If we did, it appears their management thinks their work can stand on its own merit. Although I learned that the only two oral surgeons that took DentaTrust insurance were more than 30 minutes away. . I'm still gonna be out of pocket for all these costs that I got this insurance for in the first place. or a root canal done. I explained everything and was told to submit a complaint to Dentalquest, which I have done. She gave me a prescription of antibiotics which a started taking immediately. In addition, the crowding due to these teeth are causing debilitating migraines, which caused her to miss a lot of school. Claim it and get a lot of features. No results. DentaQuest is the leading Medicaid dental administrator in the nation. I called DentaQuest to find out why this was denied and to file an appeal on 03/19/21. I then spoke to a representative to confirm this and to know my portion which I was told would be $410.75. I then called my dentist to schedule the work which was done on 03/30. On 1/15/2021 DentaQuest finally called to tell me that I did have coverage and since I went out of network I would have to fill out a reimbursement form and that it would take up to 6 months for payment. Wisdom teeth removal coverage. We have successfully completed an independent, third-party SOC 2 audit by the AICPA of the processes and controls that ensure the security and availability of our information management systems and data. Seriously? Cover the charge based on American Dental Association Guidelines which include pain. I was told yes. When I saw the Dentist he advised me that it would cost me over $50,000. Your web browser (Internet Explorer) is out of date and no longer supported. Share your photos and videos with others to prove the truth of your words. He hangs up. I decided to see a dentist before I had those other tests. Thank you. This DentaQuest is a very very very bad dental insurance in the USA post this on facebook, maybe someone will pay for your surgery. For more than 15 years we have helped nearly 50000 customers resolve their issues and will never stop striving to ensure further improvements on our platform for a better communication between companies and customers. I broke my denture completely in half and was told on 12/272020 by DentaQuest that I did not have coverage for a denture replacement. I must assume that I am not the only policy holder that has problems with both of these companies. Copyright 2008-2023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc, Ask anonymous questions on Fishbowl and get real time answers from DentaQuest and MCNA Dental Plans employees and others in your industry. Privacy Policy, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on Tumblr (Opens in new window), The Incredible Tug Of War Over OCare Repeal And Medicaid Expansion, Judge: Texas cant kick Planned Parenthood out of Medicaid. The rating was last updated on 02/06/2023. Contact us to find the right plan for your family. Refusal to cover wisdom teeth extraction causing extreme pain and suffering for a minor. Preventistry is their inclusive approach to care and expanded access built on partnerships between patients,. After the $1300 crown was in place, I paid my portion 50%. She said that she would have to contact Healthfirst to see if they would pay for the dentures then they could reimburse me for that amount. DentaQuest and MCNA Dental are the states managed care organizations for dental Medicaid. It also offers vision insurance. The company's Member Advocates engage. endobj
My name is Tyshondra Barnes I being under DentaQuest plan for about two years and it under Humana. DentaQuest Page 1 / 1 Zoom 100% The truth of the matter is that we don't see anyone here we recognize and bravo to DentaQuest for spending less than $75,000 on lobbying if we got this right. With all the correspondence I've had between Dentaquest, I've repeatedly been told "there is no medical reason to remove them". <>
I filled out the reimbursement form and sent it to Wellcare which they received in 2/2021. 1 0 obj
