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Medical Forum / General / Dentistry / November 2004

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principal dentist withholds fees for failed treatment

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Jarlath - 30 Oct 2004 22:13 GMT
Hi guys,
Looking for opinions from dentists on principals withholding money
from associates. I have had £1500 taken from me and the dentist is
refusing to refund any of it because of 'failed treatment'.
I signed a 2 year contract with him in october 2000 which allowed him
to withhold for 6 months ie until april 2003- thing is I stayed on out
of contract until august 2003.He did not withhold in october 2002 as
contracted but waited until august 2003 after I left.
He sold the practice in january 2004 and I wrote to him in march 2004
asking for my money back.He did not contact me until july 2004 saying
that I owed him over £5000 for failed treatment and bad debts.
Thing is over 90% of my income came from NHS exempt (they don't pay
anything)patients.I am in the UK
He is billing me privately for repairing work.
Needless to say I am unhappy and want to know if this is widespread or
was I just unlucky.
All opinions and advice welcome.
Jarlath
Joel M. Eichen - 31 Oct 2004 02:23 GMT
>Hi guys,
>Looking for opinions from dentists on principals withholding money
>from associates. I have had £1500 taken from me and the dentist is
>refusing to refund any of it because of 'failed treatment'.

Send a letter, Return Receipt Requested, and then go to court.

FAILED in his mind, does not mean failed.

>I signed a 2 year contract with him in october 2000 which allowed him
>to withhold for 6 months ie until april 2003- thing is I stayed on out
[quoted text clipped - 3 lines]
>asking for my money back.He did not contact me until july 2004 saying
>that I owed him over £5000 for failed treatment and bad debts.

What's in the contract about bad debt?

>Thing is over 90% of my income came from NHS exempt (they don't pay
>anything)patients.I am in the UK
[quoted text clipped - 3 lines]
>All opinions and advice welcome.
>Jarlath
CWatters - 31 Oct 2004 07:45 GMT
> >Hi guys,
> >Looking for opinions from dentists on principals withholding money
> >from associates. I have had ?1500 taken from me and the dentist is
> >refusing to refund any of it because of 'failed treatment'.

Did he give _you_ the oportunity of correcting the claimed failed
treatments? Usually if someone (like a tradesman) does faulty work you have
to offer them the oportunity to fix it. You can't just have someone else fix
and bill them unless they refuse to come and make good.
Jarlath - 31 Oct 2004 14:29 GMT
> >Hi guys,
> >Looking for opinions from dentists on principals withholding money
[quoted text clipped - 14 lines]
>
> What's in the contract about bad debt?

Hi Joel,
I pay 55% of bad debts and 55% of cost of collection through debt
collectors or the courts-thats what the contract says.
What I would really like to know is if the contract is invalid because
the arrangment was only for 2 years.
I am tempted to go to the small claims court over this but I think it
might be very difficult for a non dental judge to understand the point
you previously made- that his idea of failure is not an independent
assessment by an unbiased party- notwithstanding the fact that failure
may be patient driven- ie if they get in a fight and brake a veneer.
CWatters - 31 Oct 2004 17:03 GMT
> I am tempted to go to the small claims court over this but I think it
> might be very difficult for a non dental judge to understand the point
> you previously made- that his idea of failure is not an independent
> assessment by an unbiased party- notwithstanding the fact that failure
> may be patient driven- ie if they get in a fight and brake a veneer.

This sort of thing is why you normally have to allow traders to make defects
good themselves before you hire someone else. Did he ask you to rectify the
supposed defective work and/or did you refuse to do so? That would count
against you in court.

I suggest you go see your solicitor (or perhaps the BDA have one?).
Solicitors these days give you 30 mins free to discuss your case and explain
how they can help. Very worthwhile to do this before you go to small claims
court.
Dr. Steve - 31 Oct 2004 23:28 GMT
On 31 Oct 2004 05:29:29 -0800, jarlathloftus@fsmail.net (Jarlath)
>Hi Joel,
>I pay 55% of bad debts and 55% of cost of collection through debt
[quoted text clipped - 6 lines]
>assessment by an unbiased party- notwithstanding the fact that failure
>may be patient driven- ie if they get in a fight and brake a veneer.

