14,000 and was told this included the permanent crown. When I went to the desk to pay I was informed that the permanent crown would be an extra 5,000 !! I had been quoted the wrong price but they wouldn't back down. Temporary crown is still in place ! I am now going to go to Dr. Madhu in Karama as he has been highly recommended by so many ladies on here. <em>edited by amelia on 04/07/2012</em>
9
Posts
EW NEWBIE
Latest post on 04 July 2012 - 00:25
I am currently receiving treatment at this dentist, and had an incident I would like everyone's opinion on. I had to have an extraction. The dentist called me and asked me to get a CT scan done first. Fair enough. I went to their surgery in Healthcare City, got it done. Then they told me it was 1400 dirham and isn't covered by insurance. I was quite upset - I had some cash with me, but not 1400 dirhams, and I hadn't brought my credit card. I was also upset that this treatment was recommended to me without being told how much it would cost, nor that my insurance wouldn't cover it. So, I told them I was sorry but I would have to pay for it when I went to see the dentist for the extraction, which was fine with them. I then go to have the extraction. The dentist recommended an implant at the same time, as this would makeitmuch easier to fit a crow later on. The extraction and the implant came to 11,000 dirham, whi h is expensive, but on my insurance I pay 30%, which for me is still expensive but just about doable. So imagine my absolute shock when I go to pay and I am told that the implant isn't covered by insurance! I had to pay more than 10,000 dirhams! There is absolutely no way I would have got that implant if I had been told it wouldn't be covered by insurance. As it is, we've had to cancel our summer holiday in order to pay for it. (No complaints about the medical side of it, by the way, the dentist was great and no problems at all with the extraction). I did complain, and they told me I didn't have to pay for the CT scan as way of apology. What does EW think? Am I being too unrealistic in expecting a bit more? I know it was my responsibility to ask if my treatment would be covered, but really it never occurred to me that it wouldn't be, when they knew all along that such a procedure never is covered. I feel quite resentful now, and wonder whether I should just leave it and put it down to experience.
 
 

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