On March 16, 2023 Dr. Vivian Ramos saw my dog, Toby, for an annual exam. She diagnosed him with a cavity stating the hole was so large she “could park a truck in” it and recommended an extraction. I was made to think my dog was in pain due to a very large cavity and felt compelled to follow veterinary recommendations. On April 10, 2023 Sarah Ganster under Dr. Ramos’ supervision saw Toby for the extraction. When my husband picked Toby up, he was informed no extractions had been completed and was charged $429.39. I immediately called for clarification. The front desk transferred me to Sarah who was very rude and demeaning. I was then transferred to Dr. Ramos who showed no empathy. I was then transferred to the manager Mandy who offered another “complimentary” exam in 2 weeks to clarify the misdiagnosis or missed diagnosis of a cavity. After having to reschedule due to my infant being ill, on May 10, 2023 Dr. Ramos saw Toby for the follow-up exam and confirmed he did not have a cavity and the tooth did not need to be extracted. Because my dog was misdiagnosed and I was charged $430 for a treatment I would not have opted for had I received accurate information, I requested a refund. Mandy told me either Dr. Ramos could perform a “complimentary” dental prophylaxis on one of my other dogs (all 3 other dogs have seen Dr. Kilbane in the last 2 months and he did not recommend this for any of them) OR they could refund me BUT would refuse to see any of my animals again. I would not allow Dr. Ramos to treat another one of my dogs. I again requested the refund and a letter from the practice stating they acknowledged my dog was misdiagnosed and the charge should be refunded but they would force me to find a new vet. Mandy stated Advent’s lawyer would have to write the letter and check, but I was able to obtain all of my pets’ vet records before leaving. Fortunately, we were able to drive straight to another vet’s office and make appointments to establish all 4 of my dogs as clients there. I told Mandy I would contact her next week if I hadn’t heard from her about the letter and check. I would not recommend Dr. Ramos as a competent vet, but I would have highly recommended Dr. Kilbane until he revealed his character during this situation. We have been clients for 5 years and I am extremely disappointed in this practice.