I called in advance to make sure they were in network with Metlife. I was told that they were and gave them all of my insurance information. I was a new patient, and my insurance covers 1 yearly checkup with x-rays and 2 cleanings a year 100% with no copays.  After my cleaning I was informed that I had $115 charge for the cleaning. I asked why and was told that I had a PPO plan (which I knew) and that I could pick anyone I wanted but that they only got paid 80% on \"their status.\"  In other words, they were not in network.  Two weeks later I received a bill for another $57 dollars.  So now they want $172 copay after my insurance already paid several hundred dollars. I had no unusual procedures, just a regular cleaning. The doctor was great, but clearly his administrative staff have no clue what they are doing when it comes to insurance. I could have seen many other doctors without insurance and paid the $79.99 new patient cleaning and x-rays fee, with no insurance and saved money. \n\nI have left a message for the office regarding the additional $57 which I have no intention of paying as $167 dollar copay on a several hundred dollar cleaning (after they billed my insurance) is ridiculous. I am still waiting for a return phone call. \n\nThe doctor and the dental staff were great, don't get me wrong, they just need to hire some people who know who they are in network with and not just roll the dice with new patients.