DentaQuest
Reviews and Complaints

I have been calling for over 6 months I believe to get benefits for my mother, Alberta Siegel. She has a cracked molar that needs to be removed and a front tooth that has fallen out. I have received very few names of dentists in my area. She originally went to one that is now claiming it is no longer 'credentialed' with you. A waste of time. She went to Polo Dental a few months ago and no one has bothered to call me back. They also barely speak English. My mother has been in pain for months and looks like a hillbilly missing her front tooth. Your service is a sham. Very few competent adult dentists in my area and no follow up from the lousy dentist we were forced to go to. I have called your corporate office but can't get through. Obviously you don't want to hear complaints. Now I have no choice but to file a complaint with AHCA and the Governor of Florida. Dentaquest is nothing but a ripoff for taxpayers. Taking their money and providing no services. Shameful!

Omg, this consumer DentaQuest has been a complete nightmare I have been calling and recording calls with customer service for over a month and yet nothing has been resolved. They keep you on the phone well on hold over 30 minutes without checking back. Oh my how aggravating when you're at work trying to take care of business for you kids. I've made two complaints were I received an confirmation [protected]-01&[protected] and each time I was advised I would get a call back and i have yet to receive a callback and I'm sick of it nobody wants to help. Even the corporate level nothing is done. Pissed parent!

My daughter went to the dentist and the dentist said she needed braces but dental quest won't approve them for her. Stating it's not medically necessary for her. How can they make a determination like the Dr. doesn't no what he's doing..they not the doctor and they haven't seen my daughter to make a decision like that..the reviews that I seen about them making me wanna change plan.. they don't care about my child well being, they care about saving them money to not pay.. can't wait to find better that will put my daughter needs first..

Nobody answers the phone. I've been trying to call to see if my child's regular appointment will be covered, since a dentist came to my kids school, because she will be due in a few weeks, but when I call, all I get is an automated system asking for a number I don't even know what it is & it goes on to playing music. I've tried calling 2x just today, which I'm actually on the phone right now, and I've been on hold for 35 minutes already & nobody has ever picked up the phone. How am I supposed to find out this information if nobody will pick up the phone, because I also have to make an appointment by a certain date but I can't even see if I'm allowed to because they won't pick up the phone.

Paid Denta Ouest a payment of 35.00 was supposed to be Denta Trust. Someone from Denta Ouest cashed the check knowing that I Barbara Mayes do not have a plan thru Denta Quest. I am asking for a full refund because I don't have insurance from your company . Everyone makes a mistake and I did on this.

May 2nd card charged
May 9th payment delivered
May 15th check cashed by Denta Ouest