A nation where no child suffers from the pain of tooth decay. Check member eligibility status. The whole Medicare advantage type plan is a scam to take your Medicare payments and replace Medicare with unscrupulous insurance operators. They tend to not be treateduntil theres pain and need severe work. Desired outcome: Remember, without regular dental care, your child's mouth could become unhealthy. hb`````b`a`a`@ fV8w@Bf\g``Ph '3s -`@OX2,ga*aje|g7FZap10s@d@L. Together with our affiliated companies, we provide exceptional service to state agencies and managed care associations all across the nation. No matter of incorrect or correct paper submission will help, support service is poor and no use at all. There are options for dental care at no cost or reduced cost for qualifying children. I have had 3 Caresource caseworkers work with issue that is impacting my health but nothing has been accomplished. OHCA selected DentaQuest, LIBERTY Dental, and MCNA Dental to administer benefits for the more than 770,000 Medicaid-enrolled eligible adults and children statewide. DentaQuest encourages Members to get non-emergency dental care from their Main Dentist and not in the emergency room when that is appropriate. The 3 dental plans for children on Medicaid are: DentaQuest, MCNA Dental and UnitedHealthcare Dental. Wellcare sent me a letter in 4/2021 stating that the reimbursement form was forwarded to Dentaquest. An absolute rip off. The office had not received the pre authorization so on 03/31 I called denta quest to have them send over the authorization and was told there wasn't one. Come to find out, nobody takes this insurance. I would not have went, if it wasn't going to covered, that's why I called to begin with. Delta Dental specializes in dental and vision insurance. Reproduction or republication strictly prohibited without prior written permission. When I check the automated phone it tells me it was accepted and list all 5 codes. 4.0. on January 14, 2023. Regardless of advertiser status, none of the listings, reviews, or other information on Wallet Hub constitutes, in any way, a referral or endorsement by us of the respective financial company or professional, or vice versa. card per member, per lifetime. New Orleans Dental Conference & LDA Annual Session, Calendar of Statewide Dental C.E. Desired outcome: I am asking for full reimbursement since they are the one that misinformed me about the policy. seems too cheap? ComplaintsBoard.com is a leading complaint resolution website on the Internet. Submit claims and authorizations. Extra services offered by each plan are also listed. I dont believe their in house dentists accurately look over claims and often deny very quickly in response. I did not use this service during the year because of Covid. Upload necessary documentation. SoonerCare is the name for Oklahomas Medicaid program. My pain management doctor wanted to schedule an MRI of my neck (I have degenerative disc disease). The Agency for Health Care Administration announced that it will sign statewide contracts with MCNA Dental, DentaQuest of Florida and Liberty Dental Plan of Florida. MCNA is dedicated to promoting high-quality and cost-effective oral health by increasing access to dental care for the public. Please download one of these up-to-date, free and excellent browsers: MCNA Dental (MCNA Insurance Company and Managed Care of North America, Inc.) is a leading dental benefits manager committed to providing high quality services to state agencies and managed care organizations for their Medicaid, Children's Health Insurance Program (CHIP), and Medicare members. I called around June 5th, I was told when I called, that since I had no where else to go, that I would be reimbursed the full 100%, $165.00. of course its not included in my dental benefits but Dentaquest still denied me of getting the service. Call DentaQuest at 1-800-516-0165, MCNA Dental at 1-800-494-6262 or UnitedHealthcare Dental at 1-800-822-5353. Most Recent. E.W. Teeth were extracted, bone graft was done, stitches and impressions were done. Florida Medicaid officials announced plans Thursday to sign contracts with three managed-care companies to provide dental care. Reimbursement in full $725.00. Information is displayed first and foremost for the benefit of consumers. I started to get scared and did not know where to turn. Alternative Treatments Totowa Dental Center Dentists from www.totowadentalcenter.com We are here to assist you in any way we can - 800-508-6785 - Louisianaproviders@DentaQuest.com. I spent over a month fighting this battle. $777,660 in unallowable, unsupported, or overstated consulting and non-executive bonus expenses in 2017. , MCNA said, Considering the scale of MCNAs contract with HHSC to administer dental benefits for, and CHIP programs, we believe that our strong financial, and adherence to HHSCs Cost Principles are evident in the result of this audit., In February 2020, former Texas Gov. the same approved message is on the automated machine I have temporary crowns in my mouth and now I am not sure if or when this will get approved. In support of preserving the integrity of nationally reported data, we have completed an NCQA-Certified HEDIS Compliance Audit and received the NCQA seal of completion, recognizing that our dental quality measures are in accordance with Healthcare Effectiveness Data and Information Set (HEDIS) standards for accuracy. It means that they have found a