General dentist
Smiley Dental & Orthodontics4522 Fredericksburg Rd a28
4522 Fredericksburg Rd a28, San Antonio, TX 78201, United States
Reviews
4+ stars in 100+ reviews
4–5 stars: 72% · 1–2 stars: 26% · 173 written reviews
Last 12 months: 34 reviews · 82% 4–5 stars (was 70%) · Replies: 15% of reviews · 7 of 45 one- and two-star
31mention friendly, welcoming staff
12mention Spanish or other languages spoken
- Offers sedation
- Medicaid & CHIP (DentaQuest, United Healthcare)
Reviewers report billing problems
Some reviewers describe disputed charges, gaps in payment records, insurance claim problems, or prepaid work they say was unfinished. These are patient accounts, not verified billing findings.
Medicaid & CHIP (children)
DentaQuest (CHIP) · United Healthcare Dental (Medicaid)
Insure Kids Now, Texas, updated Jul 2026
Ways to pay
- Accepts payment plans (its business profile)
- Accepts credit cards, debit cards and mobile pay (its business profile)
- Accepts CareCredit (its website)
- Third-party lender financing (its website)
- Takes cash (its website)
Bad reviews are more common
Bad reviews make up 26% of its 173 reviews with comments. That compares with 3% for a typical San Antonio practice.
- One- and two-star reviews
- 26%of 173 written reviews
- A higher share than 96% of San Antonio practices
- Middle San Antonio practice: 3%
- 4–5 star reviews
- 82%in the last 12 months, up from 70%
- Share of written reviews giving 4–5 stars
- Replies to reviews
- 15%of written reviews get a reply (7 of 45 one- and two-star)
- Fewer replies than 69% of San Antonio practices
- Middle San Antonio practice: 48%
What patients say
Staff and office
Who comes here
What they can help with
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Sedation & nervous patients
A confirmed dentist holds a Texas board nitrous oxide permit · 1 page on its website
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Medicaid & low-cost
Listed by Insure Kids Now for DentaQuest and United Healthcare Dental (Texas, updated Jul 2026) · Its website says it accepts Medicaid / CHIP
Sedation & nervous patients: how it works Show
Also listed on its website
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Braces & Invisalign
Named for it · Federal Open Payments records link a confirmed dentist to the treatment's maker · Listed category: Orthodontist
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Veneers & cosmetic
Listed on its business profile · Listed category: Cosmetic dentist · 2 pages on its website
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Teeth whitening
Listed on its business profile · Listed category: Teeth whitening service · 1 page on its website
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Emergency dentist
Listed on its business profile · Listed category: Emergency dental service · 1 page on its website
Children’s Medicaid and CHIP dental care
The Insure Kids Now directory lists DentaQuest and United Healthcare Dental for children's Medicaid and CHIP dental care.
Equipment and memberships
- Equipment and treatments on its website
- Low-Radiation Digital X-Rays
Your review of Smiley Dental & Orthodontics
No account needed · read by us before it goes up
When you can go
- Open late
- until 6 pm, Monday to Friday
- 27% of San Antonio practices stay open to 6 pm or later
- Weekends
- Closed
Hours from its listing. Check when you call.
Getting there
4522 Fredericksburg Rd a28San Antonio, TX 78201, United States Get directions
- Wheelchair-accessible entrance, parking and restroom
- Free parking lot
- On-site parking
Its business profile
In the practice's words
Its own business description
“At Smiley Dental & Orthodontics, we believe everyone deserves a healthy, confident smile. Since 2003, we’ve been proud to provide affordable, high-quality dental and orthodontic care to families and communities across Texas, with locations throughout DFW, San Antonio, Corpus Christi, Texarkana, Waco, and Austin. …”
Need another dentist?
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Tejas Pediatric Dentistry
0.1 mi · 4.5+ stars in 250+ reviews
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Monarch Dental - San Antonio, TX (Balcones Heights)
0.3 mi · 4+ stars in 500+ reviews
-
Diaz Ricardo DDS MS
0.4 mi · 4.5+ stars in 100+ reviews
Ready to call?
Sources and dates
Business listing and reviews, Sep 2026 · smileydental.net, Sep 2026 · Insure Kids Now, updated Jul 2026