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HomeMy WebLinkAbout01-3219COMMONWEALTH OF PENNSYLVANIA, : IN THE COURT OF COMMON PLEAS DEPARTMENT OF ENVIRONMENTAL OF CUMBERLAND COUNTY, PENNSYLVANIA PROTECTION, Plaintiff Docket No.: v. Date Entered: JAVAD BIGDELI 1212 WOODBINE AVENUE PENN VALLEY, PA 19072, Defendant CERTIFIED COPY OF LIEN To the Prothonotary of Said Court: Pursuant to Section 308(e) of the Radiation Protection Act, Act of July 10, 1984, P.L. 688, 35 P.S. § 7110.308(e); this is a Certified Copy of Lien for civil penalties to be entered of record by you and indexed es judgments are indexed. Date of Final Amount of Amount Paid Assessment Assessment lif any) Total Due 12/15/95 $1,560.00 $00.00 $1,560.00 04/21/98 $1,560.00 $00.00 $1,560.00 04/21/98 $1,560.00 $00.00 $1,560.00 10~29/98 $1,560.00 $00.00 $1,560.00 Total $6240.00 Filing Fee Date David J. Allard, Director Bureau of Radiation Protection Department of Environmental Protection ORIGINAL TO BE RETAINED BY PROTHONOTARY ~ ooo .cE . .. om ~ u m .'.?2 3..- CO~O~EALTH OF PENNSYLVANIA DEPARTmeNT OF E~I~NT~ ~CTI~ "' ~ · ~ OF ~TI~ ~ERTIFIED ~L In the Matter of: Ja~d Big~li, D.D.S. ~ 240, 2471 Nor~ 54~ Steer, ~lla~lphia, PA 19131 I.D. 901-14729 Notico off Civil PenoltyAseeesment The Commonwealth of Pennsylvania, Department of Environmental Protection (~Department") assesses a civil penalty as follows: A. Javad Bigdelt is a Dentist doing business at Room 240, 2471 North 54th Street, Philadelphia, PA 19131. R. Javad Bigdell, D.D.S., owns and operates one or more radiation-producing machines containing one tube(s). C. On September 1, 1995, the Department mailed a radiation source invoice to Javad Bigdeli, D.D.S. advising that an annual registration fee for radiation-producing machines in the amount of $75.00 for 1995 was due and owing to the Department within 15 days from the date of receipt of the invoice. D. On November 14, 1995, the Department sent Javad Bigdeli, D.D.S. a letter advising that if it did not receive payment of the required fee within ten business days from the date of the letter, the Department would proceed with enforcement action. E. On December 15, 1995 the Department mailed to Javad Bigdeli, D.D.S. a Notice of Violation letter advising that failure to pay the required annual registration fee is a violation of the Radiation Protection Act and regulations promulgated thereunder. The letter further stated that if payment of the required registration fee was not received within ten business days from the date of the letter, the Department would issue a civil penalty assessment. F. Pursuant to 25 Pa. Code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 of the Radiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Jevad Bigdeli, D.D.S. is required to pay, within 15 days of receipt of the invoice, an annual fee in the amount of $75.00 for re- registration of the radiation-producing machines. G. Despite repeated demands, Javad Bigdeli, D.D.S., has failed to pay the required registration fee. H. Pursuant to the Department's authority under Section 308 of the Radiation Protection Act, 35. P.S. Section 7110.308(e), the Department hereby assesses acainst Javad Ri~]~. n n ~ ~ ~,,~ I. The amount of the civil penalty was calculated as follows: a. Severity classification: Level III b. Culpability classifioation: Negligent c. Total civil penalty assessment: $1,560 Payment of the civil penalty should be made by means of oertl£ied ohmck or~one¥ order in the amount of ~1560.00 made payable to Department of Environmental Protection and sent to Department of Environmental Protection, P.O. Box 8455, Harrisburg, PA 17105-8455. The Department reserves its right to assess additional civil penalties for the continued failure to pay the required registration fee. If any person liable to pay a civil penalty fails to pay it, the amount of the penalty, together with interest and costs, will be a lien in favor of the Commonwealth upon the real and personal property of the person after the lien has been entered and docketed by the prothonotary of the county where the property is located. Any person aggrieved by this action may appeal, pursuant to Section 4 of the Environmental Hearing Board Act, 35 