Anacapa Oral Surgery

"Be caution if you choose Anacapa Oral Surgery (Camarillo and Oxnard) Long story to be short: they will overcharge you a lot by playing all kinds of tricks! Detail of my experience: Early this year, I needed to do oral surgery and my dentist recommended Anacapa Oral Surgery which is in my insurance network. Dr. Marwood Stout at Anacapa Oral Surgery first did a consultation session. I was asked to pre-pay $280 and was told that they would adjust after going through the insurance. Then in my insurance account, I found that the “submitted fee” they claimed was $250 (note, it was not $280), and the accepted fee was $138. My insurance paid in full, so my cost for this service is 0. But Anacapa Oral Surgery never refunded any amount to me. The worst thing happened next: for the oral surgery, they asked me to pre-pay $3450, and they asked me to sign a package, and again, they said they would do adjustments after insurance payments. Then at the end, the submitted fee they claimed was $1939 (though I paid $3450) and this time my insurance paid $894.5, and it shows that my cost is $944.5. After this, they only refunded $894.5 and refused to refund the rest of the balance. Let me do some simple math here: my cost should be 944.5, but I paid 3450 and only got 894.5 as a refund. So I overpaid $2555.5! For consultation and surgery together, they overcharged $2835.5! I talked with Anacapa Oral Surgery, and they just gave all kinds of excuses for not paying back. They basically were saying “I understand insurance can be confusing and it might be in our office's best interest just to save our patients money and use the package fee without involving insurance at all; but our goal is to give top notch service and a successful outcome to our patients at a lower reasonable price and get them whatever payment the insurance makes back in their pocket”. Sounds like they tried to save money for me… funny?!! As one more step, I called my dental insurance (Delta), and the representative clearly stated that at an in-network provider, Anacapa Oral Surgery was wrong, and then a case was created by Delta to do further investigations. Guess what? Anacapa Oral Surgery then told Delta that they did not claim many services that they did to me, including IV sedation, bone/gum tissue econtouring, temporary healing components, CT scans, an extraction, bone grafting, and collagen barrier placement…. What can I say now? Why did they not claim them? Did they really do these services without me or insurance knowing? Currently, Delta asked them to submit these claims so it is still unclear to me what will end up with. I am sharing this story here, and hopefully if someone thinks this is helpful. ************ To comment Anacapa Oral Surgery’s comments (Google does not allow me to add more comments, only allows me to edit my original post) 1) You said I was charged $280 for CT scan. May I know why you never claimed this service to my insurance? Was it because the accepted fee by my insurance would be less than $280? 2) I did not say that I was charged for IV sedation, and I do not have the knowledge to understand what this term is. The whole list I mentioned in my review (IV sedation, bone/gum tissue econtouring, etc) was what Delta told me – that was also what you told Delta that you did those services to me, but you did not claim. If you think there is any miscommunication between you and Delta, please talk with Delta directly. 3) Yes, I did sign a package (I said so in my review), but when I was in your office, no one explained to me what the “package” meant, and no one told me “services being packaged and not individually charged”. For the whole process, you tried to avoid using my insurance. May I know why you are in the insurance network? My best guess is that you want to charge your patients whatever you like without following the contract with the insurance company, but you also want to attract new patients by claiming that you are in the network."

"This office has that beautiful combination of great competence and kindness. I had an urgent cracked wisdom tooth removed. Dr Stout and team were amazing and authentically caring from begining to end. Would definitely recommend."

"Dr. Stout and his staff are the nicest team. I highly recommend going to them for anybody that appreciates excellent care and treatment. They're all so personable and take wonderful care of their patients. Scheduling and payments are so easy and quick, it was really impressive for an office in high demand to be so attentive to each patient. I had my wisdom teeth taken out and they gave me the best post-op care and information to take home with all essential supplies needed. I had to get in for an appointment before my follow up appointment and he saw me within thirty minutes of calling his office. I love that they treat major surgery patients with the same care and attention of any other. I am so happy to have gone with Dr. Stout and his staff team. Thanks guys!"

"We felt welcome as soon as we walked in the door. The Front office staff is friendly and professional. An explanation of our first visit was given and forms were easy to fill out. We didn't wait long before Julie asked us back into their office. The office is decorated tastefully and quite clean. Julie explained the visit to my son,as he was the patient. She was clear and easy to understand and made him feel at ease. Dr Stout entered the room and again explained the visit to my son and myself. He was very thorough and asked if we had any questions. I could see my son relax and he was following everything the Dr told him. This is an office that takes great care in their customer service,making patients feel welcome,comfortable and happy to be there. I'm so happy we were referred to this office! Dr Stout and staff are awesome!"