cheaper procedure they say will provide the same benefit as the procedure you were denied. Desired outcome: I have an adult daughter with Autism. Our network of dentists and oral health specialists is comprised of fully credentialed independent providers dedicated to superb clinical outcomes. For complete details on the scope of this review, visit www.ncqa.org. I was told to check back on T, 03/23 but I waited until 03/24/21. I had with me $6,000. Our Kids Zone contains interactive dental games, quizzes, downloads, videos, and more! In order to take full advantage of this MCNA website, we suggest that you enable JavaScript. to the office manager. If you do not know your child's CHIP dental plan, call the CHIP enrollment broker at 1-800-964-2777. I would not have gone out of network if they would have told the truth to begin with about my coverage. The dentists that take it, aren't board certified, which a dentist told me is mandatory to even be one. To learn more about these plans, you'll need to input your state to view your options and availability. MCNA has a large network of general and specialty dentists throughout Texas. x=ks8S& RdvMl*dr>@HvH D?t~[ww'w&lun8-'vz[lNOo84J"UQhx9Gq"/o0hD,*340dtGro~|d>E4t&/ o '"NtD8BdJLD)or. When I realized that I made that mistake I went back and spoke to the office manager that I wanted to be reimbursed my $6,000. Desired outcome: The key to our success has been our relationships with our general dentists and specialists in each region. Learn more by visiting www.mcnala.net or calling 1-855-702-6262. I want her approved for this surgery immediately so she doesn't suffer more or age out and the insurance be cancelled. They charged me for a CT Scan $350 out of pocket. To speak with a choice counselor, call the Statewide Medicaid Managed Care Help Line toll free at 1-877-711-3662 (TDD 1-866-467-4970) or visit www.flmedicaidmanagedcare.com. <>/Metadata 317 0 R/ViewerPreferences 318 0 R>>
Liberty Dental approved it all, $5, 000 worth of dental work and a coule of months later DentalQuest gets the contract. Desired outcome: this needs resolved. Desired outcome: Insurance companies are thieves and DentaQuest is the worst of these thieves. You can check the profile page of each professional or company to determine whether they are a paying advertiser (indicated by the word "sponsored"). Welcome to Our Web Portal! The move toward privatized managed care has been met with resistance from many corners, including among several lawmakers in Stitts own party, which has caused some dissension among Capitol Republicans. The anticipated go-live date for the dental program is July 1, 2014. Liberty Dental Plan of Oklahoma, Inc., is associated with the national Liberty Dental Plan company, which provides services in approximately a dozen states. hbbd```b`` "-A$q:2^,, rRd?b Ls? h{Hh&30Y> 0 :]
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Compliance vs customer service . The good thing is I have antibiotics. The dentist took x-rays and discovered that there was indeed a severe infection under the very last, bottom molar. The site's search ability has been disabled. Tutoring. This complaint was posted by a verified customer. The job did not workout so I went back to the marketplace and bought health and dental insurance (DentaTrust, again). Together with our affiliated companies, we provide exceptional service to state agencies and managed care organizations all across the nation. At DentaQuest, our mission is to improve the oral health of all. Contact us today to speak with a dedicated representative. The site's search ability has been disabled. Dentaquest medicaid Medicaid Dental FFS Fee Schedule Effective 01/01/2022 New Rates in Bold D0381 Cone beam ct capt mandible $137.60 1.00 $137.60 000 20 D0382 Cone beam ct capt maxilla $137.60 1.00 . Approximately 5/3/2022, I went to a Dentist. Current Employee - Clinical Review Specialist, Current Employee - Provider Hotline Team Lead, Ive been able to navigate and move up in the company very quickly Cover the charge based on American Dental Association Guidelines which include pain. Copyright 2023 Louisiana Dental Association. The oral surgeon saw her and took exrays, then submitted for the surgery to DentaQuest. We have been trying for months to speak with a case management representative. None of the dentist offices they sent to has not work and I raised my concerns in any event , I dealt with rude customer service over the telephone. Then they denied my insurance claim saying that Aspen is not in network. Message DentaQuest through secure messaging. The audit also found that DentaQuest did not routinely review, monitor and remove unnecessary accounts that have access to Texas HHS agency sensitive or confidential information.. 