P.S. Section 7514; and the Administrative Agency Law, 2 Pa. C.S., Chapter 5A to the Environmental Hearing Board, P. O. Box 8457, 400 Market Street, Harrisburg, PA 17105-8457, (717) 787-3483. TDD users may contact the Board through the Pennsylvania Relay Service, (800) 654-5984. A~peals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless the appropriate statute provides a different time period. Copies of the appeal form and the Board's rules of practice and procedure may be obtained from the Board. The appeal form and the Board's rules of practice and procedure are also available in Braille or On audiotape from the Secretary to the Board at (717) 787-3483. This paragraph does not, in and of itself, create any right of appeal beyond that permitted by applicable statutes and decisional law. Keith C. Kerns Acting Director Bureau of Radiation Protection C~4WEALTH OF pEI4NSYLVANIA DEPArTmeNT OF ENV~(H~NTAL pROTZCTIO~ ".' ...'". ~ OF ~IATI~ CERTIF~ED~L Z 193 637 807 In the Matter o[: p~ 240, 2471 N. 54~h Street ~ila~lphia, PA 19131 I.D. J01-14729 Noti~ of Civil ponal~ The Co~onwealth of pennsylvania, Depar~ent of Enviro~ental protection (~Depar=ment") assesSeS a civil penalty as EollOWS: R. ~avad B~del~ is a dentist doing business at Room 240, 2471N. 54th St., Philadelphia, PA 191~1. 1 deli, D.D.S- owns and operates one or more B. Javad B'g . = =-~- one C. On January 29, 1998, the Department mailed a radiation source invoice to Javad Bi,deli, D.D.S. advising that an annual registration lee ~or radiation-producing machines i~ the ~ount of $75.00 [or 1997 was due and owin~ to the Department within 1~ days Erom the date off receipt o~ 'the invoice- D. ~ March 12, 1998, the Department sent Javad Bigdeli, D.D.S- a letter advising that i~ it did not receive pa~ent of the required ~ee within ten business days from the date o[ the letter, the Department ~ould proceed with enforcement action. E. On ~ril 21, 1998 the Department mailed to Javad Bigdeli, D.D.S- a Notice of vfolation letter advising that failure to pay the required annual registration Eee is a violation oE the Radiation Protection Act and regulations promulgated thereunder- The letter [urther stated that if pa~ent o[ the re~ired registration lee was not received within ten business days from the date oE the letter, the Department would issue a civil penalty F. Pursuant to 25 Pa. code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 o[ the ~adiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Javad Bigdeli, D.D.S., is re~ired to pay, within 15 days oE receipt of the invoice, an annual ~ee in the a~unt of $75.00 for re- registration of the radiatiOn-producing machines- G. Despite re9eared demands, Javad Bigdeli D.D.S., has Jailed to 9aY the required registration fee. - ~artment's authority under Section 308 ~. Pursuant to tn~ ~ = ~= u S Section 7110.308(e), the I. The amount of the civil penalty was calculated as follows: a. Severity classification: Level III b. Culpability classification: Negligent c. Total civil penalty assessment: $1,560 Payment of the civil penalty should be made by means of oertified oheck or mone~ order in the ~-~-t of ~1S60.O0 made payable to Department of Environmental Protection and s ~t to Department of Environmental Protection, P.O. Eox 8455, Harrisburg, PA 17105-8455. The Department reserves its right to assess additional civil penalties for the continued failure to pay the required registration fee. If any person liable to pay a civil penalty fails to pay it, the amount of the penalty, together with interest and costs, will be a lien in favor of the Com~nonwealth upon the real and personal property of the person after the lien has been entered and docketed by the prothonotary of the county where the property is located. Any person aggrieved by this action may appeal, pursuant to Section 4 of the Environmental Hearing Board Act, 3% P.S. Section 7514; and the Administrative Agency Law, 2 Pa. C.S., Chapter 5A to the Environmental Hearing Board, P. O. Box 8457, 400 Market Street, Harrisburg, PA 17105-8457, (717) 787-3483. TDD users may contact the Board through the Pennsylvania Belay Service, (800) 654-5984. Appeals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless the appropriate statute provides a different time period. Copies of the appeal form and the Board's rules of practice and procedure may be obtained from the Board. The appeal form and the Board's rules of practice and procedure are also available in Braille or on audiotape from the Secretary to the Board at (717) 787-3483. This paragraph does not, in and of itself, create any ripht of appeal beyond that permitted by applicable statutes and decisional law. Keith C. Kerns Acting Director Bureau of Badiation Protection CC~4~HWEALTH O~ PEIqMSYLV~IA . · DEPARTmeNT OF ENVIROnmeNTAL PPI)TECTIO~ · ' . : BUREAU OF RADIATIO~ PROTECTI(~q CERTIFIED MAIL z 193 637 806 In the Matter of: Jevad Bigdeli, D.D.S. Roc~ 240, 2471 N. 54th Street Philadelphia, PA 19131 I.D. 901-14729 Notice o£ Civil Penalty A~sessment The Commonwealth of Pennsylvania, Department of Environmental Protection (~Department") assesses a civil penalty as follows: A. Javad Bigdeli is a dentist doing business at Room 240, 2471N. 54th St., Philadelphia, PA 19131. B. Javad Bigdell, D.D.S. owns and operates one or more radiation-producing machines containing one tube(s). C. On May 9, 1997, the Department mailed a radiation source invoice to Javad Bigdeli, D.D.S. advising that an annual registration fee for radiation-producing machines in the amount of $75.00 for 1996 was due and owing to the Department within 15 days from the date of receipt of the invoice. D. On March 12, 1998, the Department sent Javad Blgdeli, D.D.S. a letter advising that if it did not receive pa!anent of the required fee within ten business days from the date of the letter, the Department would proceed with enforcement action. E. On April 21, 1998 the Department mailed to Javad Bigdeli, D.D.S. a Notice of Violation letter advising that failure to pay the required annual registration fee is a violation of the Radiation Protection Act and repulations promulgated thereunder. The letter further stated that if payment of the required registration fee was not received within ten business days from the date of the letter, the Department would issue a civil penalty assessment. F. Pursuant to 25 Pa. Code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 of the Radiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Javad Bigdeli, D.D.S., is required to pay, within 15 days of receipt of the invoice, an annual fee in the amount of $75.00 for re- registration of the radiation-producing machines. G. Despite repeated demands, Javad Bigdell D.D.S., has failed to pay the required registration fee. H. Pursuant to the Department's authority under Section 308 of the Radiation Protection ACt, 35 P.S. Section 7110.308(e), the Department hereby assesses against Javad Bigdeli, D.D.S., a civil I. The amount of the civil penalty was calculated as follows: a. Severity classification: Level III b. Culpability classification: Negligent c. Total civil penalty assessment: $1,560 Payment of the civil penalty should be made by means of certified oheok or mone~ order in the amount of ~1560.00 made payable to Department of Environmental Protection and sent to Department of Environmental Protection, P.O. Box 8455, Harrisburg, PA 17105-8455. The Department reserves its right to assess additional =ivil penalties for the continued failure to pay the required registration fee. If any person liable to pay a civil penalty fails to pay ~t, the amount of the penalty, together with interest and costs, will be a lien in favor of the Commonwealth upon the real and personal property of the person after the lien has been entered and docketed by the prothonotary of the county where the property is locslsd. Any person aggrieved by this action may appeal, pursuant to Section 4 of the Environmental Hearing Board Act, 35 P.S. Ssctlon 7514; and the Administrative Agency Law, 2 Pa. C.S., Chaptsr ~A to the Environmental Hearing Board, P. O. Box 8457, 400 Market Sureet, Harrisburg, PA 17105-8457, (717) 787-3483. TDD users may contact the Board through the Pennsylvania Relay Service, (800) 654-~984. Appeals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless appropriate statute provides a different time period. Cc,!es of the appeal form and the Board's rules of practice and