Dr. Nora Vinh DMD

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.Before making appointment with Dent. Vinh, I called the office and explained my situation with one of her staffs: We would have a new HMO dental insurance started on Mar 2015, and our PPO dental plan would be ended on the the last day of February. Our previous dental office did not accept a HMO dental insurance. Her staff confirmed that Dent. Vinh office accept HMO dental insurance, and they could give us a Saturday appointment since that was the only day that my husband could come. We provided to the office staff the insurance name, plan number, my husband date of birth, and his social security number over the phone, so the office could verify with the insurance before our appointment date. On that Saturday, the office staff asked us a copy of insurance card, and we emailed it to her.The dental routine appointment was for all 5 of us: My husband, my two sons, my daughter, and  me. I remember Dent. Vinh was asking for my 8 years old son to come back for teeth cleaning in 3-4 months since his teeth needed extra care. She confirmed with me that there would be no charge since we would have new dental insurance on March.After reviewing my X-ray, Dent. Vinh advised me that I had a broken filling, and it would need to redo. I was heritage to have the filling done on that day because she asked for a copay of $27.20. However, Dent. Vinh assured me that the copay was cheap for the filling, and insisted that you should have it done on the same day. There was a 'no no' in my head because I could have come back next week for the filling without paying any copay since my dental insurance is HMO. I truly wish I had done so, and now I would not have any problem with this dental office.Dentist Vinh office is an unethical dental practice to make up all untrue story about me.I am not filling a complaint with the Revdex.com, because I cannot pay Dent. Vinh extra $56 copay. I am filling a complaint because Dent. Vinh office had violent the business procedure, and business ethical.Dent. Vinh gave me a quote of $27.20, asked me to pay first, then gave me all kind of paper to sign while I was on the dental chair for the teeth filling. Dent. Vinh said it was a quote - not an estimate. Dent. Vinh highlighted that it was ONLY $27.20.I called the office after I received the first statement, but no response until when I received the second statement, and called back again. I spoke to [redacted] on June 2015, but I was not satisfied with her answer, and asked to speak to Dent. Vinh directly. I called, and emailed again, but I got no response from Dent. Vinh. All of my statements are true and I would take all of responsibility for these statement.Regards,
[redacted]

Dear [redacted],Thank you for forwarding this consumer's complaint. Ref ID #[redacted]. Please note this is my official response to this complaint. This consumer also posted a very long negative review on my Yelp website as well, to which I have already privately and publicly responded.Ms. [redacted]...