A few days before Christmas, I developed a toothache. I went to our local
provider (Charlotte County Health Department), who informed me that I
needed the tooth removed by an Oral Surgeon, due to an infection. He
could not do it, and gave a me a list of reasons. Reasons such as "we're
closing for the holidays in an hour". Now, I have survived Sepsis back in
2014, and open heart surgery, during which I received an artificial Mitral
Valve. I have tooth infection, plus a a history of Mitral Valve replacement
and Sepsis. Anyone with a medical background knows I am at big risk
with a tooth infection. So the Dentist at Charlotte County Health
Department sends me home with a prescription for a ten day supply of
clindamycin, and refuses pain meds because of an "opioid crisis". He
also informs me that he couldn't work on me anyway, without a prior
approval from my primary physician, and a separate approval from my
insurance, Molina Healthcare.
So I call my primary, which is North Port Health Center. I tell them I
urgently need an approval, due to my pain, and the risk due to my heart
condition. I leave a voice mail, stressing the urgency of my situation.
North Port Health Center never calls me back. I then call Molina
Healthcare. They put me in touch with "Dentaquest", whom they say is
my dental insurance provider. Dentaquest gives me the names of two Oral
Surgeons, that will take my insurance. They are the only two within an
hours drive.
The first one, "Great Expressions", in Ft. Myers, tells me that they have not
actually had an oral surgeon there for some time, so they cannot help me.
The second one, "Coast Dental" in Cape Coral, takes my info, verifies my
insurance by having me give my member ID, etc., and schedules an
appointment for January 3rd, 2019, about a week and a half from the day I
called them. It was the best I could do, so I took the appointment, and
continued taking the antibiotics.
At about One O'Clock in the afternoon of January 3rd, the day of the
appointment, Coast Dental of Cape Coral calls me and says "Sorry, we
don't take Molina Insurance, as of the 1st of January". Yes you read it
right. Two and a half hours before the appointment that I had counted on,
and scheduled mine and my families time around- "sorry, no appointment
for you. Bye".
I then call Molina Healthcare and ask what I was supposed to do. I need
the tooth out, I waited and took the meds, and now there is no oral
surgeon that will see me. Molina refers me back to Dentaquest. The
Dentaquest automated phone system takes my insurance info, then has
me on hold for 2 hours straight, before hanging up on me. I call back,
and eventually get a live person, and I explain the urgency, with my tooth,
my history, my heart, etc. The person refuses to identify themselves,
and they tell me that they need to figure out why I "have two health plans
in the State of Florida", and if I am "supposed to do that". They refuse
to discuss my urgent need, my pain, and the fact that they sent me to
oral surgeons that either don't exist or were about to drop Molina from
their coverage plan.
I tell the person that their paperwork is not my problem, and that I just
need to see someone. They try shouting me down, as I explain about
my heart. Then they hang up on me. (Yes, I recorded the conversation)
I then call Medicaid Administration in Florida, who tells me they can't help
me until my grievance with Molina is resolved (could take 3 days), and then
after that, a Medicaid investigation (could take another week to 10 days).
They say I need to call Molina back, and have them straighten things out.
I call Molina back, and they say they have nothing to do with dental care at
all, but they will call Dentaquest for me anyway, straighten out their
coverage issues, and they will call me back with all the information I need
to be seen. They have not called me back. Why am I "shocked"?
I am nearly out of antibiotics, my tooth hurts, no one will see me, and I am
very concerned about my heart.
It's 10:00 am on the 4th of January. No one has called me.
My conclusions:
North Port Health Center failed to call me back, when faced with an urgent
request. Charlotte County Health Dept., should have treated my tooth. It
was medically necessary. Molina has not followed through with promised
info. Coast Dental failed to inform me of their intention to drop Molina,
thus extending my pain and increasing my risk for Endocarditis.
Dentaquest- where to begin with them? Knowing the risks I face, they
sent me to two providers, one that was not an oral surgeon, and another
that was about to drop the insurance plan. During the first call to
Dentaquest before Christmas, they either knew or should have known that
Coast would not be able to help me after January 1st. On the second call
to Dentaquest on January 3rd, they shouted me down on the phone and
hung up on me, when I insisted we deal with the provider issue, rather
than their perceived "two plans" fantasy.
The state of Dentaquest's knowledge of my case as of the time of this
writing, is that I am in need of an urgent tooth extraction, I am in pain, and
at risk for severe heart complications, and they have hung up on me rather
than provide an accurate list of Oral Surgeons that will take my insurance.
My guess is that they should not be doing business in the State of
Florida.
I have no one left to call, no provider, no nothing. I am nearly out of the
antibiotics that I have been on since before Christmas, and am not feeling
well. My head hurts constantly from the tooth, and I am scared of having
my heart go bad again. I would be doing something to take care of my
tooth if I had any more choices, or anyone else to call, instead of taking
the time to write this out. I really don't know what to do next.

