Avoid this place, poor billing practices! After agreeing on a cash payment for services ($75. for the first visit and $45.each following). After speaking with the office manager, we decided to try my out of state insurance, I paid a $25.00 co-pay each for two visits. The insurance paid a total of $70.00. They are now demanding an additional $280. or will submit to collections. The adjustment felt good the first visit; the second it just did not make a difference. I would not recommend based on billing practices.