proced=re may be obtained from the Board. The appeal form and the Board's rules of practice and procedure are also available in Braille or :n audiotape from.the Secretary to the Board at (717) 787-348]. This paragraph does not, in and of itself, create any right of a~eal beyond that permitted by applicable statutes and decisional law. Keith C. Kerns Acting Director Bureau of Radiation Prote=~ion CERTIFIED MA~T. z 193 637 874 In the Matter of: Javad Bigd81i, D.D.S. Roc~ 240, 2471 N. 54th Street Philadelphia, PA 19131 I.D. No. 01-14729 Notioe of Civ~l Penalty Asses~nent The Commonwealth of Pennsylvania, Department of Environmental Protection (~Department") assesses a civil penalty as follows: A. Javad Bigdeli is a dentist doing business at Room 240, 2471 N. 54th St., Philadelphia, PA 19131. B. Javad Bigdeli, D.D.S., owns and operates one or more radiation-producing machines containing one tube(s). C. On September 16, 1998, the Department mailed a radiation source invoice to Javad Bipdeli, D.D.S., advising that an annual registration fee for radiation-producing machines in the amount of $75.00 for 1998 was due and owing to the Department within 15 days from the date of receipt of the invoice. D. On October 6, 1998, the Department sent Javad Bigdel£, D.D.S., a letter advising that if it did not receive payment of the required fee within ten business days from the date of the letter, the Department would proceed with enforcement action. E. ' On October 29, 1998 the Department mailed to Javad Bigdeli, D.D.S., a Notice of Violation letter advising that failure to pay the required annual registration fee is a violation of the Radiation Protection Act and regulations promulgated thereunder. The letter further stated that if payment of the required registration fee was not received within ten business days from the date of the letter, the Department would issue a civil penalty assessment. F. Pursuant t~ 25 Pa. Code Sections 218.11 and 218.12, which were promulgated pursuant to Sections 301 and 401 of the Radiation Protection Act, 35 P.S. Sections 7110.301 and 7110.401, Javad Eigdeli, D.D.S., is required to pay, within 15 days of receipt of the invoice, an annual fee in the amount of $75.00 for re- registration of the radiation-producing machines. G. Despite repeated demands, Javad Bigdeli D.D.S., has failed to pay the required rep~stration fee. H. Pursuant to the Department's authority under Section 308 of the Radiation Protection Act, 35 P.S. Section 7110.308(e), the I. The amount of the civil penalty was calculated as "" follows: a. Severity classification= Level III b. Culpability classification= Negligent c. Total civil penalty assessment= $1,560 Payment of the civil penalty should be made by means of oertifiedoheck or~n~e-'~-~ in the ~-~,-t of ~1f560.00 made payable to Department of Environmental Protection and se,,t to the Department of Environmental Protection, P.O. Box 8455, Harrisburg, PA 17105-8455. The Department reserves its right to assess additional civil penalties for the continued failure to pay the required registration fee. If any person liable to pay a Civil penalty fails to pay it, the amount of the penalty, together with interest and costs, will be a lien in favor of the Commonwealth upon the real and personal property of the person after the lien has been entered and docketed by the prothonotary of the county where the property is located. Any person aggrieved by this action may appeal, pursuant to Section 4 of the Environmental Hearing Board Act, 35 P.S. Section 7514g and the Administrative Agency Law, 2 Pa. C.S., Chapter 5A to the Environmental Hearing Board, P. O. Box 8457, 400 Market Street, Harrisburg, PA 17105-8457, 717-787-3483. TDD users may contact the Board through the Pennsylvania Belay Service, (800) 654-5984. Appeals must be filed with the Environmental Hearing Board within 30 days of receipt of written notice of this action unless the appropriate statute provides a different time period. Copies of the appeal form and the Board's rules of practice and procedure may be obtained from the Board. The appeal form and the Board's rules of practice and procedure are also available in Braille or on audiotape from the Secretary to the Board at 