situation is not unique amongst frustrated patients who depend on their insurance for coverage of normal expected procedures. Ms. [redacted] needs were simple. She had a back tooth that needed a new filling. It was not an elective or cosmetic procedure. Her insurance states they will cover 80% of basic restorative treatment. Ms. [redacted] copay is the remaining 20%. We always only collect that 20% even though we state clearly in her paperwork and verbally that insurance companies may downgrade her coverage to the lesser quality, less desirable “metal fillings".In that event, the patient is responsible for 1. disputing the fees with their insurance or 2. asking us to re-submit the claim to have them pay the remaining 80%. We always bill for the contracted fee, nothing extra. The Explanation of Benefits she receives show exactly what we are asking for, and that really is the fair and square promised coverage from her insurance.Unfortunately, insurance companies nowadays attempt to cut costs and add profits to their bottom line and actually break their contractual coverage based on the idea that Ms. [redacted] theoretically could have used a metal filling instead. Ironically, it was a failing metal filling with cavities underneath that was replaced to a better white filling. To place another silver filling with its ill effects is not in her best interest as a patient. I would not be providing her with the best care that I could offer. It really is unfortunate that patients sometimes base their entire decision-making on only what the insurance can cover. Sometimes they don't even cover the metal filling, then the doctor ends up having to write off a procedure and lose their own profits. This is what is hurting a lot of small medical and dental offices all across America.I understand Ms. [redacted]' grief. We are trying to do what's best for her. We actuallysubmitted her claim three times, complete with explanations, photos, and x-rays. | understand that even Ms. [redacted] tried to renegotiate with her insurance. However, the insurance remains committed to breaking their commitments to both me as the provider and her as the customer and subscriber of that policy. What's even worse is that Ms. [redacted], or her husband, works at a company where the usual practice is to remove the portion of the salary to cover the benefits. The premiums are removed before the customer even knows about it, like taxes. Every pay period, or month, the company subtracts their premiums and the insurance keeps collecting their premiums.Meanwhile, the insurance company chooses to pocket the premiums, backfires on their promises, and breaks a normally trusting relationship between a doctor and patient. In Ms. [redacted] case, her insurance distinctly, clearly says in her policy that basic restorative treatment (and white fillings are considered basic, crowns, veneers, inlays, those are NOT considered basic) may be covered at 80%. A downgrade only occurs at the discretion of the insurance company. In good faith, I always try to navigate the murky waters of patient's insurance policies on the patient's behalf, saving them hours of time and paperwork.Ms. [redacted] has a gorgeous, white filling without sensitivity. She can eat well. I performed all of my duties and responsibilities as a doctor. When I saw Ms. [redacted] for the first time, it was a Saturday, and we were unable to call the insurance company to verify her benefits due to the weekend, and insurance companies are closed. We asked Ms. [redacted] to return on a business day so we could call her insurance and verify. However, Ms. [redacted] informed us that her benefits would be terminated that week and she wanted to get the work done regardless of our inability to call and check, which we always do. I did what Ms. [redacted] asked, and I stayed two hours after my normal business hours on a Saturday with my staff being paid overtime to accommodate her schedule and her upcoming termination of benefits. In more recent due diligence, our office has discovered that Ms. [redacted] was NOT going to have her insurance expire as she stated. She in fact had her insurance for several more months. We could have rescheduled her, since she wasn't in acute pain, and performed the work after calling to verify her insurance benefits. That night, I also called her very soon after the filing to check on her. She said she felt fine. I also resubmitted the claim three times without luck, and much hours of being on hold with her insurance company. Unbeknownst to Ms. [redacted], during the time she tried to call or email me, I lost my grandfather and my own father suffered a near-death car accident, breaking four bones, and losing consciousness for several hours.I have been a dentist for 10 years. It took me 9 years of constant studying and school to attain my degree. Furthermore, I am upgrading my educational skills and learning the state of the art and least invasive techniques to provide excellent service and dentistry to my patients. I am a faculty member at Spear's prestigious Institute for Education in Scottsdale, Arizona. I taught resident hospital dentists for two years at UCLA. I have volunteered my time, money, and talents to help thousands of underserved children and adults in Peru, Ethiopia, Haiti, and Mexico. I pay for these trips out of my own pocket, and I also help countless of homeless folks right here in Costa Mesa, my hometown. That I would rob a patient of such a paltry sum is insulting, when I have spent thousands of dollars and so many hours and hard work helping others in need for no compensation at all. To receive a complaint for a mere $56 when there has been no real negligence or harm done is laughable to me, and truly insulting. That I would rob a patient of 56% in order to pay for the work that I did and now I am getting slammed for it is an example of where insurance companies have turned against the medical and dental profession as a whole, and it is degrading for me to even write this letter to defend myself for such a paltry sum.I don't know what the resolution is for this matter, but I am simply stating all of this for the record. I have committed no crime except trying to be compensated for the work that I have done. Please accept my sincere apologies if this letter is strongly worded and emotional. I hope that you review the record very carefully and examine the attached paperwork to see that I have, in good faith, tried my very best to retrieve the fees owed to me from her insurance, and for us to ask for payment after three months of arguing with her insurance is the very last resort for us. We have tried to ask Ms. [redacted] to pay her remaining balance with paper and email statements, but in the end, one of two things will happen: I, the doctor, will suffer for this, both my reputation and my inability to get paid for the work I did, or 2. Ms. [redacted] got a beautiful filling for 27$, which is way, way, way, below usual retail fees (usually 1803, in my area) and 3. the insurance company has also robbed Ms. [redacted] of her premiums while expecting her to pay for her Work.Sincerely,Dr. V?nhThe attached documentation is the following: - emailed conversations between my manager and her, showing we never ignored her - the claim showing that her insurance only paid 80% of the METAL filling, leaving her with a small balance of 56$, and the same claim showing that the patient is responsible for the remaining charges, thus validating my treatment and showing that I did NOT defraud the patient. Therefore, the patient legitimately owes this money to me. - a fee schedule from Guardian Insurance, showing clearly that it might cover a white filling at $168, which we did not even submit that amount (we submitted less! The EOB states we submitted the fee for $136) - the many attempts we tried to explain to her our position, as well as the need for her pay - there is reasonable informed consent showing that she understands our financial policy, which is VERY standard with dental and medical offices

