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Letter: The pain premium: How dental practices exploit vulnerable patients

Medical price transparency has seen progress across our country, but dental care remains an unregulated frontier where consumers are systematically exploited. When a patient is in acute physical pain or lacks dental insurance, they face a business model designed to maximize profit at the expense of their suffering.

The issues run deep. First is the predatory collection of Social Security numbers on basic intake forms. While masked as identity verification, this data is frequently used to run soft credit checks or risk assessments. This allows clinics to manipulate pricing, demand steeper upfront cash deposits, or push third-party financing based on a patient’s credit rating. Nobody should be judged on creditworthiness just to receive urgent treatment for a physical infection.

Compounding this is the “referral carousel.” General dental clinics routinely charge patients steep diagnostic and X-ray fees, only to immediately refer them out because the clinic lacks the specialized staff for the required procedure. Patients in agony are then forced to pay a second set of diagnostic fees at a new office because clinics often refuse to seamlessly transfer digital records. Furthermore, uninsured patients are slammed with the highest “cash prices,” while insurance companies enjoy prenegotiated, deeply discounted rates.

We must protect Utah consumers. Lawmakers need to establish a basic Dental Consumer Bill of Rights that enforces upfront scope-of-practice disclosures, bans duplicate diagnostic fees, mandates online price transparency for common emergency procedures, and stops credit-based price manipulation.

Deniece Chapa, Pleasant Grove

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