Product: Debt collection

First and foremost, I am not a dental provider, nor do I have any dental billing or legal training. If my claims are unsubstantiated, I sincerely apologize. I tried to work with XXXX in XXXX directly to resolve this matter to no avail. Therefore, Im asking The Pennsylvania XXXX XXXX XXXX to step in on my behalf. 

Tooth 14 I was placed in collection by Drs. XXXXXX/XX/XXXX ( XXXX ), XXXX XXXX XXXX ( XXXX ) andXX/XX/XXXX XXXX XX/XX/XXXX. I received collections notice from XXXX in XXXX in the amount of {$1100.00}XX/XX/XXXX was requesting {$590.00} ( XXXX Crown-Porcelain/Ceramic ) and {$97.00} ( XXXX XXXX XXXX, Including any pins ) for tooth number 14. Per collection notice/invoice these services were completed XX/XX/XXXX. XXXX XXXX paid XX/XX/XXXX{$550.00} ( Porcelain Ceramic Crown ) and {$100.00} ( XX/XX/XXXX ). XXXX was also billed and paid {$75.00} for XX/XX/XXXX on tooth number 14. 

XX/XX/XXXX, I became a patient at XXXX for XXXX and was quoted {$17000.00} to complete all work needed. XX/XX/XXXX, I had {$15000.00} of the work completed XX/XX/XXXX. With the plan of completing the remainder once my benefits renewed for XXXX. One of the items that were tabled for XXXX was the core build up and crown for tooth number 14. XXXXXX/XX/XXXXreatment plan for tooth number 14 in the amount of {$1000.00} is attached. 

XXXX and XXXX XXXX both paid for services rendered to tooth number 14. XX/XX/XXXX did not complete the services and reported me to collections for monies they received, and no services were rendered. 


Tooth 4 PerXX/XX/XXXX collections notice I owe {$150.00} for XXXX XXXX, Including any pins for tooth four completed XX/XX/XXXX. XXXX paid {$50.00} XXXX XXXX XXXX Any Pins for tooth number XXXX and XXXX XXXX paid {$100.00} XXXX XXXX for tooth 4. XX/XX/XXXX, my bridge from XXXX ( teeth 4, 5 and 6 ) had not been removed therefore I doubt any work was completed on tooth four. Bridge was not removed until XX/XX/XXXX, when implant was placed. 

Tooth 5 Elegance also reported me to collections for tooth number five implant in the amount of {$1500.00}. Which was supposed to be billed to XXXX XXXX before my XX/XX/XXXX, termination date. I had {$2000.00} in benefits left when I termed with XXXX XXXX because claims were never submitted. I paid {$1000.00} out of pocket because XXXX rejected the claim because XXXX refused to submit the proper documentation. XX/XX/XXXX, XXXX paid XXXX {$760.00} for tooth number five implant. If my calculations are correct that would give me {$230.00} credit. 

XX/XX/XXXX, bridge was removed from teeth four, five and six so implant could be placed in tooth XXXX. Once the procedure was completed my bridge for XXXX was reinstalled so that I could get crowns for teeth four, five and six once implant site was healed. XX/XX/XXXX, the bridge I had since XXXX broke. XX/XX/XXXX, I went to XXXX and was told they would have to make a temp bridge. I was never informed that it would be {$130.00} ( 3 ) for a temp bridge. XX/XX/XXXX, temporary bridge broke and XXXX would not schedule an appointment to repair. 

Tooth 3 During my consult with XXXX XXXX ( Periodontist ) atXX/XX/XXXX I was told I needed a {$1500.00} sinus lift for tooth number 3. XXXXXX/XX/XXXX XXXX said it was not necessary and completed my implant without any alterations of my sinus. 


I have attached several documents and mailed the entire file that I have created for your review. Please let me know what I can do to assist in resolving this matter. 

Thank you for taking the time to assist me. 

Sincerely XXXX XXXX Enclosed : - XX/XX/XXXXXXXX XXXX Payment T 5 - XXXX XX/XX/XXXXXXXX Full Treatment Plan XX/XX/XXXX - XXXXXX/XX/XXXX Treatment Plan T XXXX - XX/XX/XXXX - XX/XX/XXXX XXXX XXXX {$1200.00}. XX/XX/XXXX - Elegance in XXXX XXXX {$1100.00} XX/XX/XXXX - XX/XX/XXXX XXXX XXXX Notice/Itemized Bill XXXX - XX/XX/XXXXXXXX Out of Pocket Payment Implant # 5 - XX/XX/XXXX XXXX XXXX XXXX Payment T 14 and T - 4