My child loves him and he is good, however, he is expensive. When she was approx 4 he put in a retainer for her cross-bite that I was not sure she needed, but after 2 yrs (and a lot of monthly costs), he said her teeth were perfect. He does make appts w/you to discuss any costly work so that you know what's going on. At 11 yrs she needed braces and I had to shop around due to being unemployed and found an orthodontist that was at least $1K less. Overall he's good and he takes good care of my child's teeth, but I wish they were not as expensive and I should elsewhere, but I hate changing.