I felt very uncomfortable declining xrays for my 6 month check up (I got all of my xrays done 6 months ago and I had no problem then or since). They seemed very pushy about me receiving these xrays. The technician claimed that she would need to get the Dr's "approval" first. Finally, after about 12 min I had to ask if it was mandatory. Apparently no, but they wasted my time and I felt like they were pushing me towards paying out of pocket for them. Talked with others and this is not standard practice for routine check ups.