Based upon my own experiences, I would say there is some questionable practices occurring at Aspen Dental.
Point 1: My regular dentist of 5 years completed my yearly cleaning and check up and told me that I had 8 cavities in need of attention. I had no open days for three weeks so we made the appointment accordingly. A week before my appt. they called and said he was retiring forcing me to look elsewhere. Drawn in by Aspen Dental's "Free Exam and Cleaning, " there dentist told me that I had no cavities, but I had periodontitis. I told him that my former dentist said I had 8 cavities in need of attention. The Aspen Dental dentist then said that cavities are a relative thing; some dentists will drill at the slightest sign of tooth decay, others wait for severe damage. This made sense, but I began to think. In 5 years, my former dentist never made me pay out of pocket for ANYTHING, not even the $25 co-pay assigned to my policy. I had 11 cavities filled before with my regular dentist, which more than exceeds my policies limitations, and received not one bill. In short, he had nothing to gain from my 8 "premature" cavities. On the Aspen Dental doctor's advice, I scheduled an appt. for the periodontitis procedure.
Point 2: The Aspen Dental office in Belle Vernon PA does not have individual rooms, but one large room with individual "cubicles." Needless to say, you can hear the business of the person next to you quite audibly. During my procedure, I overheard the Dr. discussing a problem with the gentleman in the cubicle next to me. The Dr. told him that a recurring problem with a tooth returned and that he had two options: they could mend that problem and hope it does not return, or remove half of his teeth and ensure it would not return. The gentleman asked about price, and the Dr. told him approximately $5000, but he was not sure. The gentleman said he would have to think about it, but the Dr. seemed to be pushing the later option. The gentleman said, "Doc., I am 88 years old. If I kick the bucket next week, I don't want to needlessly spend that kind of money." Still, the Dr. would not relent.
Point 3: My mother in law went to Aspen Dental for the same reason as I did. They diagnosed her with the exact form of periodontitis at the exact stage as myself, only that they would have to pull all of her teeth. I understand that everyone's physiology is different; but why does one require a simple, costly procedure, and the other such extreme measures? This is like saying one person's gangrenous toes require cauterization, while another with the same exact ailment need amputation. From different physicians, maybe. But not at the same doctor.
I am not 100% convinced of malicious wrong doing on the part of Aspen dental. However, I do have enough doubt pertaining to their interests to recommend others to STAY AWAY. You decide!