As far as check ups with Dr. Ortiz, as long as nothing is going wrong there are no checkups...other than fills. He has a nutritionist on staff so you can call & ask questions & he is ALWAYS available for questions or concerns. In his book he talks about referals to other drs in the states. You can get a fill from him back in MX or have him refer you to someone close to where you live. Its up to you, but he is the best & if you are going to have him do your surgery then I would have him do the fill...