It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



TMJ Disorder -TemporoMandibular Joint Message Board


TMJ Disorder -TemporoMandibular Joint Board Index


Hi everyone,

I am new to the board and just wanted to introduce myself before posing my first question.
My name is Jen, and I have suffered from TMJ for about 15 years (I am currently 31). The first 15 years, I just had a clicking jaw, which never really bothered me, and didn't (at that time) see the need to seek treatment for. About 5 years ago, I began to experience muscle tension, which has now developed into full on pain in my facial muscles, as well as some small pain in the actual jaw joint. I failed to seek treatment due to being afraid of the cost and the time involved in treatment, but it has finally gotten to the point, where I HAVE to do something about it.
I found a neuromuscular dentist, and based on the treatment plan they have, I felt comfortable with going for it. I saw her this last week, and had severe sticker shock. Phase 1 with her is going to cost over 7K. She took what I believe were X-rays, which showed disc displacement on both sides, as well as wearing of my jaw bone, which I pretty much already knew was going on. She also said, that it was fairly severe, and another year or so without treatment would possibly require surgery.
I go in for a quick filling on Tues and will then get fitted for my orthotic splint, which she told me I will need to wear 24/7.
They spent a few hours trying to get my insurance comp to cover it, but that didn't work.
She did explain, that I will need to come in for therapy once a week for the first few months, and then down to bi weekly, as I get better. And I felt REALLY comfortable there, other than the cost of course.
However, I found some really negative reviews online about the practice, but none were with her TMJ treatment, just other patients who felt that the treatment she prescribed for other dental issues were unneeded and expensive. But seeing those reviews are making me uneasy.
But, she was trained at the Las Vegas Institute, and I like that it will be a one stop shop for everything... I work full time (shift work, weird hours), and have a toddler, so time is very hard to find. I really don't think I will be able to keep up with treatment, that involves various Drs, plus PT elsewhere, etc. I live in DC, and its so hard to get around, let alone with my crazy hours.
I felt comfortable knowing that I will be there so often, so if any issues come up, they will quickly be fixed.
One thing, that makes me uneasy though as well, is that they require the total amount up front for the treatment for phase 1. Is that normal for TMJ Phase 1 treatment? I was able to get 2 years of financing for a little more than half of it, but will have to pay around 2500 out of pocket.
Plus, we may be moving out of the area in 6-12 months, so I am nervous about committing (and paying for) a full year of treatment in case we move.
I plan on coming to her with my moving concerns on Tuesday and see if I can just pay half now and half in 6 months, but don't know if that is an option...
I guess I just wanted to see other people's experiences on cost, and how you paid i.e. all up front, how much, etc.
Also, if anyone has any recommendations for treatment in DC, or close to it in case I end up checking out others.
Thoughts?
Thanks in advance!
Not to complicate things for you, but I have written about these LVI dentists on this thread in the past. If you search LVI dentist on the web, you will find some interesting information about their treatment and billing tactics. In short, they pay lots for their training (which is not necessarily the best for everyone), and then they jack up their prices. This may not be the case for all of them, but it appears that this particular provider seems to be doing just that.

You will never know how much of anything you will need until you start your treatment. For example, you may be fine and not need much physical therapy. You may only need one adjustment per month, or one every 2 months. Most dentists charge by the visit. I am paying about $150 per visit and my splint cost me $1,500. I go to a separate physical therapist and pay her $140 per visit. All of this is covered by my medical insurance (except the splint was covered by dental).

I notice you are in the DC area. I know some good dentists (not LVI) that treat TMJ in the Bethesda area. They will not ask you for any up front payment like this. Think about it...you may start the splint therapy and find it is not working for you. Will they give you a refund?

Also, you will most likely need phase 2 treatment, which will really cause you sticker shock. Have they quoted you any ballparks for that? I have heard some very large numbers. Be very careful...it could cost upwards of $20K.

Just something to think about.
[QUOTE=clencher1;5177166]Not to complicate things for you, but I have written about these LVI dentists on this thread in the past. If you search LVI dentist on the web, you will find some interesting information about their treatment and billing tactics. In short, they pay lots for their training (which is not necessarily the best for everyone), and then they jack up their prices. This may not be the case for all of them, but it appears that this particular provider seems to be doing just that.

You will never know how much of anything you will need until you start your treatment. For example, you may be fine and not need much physical therapy. You may only need one adjustment per month, or one every 2 months. Most dentists charge by the visit. I am paying about $150 per visit and my splint cost me $1,500. I go to a separate physical therapist and pay her $140 per visit. All of this is covered by my medical insurance (except the splint was covered by dental).

I notice you are in the DC area. I know some good dentists (not LVI) that treat TMJ in the Bethesda area. They will not ask you for any up front payment like this. Think about it...you may start the splint therapy and find it is not working for you. Will they give you a refund?

Also, you will most likely need phase 2 treatment, which will really cause you sticker shock. Have they quoted you any ballparks for that? I have heard some very large numbers. Be very careful...it could cost upwards of $20K.

Just something to think about.[/QUOTE]

Thank you for this information... could you send me the information of the Dentists in Bethesda? I think I can swing traveling up there... and if it saves me a decent amount of money, I am willing to try anything. I am really worried about starting treatment and then having to move, and losing all that money.





All times are GMT -7. The time now is 06:44 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2017 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!