717-787-3483. This paragraph does not, in and of itself, create any right of appeal beyond that permitted by applicable statutes and decisional law. David J. Allard Director Bureau of Radiation Protection IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY COMMONWEALTH OF PENNSYLVANIA : DEPARTMENT OF ENVIRONMENTAL : PROTECTION, : : Plaintiff Docket No. vs. Term, JAVAD BIGDELI 1212 WOODBINE AVENUE PENN VALLEY, PA 19072, : : Defendant : PRAECIPE FOR APPEARANCE To The Prothonotary Of Said Court: Kindly enter my appearance on behalf of the plaintiff, Commonwealth of Pennsylvania, Department of Environmental Protection. Stuart M. Bliwas Assistant Counsel Attorney ID #10242 Commonwealth of Pennsylvania Dept of Environmental Protection Office of Chief Counsel General Law Division P.O. Box 8464 Harrisburg, PA 17105-8464 (717) 787-1956 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF ENVIRONMENTAL PROTECTION, Plaintiff Docket No. VS. . JAVAD BIGDELI : 1212 WOODBINE AVENUE : PENN VALLEY, PA 19072. : : Defendant : CERTIFICATE OF RESIDENCE I hereby certify that the name and address of the person to receive notice of this judgment, or last known address of the defendant is: JAVAD BIGDELI 1212 WOODBINE AVENUE PENN VALLEY, PA 19072 Stuart M. Bliwas Assistant Counsel Attorney ID #10242 Dept of Environmental Protection Office of Chief Counsel P.O. Box 8464 Harrisburg, PA 17105-8464 (717) 787-1956 WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) NO.01-3~1c~ CIVIL 1~ TEi~J COUNTY OF CUMBERLAND) CIVIL ACTION - LAW -- TO THE SHERIFF OF Ctm~ber'land COUNTY: To satisfy the debt, interest and costs due Commonwealth of Pennsylvania Department of Environmental Protection , PLAINTIFF(S) from Javad B~_~ell 2471 N 54th Street. Suite 240, Philadelphia, Pa. 19131 DEFENDANT{S) (1) You are directed to levy upon the property of the defendant(s) and to sell (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of __ The Pennsylvania Dental Service Corporation t/a Delta Dental of Pennsylvania 1 Delta D~ive, Mechanicsburg, Pa. 17055 f~i~ed-Concordia Dental Plan~ nF Pennsylvania. Tn~- 1R0~ C~_n~_r ~treet C~ Hill, Pa. 17089 t~RNTgH~ a~ fn]lr~: A]] Prr5~_ ~-t~_ of the above named defendant ~ncluding. wi~hn~,t l~mitation, all savinqs and checking accounts, ~t~S) as foliows: cP~-~:~ate~ of R _m~n~t. d~nn~its and all debts and other ob~ ,n~tions owing frc~ the above ~ ' daf t. debt to or for the account ef the defendant(s) and from delivering any propeNy of the defendant(e) or otheNv~e disposing thereof; (3) If Propen~ of the defendant(s) not levied upon an subject Io a~achment i$ found in the posseasion of anyone other than a named garnishee, you are directed to not~y him/her that he/she has bean added as a garnishee and is enjoined as above stated. Amount Due S6.240.00 L.L. $0.50 ~of 6 percent per annum from 5/25/01 $ !2~.~0 Due Prothy 1_~0 Affy's Comm % Other Costs Atty Paid ? 7. 511 Plaintiff Paid Date: _October 2. 2001 Curtis R. Lonq Prothonotary, Civil Division / / Deputy REQUEST~.~,~,alth, k,~_=~Tv-- of Penna. Dept of Environmental Protection Name Rh~ M. Rl~wa~.E~q.. Asst. Counsel Address: ~_ n_ ~ R46,4 Ha~"'i_~hurq. Pa. 17105-8464 Attorney for: Plaintiff Telephone: [717} 787-1956 Supreme Court ID No. R. Thomas Kline, Sheriff, who being duly sworn according to law, states this Writ is returned ABANDONI~D, no action taken in six months. Sheriff's Costs: Advance Costs: 150.00 Sheriff's Costs: 118.93 Docketing 18.00 31.07 Poundag~ 2.33 Advertising Law Library .50 Prothonotary 1.00 Refunded to Arty on 7/1/02 Mileage 9.10 Misc. Surcharge 30. O0 Levy 40. O0 Post Pone Sale Garnishee 18, O0 Sworn and Subscribed to before me So Answers; this i~~ day o R. Thomas Kline, Sheriff prOm~notsry IN T~E 247~ N- De~e~dant : and : Exeout f °~ No. CORpo PE~ ~TION T D~ : ~ ~_~YLv~¢, /A DELTa ~_SERv~ MECNa ~,~_DR~~ T~ , PA 170SS · and . ~TED CON : PE~yL CORD~A . 