Unless you have total control over the front desk and how billing and
collection is handled, you got suckered into a lousy deal.
..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.
G Xpetros - 31 Oct 2004 23:41 GMT
Jarlath, the guy is BSing you. How much of your gross did you receive?
50% I guess (that's the standard deal in the UK). If you pay 55% for
bad debts, your contract was sh.t to start with. If you were working
as an associate and not as an assistant, you're an independent
contractor to the NHS and the patients you see are YOUR patients and
not the principal's. If there was a complaint about failed treatment,
he should have notified you if he took action to amend it. My advice
is to contact the BDA (if you're a member), although they will not
support you in a legal challenge if the principal is also a member, or
your defence union (DPL used to settle cases of fincancial issues
between dentists if I remember corrently).
Jarlath - 01 Nov 2004 10:40 GMT
> Jarlath, the guy is BSing you. How much of your gross did you receive?
> 50% I guess (that's the standard deal in the UK). If you pay 55% for
[quoted text clipped - 7 lines]
> your defence union (DPL used to settle cases of fincancial issues
> between dentists if I remember corrently).

I ran the contract by DPL(Dental Protection) and they have issued me
with a written report saying it is an unfair contract-they use the
word unreasonable quite a lot. I would most like to fight the case on
the grounds that the contract did not apply as I was out of contract
when I left and therefore he had no authority to withhold to begin
with. I have thrown this issue up on alt legal uk and uk legal but so
far the lawyers aren't being as helpful as the dentists.
W_B - 31 Oct 2004 17:40 GMT
>All opinions and advice welcome.
>Jarlath

You need an attorney.  Quickly.
Belive that in the UK they are refered to as 'solicitors'.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Joel M. Eichen - 31 Oct 2004 19:57 GMT
>>All opinions and advice welcome.
>>Jarlath
>
>You need an attorney.  Quickly.
>Belive that in the UK they are refered to as 'solicitors'.

While in the U.S. soliciting is against the law .......
Alexander Vasserman DDS., BS. - 01 Nov 2004 02:05 GMT
Barristor Solicitors

> >>All opinions and advice welcome.
> >>Jarlath
[quoted text clipped - 3 lines]
>
> While in the U.S. soliciting is against the law .......
Dr. Steve - 31 Oct 2004 23:27 GMT
Hopefully a UK dentist will see this and chime in.  Most of us are USA
bound and don't really understand NHS, nor why any self-respecting
dentist would agree to work in that system.

>Hi guys,
>Looking for opinions from dentists on principals withholding money
[quoted text clipped - 14 lines]
>All opinions and advice welcome.
>Jarlath

..
Stephen Mancuso, D.D.S.
Troy, Michigan, USA

Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.
G Xpetros - 01 Nov 2004 08:34 GMT
> Hopefully a UK dentist will see this and chime in.  Most of us are USA
> bound and don't really understand NHS, nor why any self-respecting
> dentist would agree to work in that system.

Well, at first you get the impression that you're providing a valuable
community service. After some time that differs depending on the
practitioner, that impression vanishes. For me it was when I did my
"on-call" emergency session. Guy phones 4 pm with toothache, walks in
at 7 pm. He isn't registered with any NHS dentist, so this means he
probably hasn't seen any dentist in a while. It also means I am
perfectly capable of charging him privately (say £50), but I don't
because I feel I'm already being paid by the NHS for the session and I
don't like exploiting people in pain. So I do the extraction he needed
and I ask for the standard NHS patient charge, which is around £10 I
think. Turns out he doesn't even have that kind of money. What the
hell I say, bring it sdome other day.
After he leaves, my nurse points to me the bag containing the brand
new trainers he was sporting along. Seems he had a little shopping to
do before he visited us. It was then I said f.ck those people and f.ck
the NHS.

George
Dr Steve - 01 Nov 2004 19:54 GMT
That is why so few professionals are willing to work for the welfare system.
It is so abused, that we never can tell if anyone is legitimate or not.

