Dr. Mark Wieczorek, DMD, PC

Financial Information

Appointments and Cancellations

Appointment time will be reserved just for you. Confirmation calls, e-mails and/or texts will be made as a courtesy; however it is your responsibility to keep the appointment. Appointments not kept or cancelled with less than 48 business hours notice are subject to a $50.00 reservation fee.

Payment Options

  • Payment is expected at the time of service. Those patients with insurance will be asked to pay the estimated amount not to be covered.
  • For patients that have two insurance policies, one must know that there may still be a co-pay despite having dual coverage.

Forms of Payment


For emergency patients that are not established patients of record, personal checks will not be accepted. Returned Checks Personal checks returned by your bank for insufficient funds are subject to a $25 bank processing fee.

Collections If your account is referred to a collection agency due to failure to pay for services, you will be responsible for all collection cost amounts in the amount of $25 or possibly 30% of the outstanding balance (whichever is greater) as well as any court costs and reasonable attorney fees.