The staff consistently and aggressively pushes for upgrades on services. For example silver fillings over white fillings while telling you your insurance covers it, only to receive a bill in the mail 30 days later for an increased charge. The second time this occurred was for fluoride treatment again telling the customer that it is covered by insurance this time incurring a $47 charge. If your bill is late $8 charges so no disputing your bill. On a positive note they have a very luxurious office setting.