After going here for 13 YEARS, after many attempts to clarify a surprise added fee ($80) for a simple annual check-up for our daughter, we finally gave up and paid what we had for our other kids' visits. But his office persisted on the add'l $80, sent it to collections & put it on our credit report. We're paying the $80, but the deceptive practice should be known. Houts office became impersonal, bureaucratic, & short-term focused. If you go, make it quick and don't ask any Qs or you'll pay extra. Relationships and loyalty do not appear to matter to these business doctors now.