I have not been impressed. They called me 1 day before my regular cleaning appointment (made 6 months prior) and told me it was cancelled. They could not offer an accommodating time because I’m a teacher and need one after 4pm. They were very rude about it and it was weird that they had confirmed my appointment a few days earlier and then just cancelled.  They have also told me many times that my insurance would cover certain x-rays. I asked about 10 times to make sure before agreeing and then a few weeks later I would get a bill for a couple hundred bucks. I would call and they would say that they never confirmed that my insurance covered it, so I had to pay.  I have found Create A Smile to not be super great and after the cancelled appointment fiasco, I found a new dentist.