I have had two cleanings with Dr. Last, and a bunch of x rays. I paid out of pocket, and found his rates reasonable (cleaning was $140, 4 bitewing xrays $75). His office is clean, organized and friendly. He is very professional and non-pressuring. The hygienists were excellent, though I thought my cleaning was somewhat painful, I'm not sure if that is just par for the course. I consulted with him regarding my bruxism (teeth grinding) and he suggested a device I haven't yet tried which seems like a good idea for me. it is called an NTI bite guard. He explained everything thoroughly, and the price he quoted ($350 I believe) is in the ballpark when compared to other dental practices. Since I am nursing I haven't yet gotten some necessary fillings done with him. Making an appointment was fine, the wait was not long before I was able to see him.