1.3. We are here to help you get the dental care you and your child need. Steps to help you pick your Dental plan: Look at the Dental Plan and Program Information page to see the Florida Medicaid Dental core benefits that all plans offer. Wisdom Teeth Impaction - "not medically necessary". Check benefits. Through the DBPs, we will be able to concentrate more on preventive care for the younger SoonerCare population, OHCA dental director Dr. Karen Luce said in the press release. About 16 percent of 1 and 2 year olds had a preventive visit. Now I had the work done because someone there told me everything was fine and you are now saying there no pre-authorization on file and no record of me speaking to anyone on 03/24. Ready to chat? DentaQuest Insurance Carriers MCNA Dental Plans Insurance Agencies & Brokerages Salaries DentaQuest has 510 more total submitted salaries than MCNA Dental Plans. Currently, the SoonerCare population under age 21 [is not regularly] utilizing the preventive care benefit. Rick Perry joined, Cockfighting fight turns back time at Oklahoma Capitol, The awkward family affair of Gov. Is this your company? In looking at options, I came across this complaint board. We have also earned National Committee for Quality Assurance (NCQA) Accreditation in Credentialing and Recredentialing*. 221 0 obj
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I was only sent $19.00. Good Morning , But the arm and hand pain have not come back, but my jaw was hurting everyday - and still is - and getting worse! Dentaquest on their site lists that impacted teeth are reason for removal. DentaQuest Phone: 1-888-468-5509 TDD: 1-800-466-7566 Website: http://dentaquest.com/state-plans/regions/florida/ LIBERTY Phone: 1-833-276-0850 TDD: 1-877-855-8039 Website: http://www.libertydentalplan.com/FLMedicaid MCNA Dental Phone: 1-855-699-6262 TDD: 1-800-955-8771 Website: http://www.mcnafl.net The rare time someone does answer they pretend to have a bad connection and hang-up. MCNA Dental's focus on outstanding service and support for participating dentists helps to facilitate the delivery of quality dental care and treatment. MCNA Dental Plans has an overall rating of 2.7 out of 5, based on over 73 reviews left anonymously by employees. DentaQuest and MCNA Dental administer the dental benefits for eligible Medicaid recipients. Are you kidding me? Editorial and user-generated content on this page is not reviewed or otherwise endorsed by any financial institution. DENTAL BENEFIT MANAGEMENT PLAN IMPLEMENTATION Through a competitive procurement process, the Department of Health and Hospitals' (DHH) selected Managed Care of North America Dental (MCNA) to provide dental services for 1.2 million Medicaid and LaCHIP enrollees. Swimming lessons (drowning prevention) $200 a year for up to 1,000 enrollees (children up to age 21) Humana will reimburse member after member submits receipts. 47% of employees would recommend working at MCNA Dental Plans to a friend and 36% have a positive outlook for the business. Your Internet Browser has JavaScript disabled. Show less. What do we pay this company for? The WalletHub rating is comprised of reviews from both WalletHub users and ratings on other reputable websites. This has been the worst experience in her 35 years. Dental Benefits Covered by each of Healthy Louisiana's 5 Health Plans. Refreshing. Honestly the coverage is similar to when I had full fledged dental insurance way back when companies actually had . Wisdom teeth removal coverage. <>
It's been 5yrs since I received my first dentures, regular wear and tear has them completely useless. They have denied for the 5th time crowns on my son's 4 front teeth. We offer many Medicaid, Children's Health Insurance Programs (CHIP), Medicare, and Commercial Dental Plans for our members throughout the nation. Louisiana Medicaid and CHIP Dental Program. 678.350.8943. You must click on either the "Add" button or the "No changes" button. The dentists they do network with are so overbooked and can not get me in for over a week for a DENTAL EMERGENCY. someone did not do their job and it causing me problems. Dental Implants vs. DentaQuest denied evrything except a root canal. Texas Awards Company $147.7 million Medicaid Contract in December, Rogers doctor in Medicaid fraud investigation also sued twice for false imprisonment, assault, more charges, Pill Mill Doctor Pleads Guilty to Medicaid Fraud, Drug Charges, DentaQuest Observes National Childrens Dental Health Month With New And Ongoing Partnerships, ADA urges CMS to improve transparency of Medicaid managed care plans, Investigation by Paxtons Medicaid Fraud Unit Results in $1.1M in Restitution to Health Care Programs, Berlin woman pleads guilty to Medicaid