(a)  Any dentist who is not a participant in a dental insurance plan and who, when treating patients of that plan, elects to use the direction to pay procedure set forth in title 27 must post a notice, in a conspicuous place in his or her offices where it can be read by his or her patients, that reads, in substance, as follows:

“To my patients:

“I do not participate in the dental insurance plan. You should know that you will be responsible for the payment of my dental fees.”

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(b)  Any dentist who fails to post this notice is not entitled to charge his or her patients any amount for dental fees in excess of that allowed had the dentist participated in the patients’ dental insurance plan.