Pile-ons after a viral post or the news
Remove bad dental reviews that HIPAA stops you answering
We file all your bad reviews with the platform under its own policies. You pay for the ones that come down. A detailed reply is the risky alternative: HHS has fined or settled with three dental practices over review replies that disclosed patient information.
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The reviews a dental practice gets.
HHS has fined or settled with three dental practices over replies
Elite Dental Associates in Dallas agreed to pay $10,000, announced in October 2019. Dr. U. Phillip Igbinadolor, D.M.D. & Associates in North Carolina received a $50,000 civil money penalty, made final in June 2021 and announced in March 2022. New Vision Dental in California agreed to pay $23,000, announced in December 2022. Two of the cases were Yelp replies and one was a Google reply. Elite and New Vision Dental also agreed to two-year corrective action plans.
Insurance and billing complaints
A dental bill splits into your fee, the insurer’s share and the patient’s share, so a one-star review can be about an insurer’s decision rather than your work. Do not answer it with the numbers. HIPAA’s definition of health information includes payment for a person’s care, and in two of the three HHS cases the complaint was about replies that gave insurance or cost details. A review from someone who was never a patient, or one that accuses you of insurance fraud without basis, can be reported under Google’s policy.
Former staff, on Google and on Indeed
When an assistant or hygienist leaves on bad terms, reviews can follow on two sites: a one-star Google review written as if by a patient, and an employer review on Indeed. Google’s policy names “current or former employment” as a conflict of interest. Yelp’s guidelines tell people not to review their employer or a competitor in their industry.
Reviews that name your team or another patient
Google’s Personal information policy covers a full or last name posted without consent, and medical information. The same policy allows the name of a professional who does business under their own name, and it lists doctors, so a review that names the dentist usually stays up. A review that gives a hygienist’s or receptionist’s full name, or describes another patient’s treatment, can be reported.
What one star is worth.
A practice cannot answer its low reviews with the facts, so they stand as written. An illustrative example, not a measured result: a practice that sees 25 new patients a month, each worth about $800 in first-year treatment, takes in $20,000 a month from new patients. If a lower Google rating turns away 3 of them, the practice loses $2,400 a month, or $28,800 a year.
What your rating costs a dental practice
Luca’s Harvard Business School study of independent Seattle restaurants on Yelp found that each extra star brought 5 to 9 percent more revenue. Your business may differ. Change the numbers to match yours.
Estimate only. Luca, “Reviews, Reputation, and Revenue: The Case of Yelp.com”, Harvard Business School, 2016. The median rating across the 1,106 Google profiles we monitor is 4.75 (TrustReviews data, October 2026; these businesses came to a removal company, so they are not a random sample).
The sites your customers read.
How removal works, in four steps.
Connect your Google Business Profile in the TrustOS portal: search by name or paste a Google Maps link. Businesses with no public address can connect too. We read every review at once and show you each one rated 3 stars or less.
Every 1-star review is selected by default; add 2 and 3 star reviews if you want, and choose how many removals you want. You see the price and accept the terms in the app before anything is filed. For other sites, send us the links in the chat and your account manager agrees the price with you.
We screenshot each review, then our filing team files it with the platform under its own policy. The platform reads each one and decides. Some removals arrive months after filing, so we follow every filing to an outcome.
A person checks every removal before we count it; our software never marks a review removed by itself. We email you the review and its before-removal screenshot, and we stop when the number of removals you asked for is reached.
We file all your bad reviews.
You pay for the ones that come down. On Google, you see the price and accept the terms in the app before anything is filed. For other sites, your account manager agrees the price with you first. No one can guarantee every review comes down, because the platform makes the final decision on each one.
Dentists, an example.
Over two weeks the practice received four one-star Google reviews about “surprise fees”. None of the names matched a patient record, and two of the accounts had given five stars to a competing practice nearby on the day they posted. The rating fell from 4.7 to 4.4.
We filed the four reviews with Google under its Fake engagement policy and as conflicts of interest under its Rating manipulation rules. Google removed all four, and the rating went back to 4.7. The practice did not post a reply to any of them.
Real Google reviews we’ve had removed.
Each one now reads “This review is no longer available.” Business names are blurred for privacy.












Our clients, in their own words.
Screenshots of messages clients sent us. We keep every client’s work confidential.
























Questions from dentists
How do I respond to a negative dental review without breaking HIPAA?
Write the reply as if you do not know who the reviewer is. Do not use their name, confirm they are a patient, or mention a visit, treatment, insurance or a bill. This reply discloses nothing: “We take every concern seriously. Privacy law stops us discussing anyone’s care online. Please call our office manager.” Do not threaten to sue either: the FTC’s Consumer Review Rule (16 CFR 465.7) bars an unfounded or groundless legal threat made to get a review removed.
The patient posted their own treatment details. Can I answer them?
No. In all three HHS cases against dental practices, the patient posted the review first, and OCR still treated the practice’s reply as a disclosure. Elite Dental Associates added a patient’s last name, treatment plan, insurance and cost. New Vision Dental used patients’ full names where they had posted under Yelp names. Dr. U. Phillip Igbinadolor, D.M.D. & Associates named a patient in a 2015 Google reply and left it up after OCR asked for it to come down.
Which bad dental reviews can be removed?
Reviews that break the platform’s own policy: a review from someone who was never a patient, from a current or former employee, or from a competing practice; a review that posts a person’s full name or health details; and a review that accuses you of a crime, such as insurance fraud, without basis. We file all the bad reviews you choose, and the platform decides on each one. A real patient’s honest account of their visit or their bill usually stays up.
I already replied to the review. Can it still come down?
Yes. Of 1,170 Google reviews we removed and hold a copy of, 36.8% had an owner reply (TrustReviews data, October 2026), so a reply does not stop a removal. If your reply mentions the patient’s care, edit or delete it in your Google Business Profile. OCR put the Igbinadolor practice’s reply in its highest penalty tier, willful neglect not corrected, and the reply was still public when OCR proposed the penalty in 2020.
Do you need patient records to file a review?
No, and do not send us any. You choose the reviews in the TrustOS portal, and our filing team files each one with the platform from the public review, under the platform’s policy. We do not contact the reviewer, and we never ask a platform who the reviewer is.
What if nothing comes down?
You pay for the ones that come down. The platform decides on each review, and a review it keeps up shows as Could not be removed in your TrustOS portal.
What if nothing comes down?Guides on reviews and removal.
Sources
- HHS: Elite Dental Associates pays $10,000 over social media disclosures (2019)
- HHS: Elite Dental Associates resolution agreement and corrective action plan
- HHS: Dr. U. Phillip Igbinadolor, D.M.D. & Associates enforcement action (2022)
- HHS: Notice of Proposed Determination to U. Phillip Igbinadolor, D.M.D. & Associates
- HHS: Notice of Final Determination to U. Phillip Igbinadolor, D.M.D. & Associates
- HHS: New Vision Dental settlement over review replies (2022)
- HHS: New Vision Dental resolution agreement and corrective action plan
- 45 CFR 160.103: definitions of health information and protected health information
- 16 CFR 465.7: FTC Consumer Review Rule, review suppression
- Google: Maps user-generated content policy, prohibited and restricted content
- Google Business Profile Help: Manage customer reviews
- Yelp Content Guidelines
Other businesses we work with.
A customer who disputes the quote
The final bill was higher than the estimate
Your reply can disclose more than the review did
Reviews from the other side of a case
Reviews that name a stylist
Tenants reviewing a property manager over a deposit or eviction
Guests who threaten a review for a refund
Send us the review that is hurting you.
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