I NEVER write reviews but this place is such a joke here goes.. I came for annual visit to this office in September '13. Honestly the doctor was very nice. Their policy is you pay $150 and once your ins is billed they mail you a refund for the $150. Well it's now January 25. And after probably 20 calls to their office and Debbie the billing lady who sounds incredibly inconvenienced an beyond annoyed everytime she has to speak to me. Isn't that her job? I've also bought a copy of my paid insurance claim to the office oh and that's right I also faxed a copy to annoyed Debbie. No reply. And guess what... Still NO CHECK! I wouldn't refer this place to anyone. Don't waste your money. There's lots of offices in Las Vegas that don't have this shady policy and miserable billing office.