fraud, Texas Primary Care Consortium outlines policy priorities for 2023 legislative session, Troy doctor indicted on healthcare fraud, accused of bilking Medicare of more than $448K, Former NBA Players Sentenced For Defrauding NBA Players Health & Welfare Benefit Plan, State awards $187M contract to Conduent for Medicaid management information system, ADA Store releases guide to compliance regarding HIPAA breaches, Pharmacist convicted in $1 million Medicare fraud scheme, News 4 Investigates: St. Louis medical ethics professor on probation for Medicare fraud, Illinois State Dental Society Announces Patient-Centered More for Your Smile Legislative Package, Former Oregon Dentist Sentenced For Pandemic-Relief Fraud, OSU SGA partnered with Delta Dental to provide free services for students, Former Las Vegas Medicaid provider sentenced to prison in fraud case, DentaQuests Cheryl Polmatier Named to Women in DSO Advisory Board, Attorney General Rokita and Team Win $700,000 Settlement over Alleged Medicaid Fraud, The Pill Club reaches $18.3 million Medicaid fraud settlement with California. February 6, 2023 @sugarfancy222. DentaQuest provides outcomes-based, cost-effective dental solutions for Medicaid and LaCHIP recipients. Adequate correspondence with Dentaquest. The key to our success has been our relationships with our general dentists and specialists in each region. MCNA Dental is the largest dental insurer in the nation for governmentsponsored Medicaid and CHIP programs. I had Liberty Dental through my Medicaid provider, Molina Health Insurance and they approved a whole list of needed items including teeth cleaning, crown, and finishing my implants. The Agency selected the following dental plans to operate statewide: DentaQuest LIBERTY View Provider Directory Please call our Member Hotline at 1-855-691-6262 if you need help to find a dentist. My daughter and son were given the same canned response and both denied the same day the claims were submitted I am beyond angry that the insurance decided that the care the dentist recommends is not medically necessary. (up to a 10 at times) Review claims status. Web extra services dentaquest mcna dental unitedhealthcare dental gift programs oral health supplies such as $25 gift card for qualifying texas health steps dental checkup:. I was so disappointed that I could not have full mouth implants that Click here to learn how to turn on JavaScript. We invite you to explore our resources. The Facts About the Medicaid Orthodontic Scandal 2007 to 2012, Judge Overturns Conduent Insurance Fraud Jury Decision, New Trial Ordered, Houston medical center fined $21 million for Medicare fraud scheme, State medical board chair Dr. Brian Hyatt resigns, faces Medicaid fraud allegations, Troy doctor indicted on healthcare fraud, accused of bilking Medicare of more than $448K, Texas HHSC actively recruiting additional staff ahead of Medicaid redeterminations, Texas Lost 5% of Medicaid Dentists While Child Enrollment Increased by 26.4%, Attorney General Ken Paxton agrees to apologize and pay $3.3 million to whistleblowers in settlement, OIG Audit Finds United Healthcare Inaccurately Reported $8.1 Million in Overstated Expenses, Conduent Strikes Again! MCNA was the first dental plan in the nation to receive full URAC Dental Plan Accreditation. Pain. On Jan. 29, the governor announced that four companies had received contracts to manage medical care. DENTAL HEALTH & WELLNESS DENTAL NETWORK OF AMERICA (DNOA) DENTAQUEST (FHK) DENTAQUEST (MEDICARE) DENTAL SAVE DENTEMAX DEVOTED HEALTH (LIBERTY) EMBLEM HEALTH PPO (CAREINGTON) ENVOLVE DENTAL (Ambetter, Allwell, Liberty Wellcare) FEDVIP FLORIDA COMBINED LIFE FLORIDA DENTAL BENEFITS FLORIDA HEALTHY KIDS (FHK) FREEDOM LIFE PPO (DENTEMAX) In a response to theaudit, MCNA said, Considering the scale of MCNAs contract with HHSC to administer dental benefits forapproximately1.5 million children enrolled in theMedicaidand CHIP programs, we believe that our strong financialcontrols and adherence to HHSCs Cost Principles are evident in the result of this audit.. Extra Services DentaQuest MCNA Dental UnitedHealthcare Dental Gift Programs Oral health supplies such as $25 Gift Card for Qualifying Texas Health Steps Dental Checkup: For Members aged 12 months through 20 years old. I completely forgot that Healthfirst would cover the dentures that I wound up paying all my $6,000. I live in a huge city, in fact in the midst of two cities only two practices use this insurance for oral surgery. After this experience with DentaTrust, I'm afraid of their dentists. Registered Dental Assistant (Current Employee) - Florida. I had to put in reimbursement for my money back and I had to email the state on their conduct. I am Hi Racquell, 18. MCNA is dedicated to promoting high-quality and cost-effective oral health by increasing access to dental care for the public. I waited till 6/2021 since that is I was told by Dentaquest in 1/2021 that it would take at least 6 months for my reimbursement. %PDF-1.7