Rule of thumb in my office for any new patient in pain.  the get
radiographs, diagnosis, and anesthetic.  then, they go to the front desk and
pay the entire bill for today.  If they pay, I do the work.  No pay, well,
they get a copy of their radiographs for free and are asked to return with
the money.  Their numbness will last for a few hours, so they got some
temporary relief.  If they were just hoping for drugs, forget it as
prescriptions do not get written for these people until the bill is paid
either.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>> Hopefully a UK dentist will see this and chime in.  Most of us are USA
>> bound and don't really understand NHS, nor why any self-respecting
[quoted text clipped - 18 lines]
>
> George
Joel M. Eichen - 01 Nov 2004 20:55 GMT
>That is why so few professionals are willing to work for the welfare system.
>It is so abused, that we never can tell if anyone is legitimate or not.

TRUE. But DoralUSA sure cleaned it up!

Joel

>Rule of thumb in my office for any new patient in pain.  the get
>radiographs, diagnosis, and anesthetic.  then, they go to the front desk and
[quoted text clipped - 4 lines]
>prescriptions do not get written for these people until the bill is paid
>either.
G Xpetros - 01 Nov 2004 08:37 GMT
Before I went on my ranting, I planned to make a valiable point. There
is a mailing list for british dentists, which is called GDP-UK and can
be found at groups.yahoo.com. I'm sure they can give you a lot fo info
and it is a very good place to get all the latest info about british
dental politics, happenings, etc.

George
Jarlath - 01 Nov 2004 19:56 GMT
> Hopefully a UK dentist will see this and chime in.  Most of us are USA
> bound and don't really understand NHS, nor why any self-respecting
> dentist would agree to work in that system.

Yes, I have worked in the Republic of Ireland where it is a private
dental system, and patients have more respect for dentists and
dentistry.The more you spend on something, the more you value
it.However dentistry is so expensive that all I did over there was
extract teeth and fillings. So I moved to the UK where the stakes are
lower and I could get experience of C&B and RCT.
However when you are a young dentist, you are at the mercy of more
experienced colleagues (green),and you have to learn your trade, so
you have to work in a low cost, low risk environment to gain
confidence in handling people etc. We are only 23 when we qualify over
here, whereas I believe 26-28 is the norm in the US.
You guys are a bit longer in the tooth!


> ..
> Stephen Mancuso, D.D.S.
> Troy, Michigan, USA
>
> Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.
Dr Steve - 01 Nov 2004 20:56 GMT
Ahhh, the ignorance of youth.  When you are really young you just don't get
it sometimes.  You cannot possibly work in such a system and get good
experiences or reasonable pay.

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>> Hopefully a UK dentist will see this and chime in.  Most of us are USA
>> bound and don't really understand NHS, nor why any self-respecting
[quoted text clipped - 19 lines]
>> Writing on a tablet PC,so forgive me if the PC misreads my poor
>> handwriting.
Joel M. Eichen - 01 Nov 2004 21:26 GMT
>Ahhh, the ignorance of youth.  When you are really young you just don't get
>it sometimes.  You cannot possibly work in such a system and get good
>experiences or reasonable pay.

U cn ern mo pa if ui cn rd ths.

(This was plastered all over New York subways, 30-40 years ago)

Joel
Mark & Steven Bornfeld DDS - 01 Nov 2004 21:35 GMT
> U cn ern mo pa if ui cn rd ths.
>
> (This was plastered all over New York subways, 30-40 years ago)
>
> Joel

ui?
Cn u gt a gd jb?

S

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Joel M. Eichen - 01 Nov 2004 22:25 GMT
>> U cn ern mo pa if ui cn rd ths.
>>
[quoted text clipped - 6 lines]
>
>S

YUP!
Jarlath - 02 Nov 2004 16:05 GMT
> >Ahhh, the ignorance of youth.  When you are really young you just don't get
> >it sometimes.  You cannot possibly work in such a system and get good
[quoted text clipped - 5 lines]
>
> Joel

What? You had text message 30 years ago?
God bless America!
Joel M. Eichen - 02 Nov 2004 17:41 GMT
>> >Ahhh, the ignorance of youth.  When you are really young you just don't get
>> >it sometimes.  You cannot possibly work in such a system and get good
[quoted text clipped - 8 lines]
>What? You had text message 30 years ago?
>God bless America!

YUP, we had the internet shortlay after WWII.