I've been trying to my premium since the 15 the of December when I signed up for them. I called and they told me I wouldn't be able to make the payment until the 1st of January. Well today is the 1st and I try to make a payment online and my account it locked. I tried to call the company back bc when I press the forget my password it still wouldn't reset it back and the office is close. The only way you pay your premium with this company is through mail or online on a company and not a smart device. I always pay my bills online or by phone they don't advise you of this information when your looking for benefits. Now I'm about to have no dental benefits due to the lack of communication and technology with this company. This is the worse experience ever.

My daughter has been trying to get 4 impacted wisdom teeth taken out since her March 2018 visit with her dentist Mark Johnson in Flagler Beach, FL. We were referred to Dr Jason Sheikh in Daytona Beach at Coast Dental who moved back to South Florida a week before her consult. We had to wait for another referral which I was told UNF Dept of Oral And Max Dr. Bunnell but come to find out he was not on the plan. Then we were referred to Dr. Nathalie Shoer in Casselberry which was a 1 1/2 hr drive one way from our home. We went for the consult and she gave us a bill of $912.00 and said if we did not pay $584.00 for cologen to be put into the holes where the teeth were removed she refused to do the surgery. We had to obtain another referral after having them void the auth for extraction and we were sent to Dr. Jason Lee in Jacksonville who is 80 miles from our home one way. We went for the consult which on the referral the address was incorrect almost causing us to have to reschedule the visit. They seen us over an hour late because we had to drive another 20 miles across town. Now he submitted for the 4 impacted teeth but when I call Dentaquest is telling me they did not receive the auth from Dr. Lee an that Dr. Shoer still needs to cancel the auth she sent. I called Stacey at Dr. Shoer and she said this was done on Sept 4 with confirmation #[protected] and she spoke with ZasZas. I am about to get in touch with Tallahassee and complain to someone about you all as my daughter turns 19 on Dec 16 and is on a time crunch to get these teeth removed. Will someone reach out ASAP and get the referral expedited so she can have the surgery. Also when I call Dentaquest their is an hour plus hold and then you get people who are not very knowledgable with insurance and referrals.

Do not purchase from this Company / I bought my plan Va EPO thru the marketplace. I was led to believe this was insurance, It's not. Even though on the web sight, on my plan it states Restorative coverage, I was informed today that cleaning is all they cover no matter what the web sight says. So I give them $227.00 a year and they cover a $80.00 cleaning . What a Scam! Even the dentist said this is worthless. And some how they are being promoted on the Heath Care.gov web sight.

They cover only the basics. But in order to do the maintenance that they do cover I need a deep tissue periodontal cleaning. Or there's no way to do the maintenance that's the beginning of maintaining my teeth my gums for them to be healthy. And they denied the cleaning. Anything that has ever been requested by my dentist they deny it. They're worthless.

I choose this plan in December and paid the monthly fees. As of today 1/25/2018 I am still not in this system and I am unable to use the health coverage I have paid for. This is unacceptable for a Health care plan to not be active after this time frame. I request that I receive credit for this month as I have repeatedly called and tried to set up a dental appointment. I have a very bad gum infection/abscess and I am in immediate need medical attention.

The oral surgeon office Is having complications With the approval They claim they put emergency paperwork through got no response within 48 hours I have been in contact with Dent equest asking to speak to a manager there is nobody to get a good response to get help with the emergency service I am in deeply need The surgery so on as possible If there is anyway a manager could assist me

We are a dental provider who has been working with Dentaquest for several years now. They are the worst insurance company out there. They don't know how to process claims correctly or process pre-authorizations. We will send them all information that is needed only for them to deny stating they didn't receive the correct information. Even though they have all of the attachments on file in their system. Something needs to be done! When you call and complain nothing is addressed. They shouldn't be an Insurance if they have no idea what they are doing there or how to handle situations!