1800 --V~IA - DENTa r · ~ HILL - ~EET : ' PA 17089 : Ga~ni Shees : THE ISSUe Writ of (1) Directed t~ t EXecution in the above ~) Pennsylvania; he Sheriff of ~erland County, against Javad ~n~F aga~ns t Th ,lv~nf:nn~Ylv~ ~ental del 1 ~ans of SHERIFF'S RETURN - GARNISHEE CASE NO: 2001-03219 P C0~MONWEALTH OF PENNSLYVANIA COUNTY OF CUMBERLAND ENVIRONMENTAL PROTECTION DEPT VS BIGDELI JAVAD And now GERALD WORTHINGTON ,Sheriff or Deputy Sheriff of Cumberland County of Pennsylvania, who being duly sworn according to law, at 0014:20 Hours, on the 3rd day of October , 2001, attached as herein commanded all goods, chattels, rights, debts, credits, and moneys of the within named DEFENDANT , BIGDELI JAVAD , in the hands, possession, or control of the within named Garnishee UNITED CONCORDIA DENTAL PLANS OF PENNSYLVANIA INC 1800 CENTER ST CAMP HILL, PA 17011 Cumberland County, Pennsylvania, by handing to SALLY MCCOY (PARALEGAL) personally three copies of interogatories together with 3 true and attested copies of the within WRIT OF EXECUTION and made the contents there of known to Her . Sheriff's Costs: So Docketing .00 a~~ Service .00 Affidavit .00 R. Thomas Kline Surcharge .00 Sheriff of Cumberland County .00 .00 00/00/0000 Sworn and subscribed to before me - Deputy Pr4t~onotary ~ ," SHERIFF'S RETURN - GARNISHEE C%S~ NO: 2001-03219 p COMMONWEALTH OF PENWSLYVANIA COUNTY OF CUMBERLAND ENVIRONMENTAL PROTECTION DEPT VS BIGDELI JAVAD And now GERALD WORTHINGTON ,Sheriff or Deputy Sheriff of Cumberland County of Pennsylvania, who being duly sworn according to law, at 0011:25 Hours, on the 3rd day of October , 2001, attached as herein commanded all goods, chattels, rights, debts, credits, and moneys of the within named DEFENDANT , BIGDELI JAVAD , in the hands, possession, or control of the within named Garnishee THE PENNSYLVANIA DENTAL SERVICE CORP., T/A DELTA DENTAL OF PENNSYLVANIA 1 DELTA DRIVE MECHANICSBURG, PA 17055 Cumberland County, Pennsylvania, by handing to KIM MCCOY (PERSONNEL MGR) personally three copies of interogatories together with 3 true and attested copies of the within WRIT OF EXECUTION and made the contents there of known to Her Sheriff's Costs: So answers: Service .00 Affidavit .00 R. Thomas Klin~ Surcharge .00 Sheriff of Cumberland County .00 .00 00/00/0000 Sworn and subscribed to before me this /~ ~ day of ~_~_~. By ~ /~~-- Deputy ~eriff ~; A.D. Prdh]4onot ary · IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA : DEPARTMENT OF ENVIRONMENTAL : PROTECTION, : Plaintiff : V. : NO. 2001-03219 JAVAD BIGDELI : 2471 N 54TM STREET, SUITE 240 : PHILADELPHIA, PA 19131 : : Execution No. Defendant : and : THE PENNSYLVANIA DENTAL SERVICE : CORPORATION T/A DELTA DENTAL OF : PENNSYLVANIA : 1 DELTA DRIVE : MECHANICSBURG, PA 17055 : : UNITED CONCORDIA DENTAL PLANS OF : PENNSYLVANIA, INC. : 1800 CENTER STREET : CAMP HILL, PA 17089 : Garnishees : ANSWERS TO INTERROGATORIES IN ATTACHMENT THE PENNSYLVANIA DENTAL SERVICE CORPORATION T/A DELTA DENTAL OF PENNSYLVANIA To: The Pennsylvania Dental Service Corporation t/a Delta Dental of Pennsylvania and United Concordia Dental Plans of Pennsylvania, Inc., (Garnishees) You are required to file answers to the following interrogatories within twenty (20) days after service upon you. Failure to do so may result in judgment against you: 1. At the time you were served or at any subsequent time did you owe the defendant any money or were you liable to him on any negotiable or other written instrument, or did he claim that you owed him any money or liable to him for any reason? If so, state the exact amounts. 2. At the time you were served or at any subsequent time was there in your possession, custody or control or in the joint possession, custody or control of yourself and one or more other persons any property of any nature owned solely or in part by the defendant? If so, describe all such property with specificity and give the exact locations thereof. ANSWER No. 3. At the time you were served or at any subsequent time did you hold legal title to any property of any nature owned solely or in part by the defendant or in which a defendant held or claimed any ~nterest. If so, describe all such property with specificity and give the exact locations thereof. ANSWER: No. -2- 4. At the time you were served or at any subsequent time did you hold as fiduciary any property in which the defendant held an ~nterest. If so, describe all such property with specificity and give the exact locations thereof. NO. 5. At any time before or after you were served did the defendant