This is a reasonable practice, but very expensive and the office staff are harrassing about billing issues. I went to this practice because of Dr. Pike's partner, but after the first few visits I was shifted from Dr. Valega to Dr. Pke. He is a nice enough guy and a well trained dentist, but I think that the small community of Poolesville is unable to support both of thes dentists in this practice at a reasonable cost to clients.