Recently he did some 3-month contract work for a very large dental chain, let’s call it Penass.

I’ve never seen him so depressed in my live. He said that Penass’s business model was all about running up insurance and selling loans for large operations. He was directly encouraged to do extra, not necessary work to run up the bill.

He came out of retirement after that and started another practice out of, what I can only guess, was frustration and guilt.

A lot of these large dental chains absolutely tack on extra work and do a shitty job to keep people coming back.

In the US, I highly recommend looking for independent “boutique” dentists. Even if they are out of your insurance network, a lot of them will give better rates if you pay in cash.