transfer or deliver any property to you or to any person or place pursuant to your direction or consent and if so what was the consideration thereof? If so, describe all such property with specificity, give the exact locations of all such property and describe with specificity, all such consideration, including, without limitation, the exact amounts. ANSWER: No. -3- 6. At any time after you were served did you pay, transfer or deliver any money or property to the defendant or to any person or place pursuant to his direction or otherwise discharge any claim of the defendant against you? If so, give the exact amounts and describe all such property with specificity, including the exact location thereof. ANSWER: NO. -4- 7. Describe, in detail all accounts receivable, contract rights, and other obligations, whether pecuniary or not, owing from you to defendant, and describe in detail, all documents and other papers which pertain, relate to, or evidence such accounts receivable, contract rights and other obligations, including but not limited to the dates, individual signers, and specific contents of all such documents and other papers. Attach to your answer to these interrogatories copies of all documents and other papers which have been described in your answer to interrogatory No. 7 ANSWER: Delta does not have any claims from Dr. Javad Bigdeli, nor does Delta owe Dr. Javad Bigdeli any money for claims incurred to date. A copy of Dr. Javad Bigdeli's participating dentist agreement with Delta is attached. Stuart M. Bliwas, Assistant Counsel Attorney for Plaintiff Commonwealth of Pennsylvania Dept of Environmental Protection Office of Chief Counsel General Law Division P O Box 8464 Harrisburg, PA 17105-8464 717-787-1956 Dated: r~-~' --~/ -5- Understanding that false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904, relating to unsworn falsification to authorities, I verify that I Whitney Sherbocker (name of person signing verification) am an authorized The Pennsylvania Dental Service Corporation t/a representative of~ Delta Dental of Pennsylvania ~, garnishee, that I hold the title of Manager, Administration , and that the facts set forth in answers to Interrogatories in Attachment are true and correct to the best of my knowledge, information and belief. -6- ~. PARTTCTPATTNG DKNTT-qT AGRKEHKNT This AGR££M£NT made the day of by and between Delta Dental of Pennsylvania, hereinafter called Delta, and the undersigned, hereinafter called Dentist. Delta groups or Delta subscribers hereinafter mean either groups or subscribers under contract to, or covered by contracts with Delta, or another Delta Dental Plan for which Delta ts providing administrative services. 1. When this agreement becomes effective, Dentist shall be a Participating Dentist of Delta and shall be duly registered as such. 2. Dentist shall be eli£ible to become and entitled to vote for a Director of Delta for his district and to participate tn the utilization review program of Delta. 3, Dentist shall receive a Participating Dentist Manual describing practices and procedures of Delta. z. Delta shall make every effort to increase the number of Delta groups in Dentist's District, and to consul! with Dentist with regard to potential groups. 5. Dentist shall submit to Delta an initial Confidential Fee Listing and may file additional Confidential Fee Listings whenever he makes a general revision of his fees, certified by him to be current and consistent with charges generally made by him in his practice, which filing shall be used periodically by Delta to calculate the Usual, Customary and Reasonable Fee of Dentist.- 6. Dentist shall submit claims on a claim form from which Delta shall verify eligibility and coverage. If a claim for covered services is for an amount in excess of a sum determined by Delta, a prerequisite for approval, bui not to the detriment of the subscriber, shall be that Dentist submit a claim form to Delta for predetermination of eligibility and coverage before he provides the service for which claim will be made. 7. Delta shall provide prompt claim service to the extent that, unless special review is warranted, payment shall be made by Delta within thirty (30) days of receipt of an approved claim, and if not so paid within thirty (30) days, Delta shall furnish written notice of the reason for non-payment. ' 8. Delta shall make every effort to assure that Dentist shall have ready access to its offices and personnel during business hours with regard to claims and the operating procedures of Delta. 