CONTACT INFORMATION:

Email: Michelle.rivera@admpcmail.com,

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OFFICE HOURS:

Dates:

DOCTORS:

DR. Dhyllon - NPI#1437459609

CHILDREN:

CHILDREN MAY BE SEEN FROM THE AGES OF 7 AND OLDER

Cash Pt Prices

ONLY DONE AT OFFICE LEVEL, EACH PATIENTS TREATMENT WILL VARY, WHICH PRICES MAY VERY (CHRISTINA)

Retainer cost

Dr Dhyllon has changed his prices for Ret replacement

It is now $200 per arch for all active patients (patients he has treated)

Still $300 for any person who was not treated by Dr Dhyllon. (Treatment means they had Braces by Dr Dhyllon)

Scheduling Preferences:

Dr Days :

Main 2 Columns - Bonding descriptions:

Bonding's 2 max per time (12 UNITS)

D8080 - {in remarks please add: Start Collect 0.00 } for state ins - 12 UNITS

Start Collect - (in remarks leave blank) for cash, ppo, dhmo, hmo -12 UNITS

Lower bonding - Collect (same examples as above)-12 UNITS

Bands- 6 UNITS

Debonds- (1 at a time and in the morning only) 12 units

RET pickup 445pm-3 units

2:30PM LAST BONDING TIME - 230 LAST TIME - FOR BONDING'S OF ANY KIND AND REPAIRS

Middle 2 Columns- 6 UNITS

AWS-Arch Wires

Impression for phase 1 (6 units last appointment at 3:30)

Phase 1 Terminology:

Phase 1 is the palatal ex pander

Exam due to time lapse *note if a pt has not been seen in 3 months from the last appointment pt must be scheduled as an exam due to time lapse*

Final Column- 6 Units

Np consults (one by one never double booked, Always write collect 0.00 ALL CONSULTS ARE FREE)-6 units

Exams-6 UNITS

Wire clips- 3 units

Exam due to time lapse-6 units

Emergencies- 6 units Emergency examples: (Bleeding, ex pander, Pain)

Emergencies:

• • • Trauma (Bleeding, expander, Pain)

Scheduling Notes:

DEBONDS ONLY IN THE MORNING NEVER SIDE BY SIDE THEY MAY STAGGER LAST DEBOND TIME IS 11:30AM If pt misses debond appointment and have to schedule for at least 8 weeks out please schedule for an exam due to time lapse

Last day appt's

No grace period or appointments scheduled before lunch and last apts of the day

COC INSTRUCTIONS

Register PT

Advise pt they CANNOT have work completed legally without us submitting to the insurance for coverage (NO EXCUSES)

They need to send in previous Dental records, EOB, x-rays and Approval letter to our office so we may present to the doctor and submit to the insurance for coverage

GET THE NAME of the previous Ortho Office and contact number

Forward an email to office with pts name, ID number, and previous dental office information and pts best call back so we may follow up with them

You may not schedule COC pts without permission from office

If they ask how long COC processing time is tell them from the day we get records and it could take the insurance the minimum of 3 months to process for approval.

Cancellation Fee:

$50.00

Insurances Not Accepted:

Keystone Health Plan East HMO

Keystone 65 HMO

Bravo

Coventry Care

Giesinger

Giesinger Chip

Health Partners

Kidz Partner

Keystone Mercy

Keystone VIP Choice

Access

All of UPMC's

Avesis

Guardian Dental PPO

Last updated 08-15-2022