When I went to dr arnstine I was that he spent 45 minutes with me and my daughter. He did not delegate to a nurse. All of his staff were very accomodating and professional. Treatment was completed within the time frame dr arnstine quoted. He even called us at home after my daughter recieved her braces. Appointments were easy to schedule and payment plans were flexible. I have recommended him to many of my close friends and they have all had positive experiences.