Office Info

Office Info

Your First Visit

At your first visit to the orthodontist, diagnostic records may be taken to determine the best course of treatment.  Complete diagnostic records typically include a medical/dental history, clinical examination; study model impressions of the teeth, photos of the patient's face and teeth, measurements and X-rays. This information is used to develop a custom treatment plan for each patient. These records are also helpful in tracking the progress of treatment as the teeth move under orthodontic care. Depending on the patient's age and development, it may be recommended to wait until further growth occurs before a records appointment is performed.


Once the doctor has evaluated your case and developed your custom treatment plan, we will discuss all options, projected outcomes and any pre-treatment steps that need to be addressed. This helps us ensure that the best course of action is taken in order to achieve the most ideal results. This appointment is a great opportunity to take advantage of true one-on-one time with the doctor to address any concerns or questions you may have regarding your upcoming treatment.

Active Treatment Appointments

The appointment at which you are fitted with your appliances (braces, palatal expanders, etc.) usually takes from thirty minutes to one hour. You will then see us at regular intervals of 4 to 10 weeks for routine adjustments, which take 10 to 30 minutes. Damaged appliances require special appointments. Most repairs cannot be made during your regularly scheduled appointment. Please notify us as soon as possible so the proper appointment may be scheduled. We make every effort to be on time for our patients, and ask that you extend the same courtesy to us. If you cannot keep an appointment, please notify us immediately. Cancel only if it is an emergency. It is difficult to reschedule you since most appointments are made 4 to 10 weeks in advance.

Payment & Office Policies


The cost of treatment varies from patient to patient and all fees are determined on a case-by-case basis.  These fees are depend on the duration and involvement of each individual case.  You will be able to discuss fees and payment options before treatment begins. We have payment plans to suit different budgets, including a no-down-payment option. We also accept assignment from most insurance plans and file the necessary papers to the insurance company. We work hard to make orthodontics affordable.


In an effort to keep orthodontic fees down while maintaining the highest level of professional care, we have established this financial policy:

  • Payment for services provided is expected. We have several payment options sure to suit most needs.
  • If full payment is made at the onset of treatment, we will offer a fee discount. (If you have insurance, this discount does not apply to the portion of your fee that is being covered by your dental insurance.)
  • To fit your individual needs, financial arrangements can be made to extend your payments over a period of months.
  • For your convenience, we accept payment by VISA and MASTERCARD.
  • We will make every effort to accommodate patients with temporary financial difficulties, but in the case of serious delinquency, treatment may be suspended or discontinued.
  • We offer one set of retainers for post-treatment use included with the fee. Any broken or lost retainers, as well as those that no longer fit because of non-wear, carry their own out-of-pocket fee and are not normally covered by insurance.
  • Sometimes treatment is completed earlier than anticipated.  That does not mean that your monthly payments will stop early.  Should treatment be completed before your financial contract with us is up and there is still a balance on your account, you may choose to continue making monthly payments until full payment is received or to pay off the remainder of your balance in full.


If you have insurance, we will help you to determine the coverage you have available. We ask that you assign your insurance benefit to us. The balance will be arranged for you to pay (see above). Professional care is provided to you, our patient, and not to an insurance company. Thus, the insurance company is responsible to the patient and the patient is responsible to the doctor. Most insurance companies make quarterly payments to you as the policy holder which should then be forwarded to us. These payments normally come with an Explanation of Benefits showing our name to show that the payments are for the services that we are providing. We will help in every way we can in filing your claim and handling insurance questions from our office on your behalf.

Patient Forms

Please help us be prepared for your first appointment by completing this Patient Information and Medical History form. Download the form below (in either Word DOC or Acrobat PDF format) to your computer, print it out, complete it, and bring it with you to your first appointment.

If you're unable to read PDF files, you can download Acrobat Reader free from Adobe. [Download Acrobat Reader]


Patient Website

On our patient website, you'll find tons of useful information. You can check your financial and insurance information, see when your next appointment is and sign up to receive email or sms text reminders for your appointments!


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Orthodontist John O. Fishell Jr. || 17 Arentzen Boulevard, Suite 102 - Charleroi, PA 15022
1201 Broughton Road - Pittsburgh, PA 15236 || 628 E. McMurray Rd. - McMurray, PA 15317
Weirton Medical Building - Weirton, WV 26062

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