9. Delta subscribers shall be treated with the same quality and charged consistent with the balance of Dentist's practice. All services provided on behalf of Delta shall be in accordance with the best dental practice in the community at the time, with regard to quality of service and appropriateness of treatment. 10. Dentist shall accept as full payment for services provided to Delta subscribers his charged fee, not to exceed his Usual, Customary and Reasonable fee as calculated by Delta from his filed fee and those of other Participating Dentists of Delta. l.'~. 11. For services provided to a Delta subscriber covered as a benefit in a Delta group c?. contract for the subscriber, Dentist shell only charge the subscriber the difference, if any, between ~-~ the payment made by Delta for such service and the Usual, Customary end Reasonable fee for such ~ service, as calculated by Delta, or the actual fee charged, whichever is less and shall not charge C~ or accept an additional amount for such services. 12. Services are not covered by Delta when quality or appropriateness of treatment are deleterious to the subscriber's health, as measured by the best dental practice in the community at the time. Dentist shall not charge subscriber until services do meet such community standard. 13. Dentist shall receive ell payments flora Delta for service to Delta subscribers directly from Delta. 1~. Dentist shall cooperate with Delta in its claims evaluation activities and with the Dental Affairs Committee in its assigned functions, and be bound by the terms and conditions of the Bylaws of Delta as they apply to the obligations of Delta to its subscribers and receipt of a copy of the Bylaws is herewith acknowledged by Dentist. 15. Dentist will comply with Title VI of the Civil Nights Act of 19~5 (P.L. 88-352) and the Negulations of the Office of Economic Oppo~unity issued pursuant to that Title (A5 ¢.F.N. Part 1010) and all similar lays to the end that no person shall, on the grounds OF race, color, or national or,gin, be excluded from participation in, be denied the benefits of, or be othorwlee subjected to discrimination under any program OF activity tO which Delta subscriber is entitled. Dentist hereby Stvee assurance that he viii immediately take any measures to effectuete this Section. 16. The term of this Agreement shall be one year from its effective date and the Agreement shall be renewable from year to year upon compliance with its provisions. 17. Delta may terminate this Ajreement only with the approval of the pennsylvanie Department of Health. 18. Dentist may terminate this Agreement on thirty (30) days written notice to Delte. 19. In the event Dentist terminates this Agreement vhtle providing services to a Delta subscriber, the Agreement shall not terminate as to those services until they ere completed and payment on eccount of them hms been mede by Delta. 20. This Agreement shall be effective only on receipt by Delta of an initial Confidential Fee Listing from Dentist. IN WITNESS WHEN£OF, on the day and year first above written, the parties hereto, their heirs, administrators, successors and aceiflns, hereto agree to be bound hereby. DENTIST: DELTA DENTAL OF pENNSYLVANIA Signature Presictent Please Print Neme PALlcence No. CM198305 CERTIFICATE OF SERVICE AND NOW, this I '~f~day of October, 2001, I, Whitney Sherbocker, of The Pennsylvania Dental Service Corporation t/a Delta Dental of Pennsylvania, hereby certify that I have this day served a ~rue and correct copy of the foregoing Answers to Interrogatories in Attachment by first class mail, postage prepaid, addressed to the parties or counsel of record as follows: Stuart M. Bliwas, Assistant Counsel Commonwealth of Pennsylvania Department of Environmental Protection Office of Chief Counsel General Law Division P. O. Box 8464 Harrisburg, PA 17105-8464 DELTA DENTAL OF PENNSYLVANIA Wh~Silerbock~r