Joel

There were ads on it back then.
Adenosine - 02 Nov 2004 17:50 GMT
>YUP, we had the internet shortlay after WWII.
>
>Joel
>
>There were ads on it back then.

Makes sense considering that the very first computers were used in the
war to break encryption or calculate trajectories for shells.

Adenosine
Joel M. Eichen - 02 Nov 2004 18:46 GMT
>>YUP, we had the internet shortlay after WWII.
>>
[quoted text clipped - 4 lines]
>Makes sense considering that the very first computers were used in the
>war to break encryption or calculate trajectories for shells.

Blatchford Park and Enigma?

The first computer/computer was developed slightly after the war at
the Moore School of Electrical Engineering on Penn's campus ....

Eniac - vacuum tube affair ......

Joel

>Adenosine
Joel M. Eichen - 01 Nov 2004 20:56 GMT
>> Hopefully a UK dentist will see this and chime in.  Most of us are USA
>> bound and don't really understand NHS, nor why any self-respecting
[quoted text clipped - 6 lines]
>extract teeth and fillings. So I moved to the UK where the stakes are
>lower and I could get experience of C&B and RCT.

Did you have any problem with the language going from place to place?

I am kidding I know they all speak American over there!

Joel

>However when you are a young dentist, you are at the mercy of more
>experienced colleagues (green),and you have to learn your trade, so
[quoted text clipped - 8 lines]
>>
>> Writing on a tablet PC,so forgive me if the PC misreads my poor handwriting.
W_B - 02 Nov 2004 21:17 GMT
>We are only 23 when we qualify over
>here, whereas I believe 26-28 is the norm in the US.
>You guys are a bit longer in the tooth!

I graduated at 25.
--

W_B

Take out the G'RBAGE
wubbabubbazG@RBAGEyahoo.com
Mark & Steven Bornfeld DDS - 02 Nov 2004 21:31 GMT
>>We are only 23 when we qualify over
>>here, whereas I believe 26-28 is the norm in the US.
[quoted text clipped - 7 lines]
> Take out the G'RBAGE
> wubbabubbazG@RBAGEyahoo.com

    I was a teeny-tiny dentist at just barely 24.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Dr Steve - 02 Nov 2004 21:32 GMT
30

Signature

~+--~+--~+--~+--~+--
Stephen Mancuso, D.D.S.
Troy, Michigan, USA
....................................................

This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here.  Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................

>
>>>We are only 23 when we qualify over
[quoted text clipped - 12 lines]
>
> Steve
carabelli - 02 Nov 2004 21:36 GMT
"Mark & Steven Bornfeld DDS" > > I graduated at 25.
> > --
> >
[quoted text clipped - 4 lines]
>
> I was a teeny-tiny dentist at just barely 24.

How old was your twin brother then?

> Steve

25 for me, and already a gentleman at that time.

carabelli
Jarlath - 03 Nov 2004 19:57 GMT
> "Mark & Steven Bornfeld DDS" > > I graduated at 25.
> > > --
[quoted text clipped - 11 lines]
>
> 25 for me, and already a gentleman at that time.

Do you not have to do a 4 year science degree and then 4 years of
dentistry?
By the way the UK solicitors are finally pulling rank-I posted on 2 uk
legal sites on google.
carabelli - 03 Nov 2004 20:03 GMT
> > "Mark & Steven Bornfeld DDS" > > I graduated at 25.
> > > > --
[quoted text clipped - 14 lines]
> Do you not have to do a 4 year science degree and then 4 years of
> dentistry?

Graduated High School (sorry to rub your nose in it again Jan) at 17
Graduated with a B.S. at 21
DDS at 25
MS in ortho at 27
Growing up - soon

By the way the UK solicitors are finally pulling rank-I posted on 2 uk
> legal sites on google.

Good, keep us informed.

carabelli
Steven Fawks - 03 Nov 2004 20:44 GMT
I made it out of high school at 17, but from there I took a more
circuitous route and didn't get out of dental school until I was
26.

Fawks

> Graduated High School (sorry to rub your nose in it again Jan) at 17
> Graduated with a B.S. at 21
[quoted text clipped - 9 lines]
>
> carabelli
 
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