What is Peer Review?
Peer Review is an option to
settle complaints about dental treatment performed by NYSDA member dentists.
It is a form of common-law, contractual arbitration and provides
confidential, impartial and timely mechanism to resolve disputes about
appropriateness of treatment and the quality of care rendered by New York
State Dental Association (NYSDA) member dentists. There is no cost for this
Concerns About Your Care?
When you choose a NYSDA
member, your dentist is committed to providing the highest quality dental
treatment possible. If you have concern about the care provided to you, the
first thing you should do is go back to your dentist. Often discomfort after
treatment can be fixed with an adjustment or additional care.
NYSDA Peer Review Committee
resolve disputes about the quality of care and appropriateness of treatment
rendered by its member dentists. They review and mediate disputes among
patients and dentists.
- Fee disputes are private
matters between doctors and patients. Dentists establish fees
individually and independently of each other. Peer Review addresses
questions of "usual or customary fees" only in cases involving dental
- Fee disputes must be
settled privately between the dentist and patient, or by the courts, and
can't be resolved by NYSDA, Third District or any other public agency.
All NYSDA members are
required to participate in Peer Review and to abide by the decisions of Peer
- Peer Review is a dispute
resolution process. NYSDA offers this as an alternative for patients to
resolve complaints about treatment quality. Peer Review cannot hear
complaints that are before (or have already been resolved through) the
courts or the New York State Education Department.
- There is no charge for
- Peer Review is objective
- Peer Review can only
evaluate treatment completed within the past two and a half years.
- When Peer Review funds
treatment unacceptable, the dentist is directed to refund only the fees
received for that treatment. Peer Review does not make punitive awards
- When treatment is found
to be appropriate and the care provided acceptable, all outstanding
patient fees are remitted to the dentist
How Does It Work?
- Both the patient and the
dentist submit the Agreement to Submit to Peer Review.
- A mediator will contact
them to try to resolve the dispute
- If mediation is
unsuccessful the Peer Review Committee conducts a hearing. The hearing
committee is made up of three volunteer dentists. These dentists examine
all patient records and other evidence submitted. They interview the
dentist and the patient. They individually examine the patient's mouth
- A letter of
determination is send to both the patient and dentist upon completion of
either the mediation or hearing explaining the committee's findings.
How Do I Find Out More?
- Contact the Third
District Dental Society if your dentist practices in Albany, Rensselaer,
Columbia, Greene, Ulster or Sullivan county at 518-782-1428
- Other counties are
listed on the
NYSDA web site.
Download the Guide To Peer Review
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Third District Dental Society of NY 2015