Just moved to the area - had my teeth cleaned in February (07) and it was certainly more painful than it's been in the past. I was not overwhelmed by the Dr's cameo - for a new patient, you'd expect some questions about your history or something...but he couldn't have appeared in the room for more than 2 minutes. I saw on my bill later that he charges a "new patient fee" in addition to the cost of the cleaning - not sure what I got for my 60 bucks. A few weeks after my cleaning, I started to get crazy sensitivity in part of my mouth and when I went back for what was clearly a problem created by the cleaning he was unable to tell me what the problem was, gave me prescription toothpaste and sent me & my insurance company a bill (and not a small one). While my insurance covers cleaning, they do not cover anything else, and with the rates here, I can't afford to return if I have a dental emergency.