Want to avoid inflated vet bills & unnecessary tests or procedures? Go to independent vets in the small towns near you. They are fair & honest! Popular Vet in my large town: Cat needs teeth cleaned immediately! Probably 3 tooth extractions. Black spot on lip needs biopsy. $1400+ Neighboring small town vet: Teeth look great. clean now or in 2 yrs. No extractions needed. Black spot on lip is probably acne from oily canned food. $325 for teeth cleaning. Black spot disappeared with food change.