Dear [redacted],
5pt;">Thank you for forwarding this consumer's complaint. Ref ID #[redacted]. Please note this is my official response to this complaint. This consumer also posted a very long negative review on my Yelp website as well, to which I have already privately and publicly responded.
Ms. [redacted] situation is not unique amongst frustrated patients who depend on their insurance for coverage of normal expected procedures. Ms. [redacted] needs were simple. She had a back tooth that needed a new filling. It was not an elective or cosmetic procedure. Her insurance states they will cover 80% of basic restorative treatment. Ms. [redacted] copay is the remaining 20%. We always only collect that 20% even though we state clearly in her paperwork and verbally that insurance companies may downgrade her coverage to the lesser quality, less desirable “metal fillings".
In that event, the patient is responsible for 1. disputing the fees with their insurance or 2. asking us to re-submit the claim to have them pay the remaining 80%. We always bill for the contracted fee, nothing extra. The Explanation of Benefits she receives show exactly what we are asking for, and that really is the fair and square promised coverage from her insurance.
Unfortunately, insurance companies nowadays attempt to cut costs and add profits to their bottom line and actually break their contractual coverage based on the idea that Ms. [redacted] theoretically could have used a metal filling instead. Ironically, it was a failing metal filling with cavities underneath that was replaced to a better white filling. To place another silver filling with its ill effects is not in her best interest as a patient. I would not be providing her with the best care that I could offer. It really is unfortunate that patients sometimes base their entire decision-making on only what the insurance can cover. Sometimes they don't even cover the metal filling, then the doctor ends up having to write off a procedure and lose their own profits. This is what is hurting a lot of small medical and dental offices all across America.
I understand Ms. [redacted]' grief. We are trying to do what's best for her. We actually
submitted her claim three times, complete with explanations, photos, and x-rays. | understand that even Ms. [redacted] tried to renegotiate with her insurance. However, the insurance remains committed to breaking their commitments to both me as the provider and her as the customer and subscriber of that policy. What's even worse is that Ms. [redacted], or her husband, works at a company where the usual practice is to remove the portion of the salary to cover the benefits. The premiums are removed before the customer even knows about it, like taxes. Every pay period, or month, the company subtracts their premiums and the insurance keeps collecting their premiums.
Meanwhile, the insurance company chooses to pocket the premiums, backfires on their promises, and breaks a normally trusting relationship between a doctor and patient. In Ms. [redacted] case, her insurance distinctly, clearly says in her policy that basic restorative treatment (and white fillings are considered basic, crowns, veneers, inlays, those are NOT considered basic) may be covered at 80%. A downgrade only occurs at the discretion of the insurance company. In good faith, I always try to navigate the murky waters of patient's insurance policies on the patient's behalf, saving them hours of time and paperwork.
Ms. [redacted] has a gorgeous, white filling without sensitivity. She can eat well. I performed all of my duties and responsibilities as a doctor. When I saw Ms. [redacted] for the first time, it was a Saturday, and we were unable to call the insurance company to verify her benefits due to the weekend, and insurance companies are closed. We asked Ms. [redacted] to return on a business day so we could call her insurance and verify. However, Ms. [redacted] informed us that her benefits would be terminated that week and she wanted to get the work done regardless of our inability to call and check, which we always do. I did what Ms. [redacted] asked, and I stayed two hours after my normal business hours on a Saturday with my staff being paid overtime to accommodate her schedule and her upcoming termination of benefits. In more recent due diligence, our office has discovered that Ms. [redacted] was NOT going to have her insurance expire as she stated. She in fact had her insurance for several more months. We could have rescheduled her, since she wasn't in acute pain, and performed the work after calling to verify her insurance benefits. That night, I also called her very soon after the filing to check on her. She said she felt fine. I also resubmitted the claim three times without luck, and much hours of being on hold with her insurance company. Unbeknownst to Ms. [redacted], during the time she tried to call or email me, I lost my grandfather and my own father suffered a near-death car accident, breaking four bones, and losing consciousness for several hours.
I have been a dentist for 10 years. It took me 9 years of constant studying and school to attain my degree. Furthermore, I am upgrading my educational skills and learning the state of the art and least invasive techniques to provide excellent service and dentistry to my patients. I am a faculty member at Spear's prestigious Institute for Education in Scottsdale, Arizona. I taught resident hospital dentists for two years at UCLA. I have volunteered my time, money, and talents to help thousands of underserved children and adults in Peru, Ethiopia, Haiti, and Mexico. I pay for these trips out of my own pocket, and I also help countless of homeless folks right here in Costa Mesa, my hometown. That I would rob a patient of such a paltry sum is insulting, when I have spent
thousands of dollars and so many hours and hard work helping others in need for no compensation at all. To receive a complaint for a mere $56 when there has been no real negligence or harm done is laughable to me, and truly insulting. That I would rob a patient of 56% in order to pay for the work that I did and now I am getting slammed for it is an example of where insurance companies have turned against the medical and dental profession as a whole, and it is degrading for me to even write this letter to defend myself for such a paltry sum.
I don't know what the resolution is for this matter, but I am simply stating all of this for the record. I have committed no crime except trying to be compensated for the work that I have done. Please accept my sincere apologies if this letter is strongly worded and emotional. I hope that you review the record very carefully and examine the attached paperwork to see that I have, in good faith, tried my very best to retrieve the fees owed to me from her insurance, and for us to ask for payment after three months of arguing with her insurance is the very last resort for us. We have tried to ask Ms. [redacted] to pay her remaining balance with paper and email statements, but in the end, one of two things will happen: I, the doctor, will suffer for this, both my reputation and my inability to get paid for the work I did, or 2. Ms. [redacted] got a beautiful filling for 27$, which is way, way, way, below usual retail fees (usually 1803, in my area) and 3. the insurance company has also robbed Ms. [redacted] of her premiums while expecting her to pay for her Work.
Sincerely,
Dr. V?nh
The attached documentation is the following: - emailed conversations between my manager and her, showing we never ignored her - the claim showing that her insurance only paid 80% of the METAL filling, leaving her with a small balance of 56$, and the same claim showing that the patient is responsible for the remaining charges, thus validating my treatment and showing that I did NOT defraud the patient. Therefore, the patient legitimately owes this money to me. - a fee schedule from Guardian Insurance, showing clearly that it might cover a white filling at $168, which we did not even submit that amount (we submitted less! The EOB states we submitted the fee for $136) - the many attempts we tried to explain to her our position, as well as the need for her pay - there is reasonable informed consent showing that she understands our financial policy, which is VERY standard with dental and medical offices

