I don't write reviews often but I feel like I need to when it comes to dental express (point Loma). My first cleaning last year probably went like it should have for someone who hasn't been to the dentist in 7+ years. I needed a deep cleaning and had multiple cavities. Dr. Casey did NOT press me on the situation. Just told me what I needed to have done. And It was up to me what I wanted to pay for. That being said I did take he's advice.. (Remember I said 7+ years) When they first quoted me for my fillings they quoted me for the white fillings and not the silver. (As it is more expensive). I told the office I didn't want the white and would prefer silver. When I came in to get my fillings and deep cleaning done. Dr. Casey told me he would give me the white fillings at the same cost as the silver. I was shocked but stoked about the deal. Fast toward to my next cleaning, this time I had a chipped molar. He informed that I needed a crown put on it. But still he did NOT press me on the situation. Fast forward to my next cleaning. At this point I know I needed a crown now but STILL he did not press me on the situation. He told me I needed it but still left the choice up to me. So I did Scheduled an appointment to get the crown. I came into today to get the prepping for my crown and they did an amazing job. Of course I was nervous going into it but they talked me through the whole procedure and answered any questions I had. It's hard to trust a dentist just like it is for for a mechanic. But I trust Dr. Casey and feel like he is trying to help rather then scam any one for money! I hope this helps anyone looking for a good dentist. More