Johannah Lancaster took her 3-year-old to Dental Express for his first checkup. She never imagined the treatment the dentist would come up with after he peeked into Gregory’s mouth for what seemed like only two or three minutes
“There is never a time where a population statistic will override the individual needs of a patient,” said David Preble, senior vice president of the ADA’s Practice Institute.
Dental chains, including North American Dental, have devised company structures that allow them to skirt those laws. North American Dental rents the office, owns the equipment, employs the staff, handles the billing and, according to insiders, sets the revenue targets. The dentists are employed by a second affiliated company that owns the practices.
The debt from private-equity-driven leveraged buyouts can put tremendous financial pressure on companies like North American Dental. In December 2017, North American Dental Group had total debt of $128 million, according to company financial data reviewed by USA Today/Newsy. Verena McClain, a student from Germany, joined the fray after she was treated by Krueger two years after he joined North American Dental.Krueger told her she needed to replace a crown she had just gotten in Germany. Over the course of two more visits, he said she needed four crowns, at a cost of $5,900. With insurance and a discount, her out-of-pocket share would come to $3,300.
“It's one thing if you go to your car mechanic and they recommend something that you don't really need,” McClain said. “But losing your perfectly healthy teeth, that's a part of your body that they're violating. How dare you try to do that to me?” Carrie Cochran, Newsy The lawsuit says Kramer saw one patient last May who had just gotten two root canals and was told she needed more, but X-rays showed otherwise. Shortly after, Kramer saw another patient who was told he needed 18 root canals.
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