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this proposed action would not resolve my complaint.  For your reference, details of the offer I reviewed appear below.
Before making appointment with Dent. Vinh, I called the office and explained my situation with one of her staffs: We would have a new HMO dental insurance started on Mar 2015, and our PPO dental plan would be ended on the the last day of February. Our previous dental office did not accept a HMO dental insurance. Her staff confirmed that Dent. Vinh office accept HMO dental insurance, and they could give us a Saturday appointment since that was the only day that my husband could come. 
We provided to the office staff the insurance name, plan number, my husband date of birth, and his social security number over the phone, so the office could verify with the insurance before our appointment date. On that Saturday, the office staff asked us a copy of insurance card, and we emailed it to her.
The dental routine appointment was for all 5 of us: My husband, my two sons, my daughter, and  me. 
I remember Dent. Vinh was asking for my 8 years old son to come back for teeth cleaning in 3-4 months since his teeth needed extra care. She confirmed with me that there would be no charge since we would have new dental insurance on March.
After reviewing my X-ray, Dent. Vinh advised me that I had a broken filling, and it would need to redo. I was heritage to have the filling done on that day because she asked for a copay of $27.20. However, Dent. Vinh assured me that the copay was cheap for the filling, and insisted that you should have it done on the same day. 
There was a 'no no' in my head because I could have come back next week for the filling without paying any copay since my dental insurance is HMO. I truly wish I had done so, and now I would not have any problem with this dental office.
Dentist Vinh office is an unethical dental practice to make up all untrue story about me.
I am not filling a complaint with the Revdex.com, because I cannot pay Dent. Vinh extra $56 copay. I am filling a complaint because Dent. Vinh office had violent the business procedure, and business ethical.
Dent. Vinh gave me a quote of $27.20, asked me to pay first, then gave me all kind of paper to sign while I was on the dental chair for the teeth filling. Dent. Vinh said it was a quote - not an estimate. Dent. Vinh highlighted that it was ONLY $27.20.
I called the office after I received the first statement, but no response until when I received the second statement, and called back again. I spoke to [redacted] on June 2015, but I was not satisfied with her answer, and asked to speak to Dent. Vinh directly. I called, and emailed again, but I got no response from Dent. Vinh. 
All of my statements are true and I would take all of responsibility for these statement.
Regards,
[redacted]

