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We accept Doral, Med Plus, Gateway, and UPMC on a limited basis.
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| Payment is Required at the time services are rendered. |
| We accept personal checks, Master Card, Visa, and Discover. |
| There will be an office fee for Emergency and Prescription visits.
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| Any additional costs/fees for legal collection services incurred by us to collect on an overdue account will be added to your outstanding balance.
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A $25.00 fee will be charged for NSF checks returned to us from our bank.
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| West Penn Dental Center, Inc. is authorized to use and disclose health/Dental information for treatment, payment, and health/dental care operation purposes consistent
with its notice of privacy practices in accordance with our HIPA policy. |
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| Dentures, Crowns, Root Canals, and Bridge Work
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Due to lab expenses, work on dentures, partials, crowns, and bridgework will not be started until an inital deposit is made.
No Refunds once lab work is initiated. Charges
for lab work completed will apply.
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| Half of the total fee for the procedure is due the day the treatment starts. |
| The remaining half is due in full on or before the day the treatment is completed or, the appliance is inserted. Dentures, Crowns, Partials, and Bridgework will not be inserted unless
the final payment has been recieved. |
| Please Note: Special Financial Arrangements can be made with the office manager to complete your payment on your scheduled appointments. Appointments can be
spaced, so that a comfortable payment schedule can be met and payments are completed by the final appointment. |
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