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32 Pearls is an orthodontic practice led by Dr.

About 32 Pearls Seattle
Invisalign for adults comes up far more here than typical, often at notably lower cost than other providers, under Dr. Mike Bilikas.
32 Pearls Seattle is a general dental practice that also offers Invisalign and early treatment for orthodontic patients. Adult Invisalign cases feature heavily in reviews, with several noting the cost came in well below what they'd been quoted elsewhere, and quick 15-20 minute check-ins during treatment. Reviews also point to a water-view Leschi location with complimentary parking, and describe Dr. Mike Bilikas as calm and straightforward, explaining reasoning behind procedures rather than pushing extra treatment. A handful of reviews mention a rushed exam before an Invisalign recommendation, though most describe thorough evaluations.
Summary of 168 patient reviews, September 2016–June 2026, updated September 2026
32 Pearls is an orthodontic practice led by Dr.
Mike Bilikas, a Top 1% Diamond Invisalign Provider. They offer Invisalign and braces treatments with advanced technology.
Treatments offered
Who They Treat
32 Pearls Seattle provides orthodontic treatment for the following age groups:
Technology & Equipment
32 Pearls Seattle uses modern orthodontic technology to deliver precise, comfortable treatment.
Orthodontists at this office
Dr. Mike Bilikas, DDS
NPI verified · no bio or photo on file
Insurance accepted
What patients say
Latest review 3 months ago
What patients praise
Things to know
Who it suits
Doctors patients mention
Orthodontic care in reviews
Reviews describing Invisalign treatment here mention a nearly two-year process for more significant corrections handled attentively, brief 15-20 minute check-ins every few months, and cost notably lower than quotes from other providers; one reviewer noted difficulty getting retainer trays delivered after moving out of state.
| Oct 2023 | 3 |
|---|---|
| Nov 2023 | 2 |
| Dec 2023 | 7 |
| Jan 2024 | 8 |
| Feb 2024 | 4 |
| Mar 2024 | 6 |
| Apr 2024 | 12 |
| May 2024 | 6 |
| Jun 2024 | 8 |
| Jul 2024 | 7 |
| Aug 2024 | 4 |
| Sep 2024 | 7 |
| Oct 2024 | 1 |
| Nov 2024 | 3 |
| Dec 2024 | 2 |
| Jan 2025 | 0 |
| Feb 2025 | 3 |
| Mar 2025 | 0 |
| Apr 2025 | 2 |
| May 2025 | 0 |
| Jun 2025 | 0 |
| Jul 2025 | 0 |
| Aug 2025 | 0 |
| Sep 2025 | 2 |
| Oct 2025 | 2 |
| Nov 2025 | 9 |
| Dec 2025 | 10 |
| Jan 2026 | 13 |
| Feb 2026 | 8 |
| Mar 2026 | 11 |
| Apr 2026 | 1 |
| May 2026 | 0 |
| Jun 2026 | 2 |
| Jul 2026 | 0 |
| Aug 2026 | 0 |
| Sep 2026 | 0 |
| Theme | Praise | Criticism |
|---|---|---|
| The dentist | 39 | 6 |
| Friendly staff | 37 | 6 |
| Gentle, comfortable care | 24 | 2 |
| Responsiveness | 13 | 5 |
| Treatment results | 15 | 1 |
| Scheduling & wait times | 14 | 1 |
| Clear explanations | 11 | 3 |
| Cost, insurance & financing | 8 | 2 |
Recent reviews from Google
Edit: After some time, 32 Pearls was able to remedy the issue. I'll leave the original review for transparency, but they were able to solve all my issues and always had a positive experience going here. The dental hygienists were all amazing. As much as I want to write a good review for 32 pearls, I've had significant issues getting in contact with them since moving away. For some context, I went to this dentist for years while living in Seattle including regular cleanings and Invisalign. I was recently laid off and moved back home in December with some Invisalign trays left. I have attempted to call, email, and text and have only gotten a response twice, both on the phone where they let me know they were short staffed and would return my call/email/text with more information on getting my last Invisalign trays sent to me. It has been over 3 months and I still haven't gotten a reply and have gotten no contact back after trying to call again and again. This is a great dentist while I was in the area, always willing to answer questions, and enjoyed each and every time I've been, but I am forced to write this review in hopes I can get my retainers that I've already paid for. This has been extremely frustrating.
I had a very frustrating and disappointing experience with this dental office during my Invisalign treatment. From early on, I felt repeatedly pressured to pursue Invisalign at nearly every routine dental cleaning. During one visit, Dr. Bilikas did not perform a dental exam at all. When I asked about it, I was told, “Why—are you having any issues?” and no evaluation for cavities or overall dental health was completed. Despite this, I was continually encouraged to move forward with Invisalign. Ultimately, I agreed because my case was presented as straightforward, with an expected timeline of only a few months. I also had clear plans to move out of state near the end of treatment, and we had multiple discussions—in person, via email, and by phone—regarding how this would be handled. I was explicitly told I could pay in full upfront, receive all aligners, and have my retainers mailed to me at the end. I was also reassured that if I was unhappy with the results, I could be connected with a colleague in my new state to avoid paying a transfer fee. Unfortunately, none of this was honored. During treatment, even when a staff member questioned whether a visible issue should be addressed, it was dismissed at the time—only for it to later become a more significant problem. I ultimately was not satisfied with my results and did not receive any assistance with transferring my care as promised. I had to independently arrange continuation of care, pay a transfer fee, complete treatment elsewhere, and pay again for final retainers. To make matters worse, communication completely broke down despite prior assurances. Despite having paid in full remaining balance after insurance upfront—with confirmation of additional monthly insurance contributions were complete—I continue to receive emails claiming I owe additional balances. Each notice lists a different amount, with no clear explanation. Attempts to resolve this have been unsuccessful. I have sent multiple emails and made repeated phone calls to the general office line, the specific location, and directly to Dr. Bilikas. The phone system does not allow voicemails, and while I have received texts acknowledging missed calls, my requests for a callback to discuss billing issues have gone unanswered. Overall, this experience has been marked by pressure to pursue treatment, lack of appropriate clinical evaluation, poor follow-through on clearly stated agreements, and ongoing billing issues that remain unresolved. I would strongly caution others to carefully consider their options before proceeding with treatment at this office.
I always have a great experience at 32 Pearls whether just routine cleaning, or the need for implants and crowns. Dr. Bilikas has always been genuinely concerned about our welfare - my partner Greg and I. We have had excellent care while under his practice for more than ten years.
I am very satisfied with my Invisalign treatment, which I completed one week ago. The doctor and staff were always very polite and demonstrated a high level of professionalism and care throughout the entire process. I truly appreciated their attention and support.
I was provided with great care for invasalign! Rahewa & Abigail were amazing, they took the time to explain the process in detail and with a big smile!!
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