Review: Dent Vinh convinced me to agree to let her do the filling at the price of @27.20 that I had to immediately pay prior to the start of the dental procedure. Then while I was waiting on the dentist chair, her assistant asked me to sign some papers. Few month later, my husband received statement of $81.20 from Dent Vinh for the service that I had with Dent Vinh.

I had contested this charge with the dentist's office verbally and in email. I made numerous attempts to talk to the dentist in person by the telephone to resolve the matter. Her assistant Stephanie promised that she would call me back, but I received zero response from Dent Vinh.

This was a reply email from Stephanie: "the reason your patient portion was so large is because your filling was downgraded which means that they paid for the silver filling instead of the white filling. When it comes to downgraded fillings insurance aren't always clear about there coverage all they let us know is that they cover fillings at 80% which is why I gave you the quote for 27.20."

On Sep 10, [redacted]-debt collector sent notice letter with the balance of $76 to my husband. We disputed the debt, and [redacted] removed the debt on Oct 14. However, on Oct 14, [redacted] sent me a notice letter with balance of $56. I disputed the debt again, and [redacted] sent me back the paper that I signed while I was waiting on the dentist chair. [redacted] has list the balance as a collection account on [redacted], and [redacted].Desired Settlement: I'd like Dent Vinh remove all of the debt collection, and clear my credit.

Business

Response:

