You pay for what you get, in other words she is excellent. Dr. Bacino and her staff is awesome. Being new to SD I would recommend her to anyone, good work, complete and thorough, office is comfortable. Very caring and the only dentist I've ever had to call me after dental work to make sure I was feeling okay. All the staff and the cleanings are done very nicely. She also knows how to give you the needles properly where you don't feel it. A+++ I'm not sure how her cost measures up to other places, but I'm thrilled to have found a great dentist so I don't care, it does not factor in for me.