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Your Internet Browser has JavaScript disabled. "Work life balance" was the most mentioned. (Second-of-all) this different rep told me that because I had DentaTrust all last year that the waiting period had been met then a pause and "oh" she said, "you were not enrolled for the month of January so the waiting period did have to start over." MCNA consistently maintains high member and provider satisfaction rates. View up-to-date payment information. %PDF-1.7
Furthermore, it is important to note that the inclusion of a financial company or professional on Wallet Hub does not necessarily indicate their involvement with the site or control over the information that we display. Every dental plan will operate statewide,and provide statewide coverage. So I asked if I could just have it pulled and she said yes, but would still have to have an oral surgeon pull it out. We promise not to send you any unrelated messages, Click here if youd like to unsubscribe from notifications about new complaints of DentaQuest. They don't answer the phone! This changewill prevent a good deal of restorative careand improve overall oral health.. I called DentaTrust to get help with this and was told in a very, cold, unwavering voice that I would still have to wait. Denied request for d2740 white glass crowns, - Denied request for d2740 white glass crowns, - dental insurance through marketplace.gov, - I paid you guys thru doxo for a payment of 35.00. (First-of-all) I thought no problem because tooth extraction was not "restorative". MCNA Dental is the largest dental insurer in the nation for governmentsponsored Medicaid and CHIP programs. I filed a complaint with Optima Health and with the State of Virginia. This rating has decreased by -16% over the last 12 months. By comparing employers on employee ratings, salaries, reviews, pros/cons, job openings and more, you'll feel one step ahead of the rest. Crooks! We are trying to get a new dental provider because her past dentist closed his practice. Trust your gut and ask people you know about their providers. I kept asking pertinent questions because I didn't believe this practice could do sedation. All of it. Dont use them if you have Medicaid, just use Dentaquest. There are zero oral surgeons that take it. Kevin Stitts controversial plan to bring in private companies to manage the states Medicaid programs. Share this: Tags: Medicaid managed care texas medicaid reform A Dental Plan for Everyone DentaQuest Claim/Pre-Auth attached with minor's personal information redacted for privacy purposes. Now I am on hold again for 25 minutes and counting. I agree with the 67 reviews that I read prior to me writing my review. 68 reviews. On Thursday June 3rd and Friday June 4th I an appointment with Elida Dental Care 94-38 59th or 94-49 59th street [protected] You must see an in network dentist (Neda Emad is a good dentist in Rockville who honors the plan). I want her approved for this surgery immediately so she doesn't suffer more or age out and the insurance be cancelled. but when i google dentquest i read terrible things. I thought since it was a new year that this would be acceptable and I never had it in writing otherwise. DentaQuest employees rated their Positive Business Outlook 20% higher than MCNA Dental Plans employees rated theirs. This is causing massive migraines and is causing buckling of her other teeth how is this not medically necessary? Wholesale denial of everything approved by liberty dental, approve the bridge like the automated system sayas. I called the member services number and had a great experience. I was in tears, and am still in so much pain. These plans are accountable to LDH and the state of Louisiana. These certifications underscore our continuous commitment to operating under the highest quality standards in our industry and to ensuring the best service possible for our members, providers, and clients. I had a CSR try to help. Call Member Services at 800 477 6931 (TTY: 711), Monday - Friday, from 8 a.m. - 8 p.m., Eastern time for more information. Argus Dental and Vision and UnitedHealthcare of Florida filed complaints with the state Agency for Health Care Administration last week, giving notice of their intent to challenge the decisions to award contracts to MCNA Dental, DentaQuest of Florida and Liberty Dental Plan of Florida.
Bill Gates Grandmother, Cnbc Opinion Submission, Articles M
Bill Gates Grandmother, Cnbc Opinion Submission, Articles M