Update - 03 11 2026
Today I received a letter from Pleasant Run Dental thanking me for my payment and notifying me that my dental services were being terminated.
When I first began treatment with Dr. George A. Downing Jr., we had a direct conversation about trust. I told him openly that I generally have difficulty trusting doctors, but I understood the need to address my dental issues. He said he needed my trust in order to treat me, and I chose to extend it. I followed his treatment plan and referred both my wife and daughter to the practice.
Earlier in my treatment, Dr. Downing extracted a tooth and told me to call if I had complications, even providing a phone number. When I later experienced severe pain (10/10), I called multiple times over several hours with no response. I eventually drove to the office during posted hours but found it closed, and also called the emergency number provided. Dr. Downing later returned my call and apologized, which I accepted, and I continued with the practice.
Over the past few months, I was unable to return as scheduled due to health issues. Instead of receiving an appointment reminder or invoice, I received a text stating my account would be sent to collections the next day. I didn't realize I owed a balance, and when I learned about it we paid it immediately. I believed the balance was about $150, but it was actually $450. The amount was not the issue; I simply did not know the bill existed.
My wife was told not to return to the practice after only a few visits, without explanation.
As a billing manager for 20 years, I understand the importance of timely payment and clear communication. Standard practice is to send an invoice or reminder before escalating a balance, especially when patients may need documentation for HSA reimbursement. A simple text "reminder" or a statement-of-account notice would likely have resolved the issue.
I admit I was frustrated when I responded to the collection's text. However, when I raised the concern, the response focused on defending the billing process and criticizing my tone rather than resolving the situation.
I had left my original five-star review even after the earlier issue with the unanswered emergency calls because I believed people sometimes fall short and deserve understanding. Unfortunately, it does not feel like that same patience was extended to me.
I do want to note that I liked the staff, the dentist, and the office environment. My concern is simply that the situation could have been handled with clearer communication and mutual respect.
Original
My wife and I both became new patients and began dental work with Dr. Downing. I found him to be thorough, caring, and competent, and the front desk staff was consistently welcoming.
While dental work is never enjoyable, I appreciated the direct and thorough approach to addressing what needed to be done and initially felt confident in the care we were receiving. read more