I was not very happy the last time I went to them, they charge me a higher exam fee for having an older dog. They said the Dr. has to spend more time with them, well he didn't. He spent the same amount of time he usually does he didn't even take a look at his teeth. I called ahead to get prices so I would know what me part would be. Well when I got to the desk I was shocked. The fee was so much more. They just take it upon them selves to administer TX and not ask or let you know what they are doing. I have been a loyal patron since my dog was a puppy. But not anymore. I will take him elsewhere were they do not charge for having an older dog.