Dear [redacted],Thank you for forwarding this consumer's complaint. Ref ID #[redacted]. Please note this is my official response to this complaint. This consumer also posted a very long negative review on my Yelp website as well, to which I have already privately and publicly responded.Ms. [redacted] situation is not unique amongst frustrated patients who depend on their insurance for coverage of normal expected procedures. Ms. [redacted] needs were simple. She had a back tooth that needed a new filling. It was not an elective or cosmetic procedure. Her insurance states they will cover 80% of basic restorative treatment. Ms. [redacted] copay is the remaining 20%. We always only collect that 20% even though we state clearly in her paperwork and verbally that insurance companies may downgrade her coverage to the lesser quality, less desirable “metal fillings".In that event, the patient is responsible for 1. disputing the fees with their insurance or 2. asking us to re-submit the claim to have them pay the remaining 80%. We always bill for the contracted fee, nothing extra. The Explanation of Benefits she receives show exactly what we are asking for, and that really is the fair and square promised coverage from her insurance.Unfortunately, insurance companies nowadays attempt to cut costs and add profits to their bottom line and actually break their contractual coverage based on the idea that Ms. [redacted] theoretically could have used a metal filling instead. Ironically, it was a failing metal filling with cavities underneath that was replaced to a better white filling. To place another silver filling with its ill effects is not in her best interest as a patient. I would not be providing her with the best care that I could offer. It really is unfortunate that patients sometimes base their entire decision-making on only what the insurance can cover. Sometimes they don't even cover the metal filling, then the doctor ends up having to write off a procedure and lose their own profits. This is what is hurting a lot of small medical and dental offices all across America.I understand Ms. [redacted]' grief. We are trying to do what's best for her. We actuallysubmitted her claim three times, complete with explanations, photos, and x-rays. | understand that even Ms. [redacted] tried to renegotiate with her insurance. However, the insurance remains committed to breaking their commitments to both me as the provider and her as the customer and subscriber of that policy. What's even worse is that Ms. [redacted], or her husband, works at a company where the usual practice is to remove the portion of the salary to cover the benefits. The premiums are removed before the customer even knows about it, like taxes. Every pay period, or month, the company subtracts their premiums and the insurance keeps collecting their premiums.Meanwhile, the insurance company chooses to pocket the premiums, backfires on their promises, and breaks a normally trusting relationship between a doctor and patient. In Ms. [redacted] case, her insurance distinctly, clearly says in her policy that basic restorative treatment (and white fillings are considered basic, crowns, veneers, inlays, those are NOT considered basic) may be covered at 80%. A downgrade only occurs at the discretion of the insurance company. In good faith, I always try to navigate the murky waters of patient's insurance policies on the patient's behalf, saving them hours of time and paperwork.Ms. [redacted] has a gorgeous, white filling without sensitivity. She can eat well. I performed all of my duties and responsibilities as a doctor. When I saw Ms. [redacted] for the first time, it was a Saturday, and we were unable to call the insurance company to verify her benefits due to the weekend, and insurance companies are closed. We asked Ms. [redacted] to return on a business day so we could call her insurance and verify. However, Ms. [redacted] informed us that her benefits would be terminated that week and she wanted to get the work done regardless of our inability to call and check, which we always do. I did what Ms. [redacted] asked, and I stayed two hours after my normal business hours on a Saturday with my staff being paid overtime to accommodate her schedule and her upcoming termination of benefits. In more recent due diligence, our office has discovered that Ms. [redacted] was NOT going to have her insurance expire as she stated. She in fact had her insurance for several more months. We could have rescheduled her, since she wasn't in acute pain, and performed the work after calling to verify her insurance benefits. That night, I also called her very soon after the filing to check on her. She said she felt fine. I also resubmitted the claim three times without luck, and much hours of being on hold with her insurance company. Unbeknownst to Ms. [redacted], during the time she tried to call or email me, I lost my grandfather and my own father suffered a near-death car accident, breaking four bones, and losing consciousness for several hours.I have been a dentist for 10 years. It took me 9 years of constant studying and school to attain my degree. Furthermore, I am upgrading my educational skills and learning the state of the art and least invasive techniques to provide excellent service and dentistry to my patients. I am a faculty member at Spear's prestigious Institute for Education in Scottsdale, Arizona. I taught resident hospital dentists for two years at UCLA. I have volunteered my time, money, and talents to help thousands of underserved children and adults in Peru, Ethiopia, Haiti, and Mexico. I pay for these trips out of my own pocket, and I also help countless of homeless folks right here in Costa Mesa, my hometown. That I would rob a patient of such a paltry sum is insulting, when I have spent thousands of dollars and so many hours and hard work helping others in need for no compensation at all. To receive a complaint for a mere $56 when there has been no real negligence or harm done is laughable to me, and truly insulting. That I would rob a patient of 56% in order to pay for the work that I did and now I am getting slammed for it is an example of where insurance companies have turned against the medical and dental profession as a whole, and it is degrading for me to even write this letter to defend myself for such a paltry sum.I don't know what the resolution is for this matter, but I am simply stating all of this for the record. I have committed no crime except trying to be compensated for the work that I have done. Please accept my sincere apologies if this letter is strongly worded and emotional. I hope that you review the record very carefully and examine the attached paperwork to see that I have, in good faith, tried my very best to retrieve the fees owed to me from her insurance, and for us to ask for payment after three months of arguing with her insurance is the very last resort for us. We have tried to ask Ms. [redacted] to pay her remaining balance with paper and email statements, but in the end, one of two things will happen: I, the doctor, will suffer for this, both my reputation and my inability to get paid for the work I did, or 2. Ms. [redacted] got a beautiful filling for 27$, which is way, way, way, below usual retail fees (usually 1803, in my area) and 3. the insurance company has also robbed Ms. [redacted] of her premiums while expecting her to pay for her Work.Sincerely,Dr. V?nhThe attached documentation is the following: - emailed conversations between my manager and her, showing we never ignored her - the claim showing that her insurance only paid 80% of the METAL filling, leaving her with a small balance of 56$, and the same claim showing that the patient is responsible for the remaining charges, thus validating my treatment and showing that I did NOT defraud the patient. Therefore, the patient legitimately owes this money to me. - a fee schedule from Guardian Insurance, showing clearly that it might cover a white filling at $168, which we did not even submit that amount (we submitted less! The EOB states we submitted the fee for $136) - the many attempts we tried to explain to her our position, as well as the need for her pay - there is reasonable informed consent showing that she understands our financial policy, which is VERY standard with dental and medical offices