In by ombudsman

The complainant was upset because a dentist had provided dentures that the complainant said were painful, and the dentist’s efforts to adjust the fit had failed. Understandably, she wanted a different dentist to do a new set of dentures. However, Medicaid had already paid the first dentist, and would not pay for another set of dentures unless the dentist first returned the money to Medicaid. That dentist was not inclined to return the money. He offered to continue trying to make the complainant’s dentures fit, a solution satisfactory to Medicaid but not to the complainant. The Ombudsman referred the complainant to the Alaska Dental Society, a voluntary professional organization with a peer review process. The complainant’s dentist was a member. The complainant contacted the Alaska Dental Society. Shortly after that, the dentist agreed to reimburse Medicaid, which freed the complainant to go to a new dentist for replacement dentures. (J2016-0025)