First of all they act like your trying to steal someone's identity because you call them and request a list of providers near you. Three phone calls later and getting a half way decent rep the nearest dentist is over 100 miles away! I get your insurance because I'm poor not because I can afford to travel 100+ miles away to get very painful teeth extracted. I've heard from several local dentists in my town they don't except your insurance because of the lack of payments. This is very poor patient care. You all should pay these dentist fair wages to perform these services so the already poor people don't have to travel 100's of miles and risk loosing their homes because they are in so much pain they have no choice but the take from their bills to travel so they can live without pain. It's takes a very satanic company to have these kind of values. Karma(God) will get you back I'm sure. I will wait patiently and in severe pain for your payback. Very cruel and disrespectful company

Have filed a complaint and grievance back in the month of April 2017; received a letter from an April Brown whom was handling my complaint and grievance - even re faxed her the appropriate letters and bills I have had to incur due to having to see an Oral Surgeon out of network in asking for reimbursement ... have called SEVERAL times and am now being told -WHICH IS EXTREMELY ODD TO SAY THE LEAST -that there is not such person as "April Brown" and apparently my complaint/grievance was NOT addressed by anyone else. I have addressed SEVERAL URGENT complaints via the customer service rep but have NOT RECEIVED ANY CONTACT FROM ANY DENTAQUEST REPRESENTATIVE ADDRESSING MY COMPLAINT/GRIEVANCE ... I need to seek an oral surgeon out of network for my health and well being as teeth are causing infections and i am not able to chew as they are chipped and hurt terribly...I am in serious need of an Oral Surgeon as such teeth are hindering my health that DentaQuest cannot supply ... Then there is the issue with seeking care for dentures upon the oral surgery --- Frankly, SEVERAL months have gone by and my dental health worsens daily...

Patricia Kirk - Fidelis/Dentaquest member ID [protected]
[protected]

New customer since Jan 2017, wrote checks or money order for first 2 months premiums.

Tried to pay online or over the phone and they will not accept it.

Requested refund of first two months premiums (not expecting to get it) and continue to receive a monthly bill just before its due.

I am not writing a check every month for anything.

Thanks but no thanks. This is 2017.

I've been trying to have a tooth extracted due to infection & dead nerve since late Feb. I was denied 3x. I was sent to an Oral surgeon for sedation due to the active infection not allowing the numbing medication to work TWICE. DQ has denied me 5x total after 5 appeals. Ive been living with constant infections for months. They are inhumane and cheap. They DO NOT CARE ABOUT DENTAL HEALTH JUST THEIR POCKETS! Who in their right mind makes a single mother of two small children suffer with oral infections due to a bad tooth BEG for simple care? I find it ironic how they hide behind their desks and you cannot call them directly. I never had this much resistance with any other insurance company. I hope they get theirs!

I like to pay my bill through a check in the mail, and they always send me a late bill, usually less than a week before it is due, which means it is almost late every time. This time, it is less than 1 week, and I still haven't even gotten my bill so I can pay for my insurance! So, I am trying to login online complete the payment for this month. I can't remember my user name or password, and made mistakes, and now it is saying I need to contact the administrator and can't try at all! It is so frustrating, and they don't even give me a contact for that. I hate having to call because the people are rude on the phone and put you on hold for a long time. And there are no emails in sight to contact about an issue like this. Why can't they just send things on-time to ensure I can have the coverage I need? I would love to pay on-time.

I joined a new plan January and in March had a toothache and contacted DentaQuest to choose a dentist. I was told that new dentist (provider) would show on their website 1-April but they had an emergency authorization procedure. Apparently new provider has had problems with this before so they refused.

I wait until 1-Apr and call both DentaQuest and new dentist to verify that everyone sees new provider in the system.

I show up at my dentist and they now see I was switched back to my old (inept) dentist so I cannot use my insurance for my toothache (that will probably require a root canal).

I call DentaQuest and they say it will take a few days before new provider shows up again on their portal. I ask to talk to a supervisor. I'm put on hold, then transfered to a voice mailbox. I leave a message. No return call. I call again and ask for a supervisor; yet another voice mailbox. Again, no return call in several days.