I've had plenty of dentists and Dr. Koen is arguable one of the best. He is very personable, knowledgeable, expresses concern for his patients, provides detailed evaluations and options while including the patient in the decision making process, and is a very gentle dentist who is concerned about patient pain and care. I've also found his staff is equally as pleasant and efficient as the Doctor. They greet you warmly when you enter their office and make you feel at ease in their presence. They are accommodating and willing to work with you on whatever you need. Finally, they have up-to-date equipment and are technically savvy. My wife, who is also a patient, agrees with everything that I've written. read more

I have been a dental patient of first Dr. Carol Evans and then Dr. Justin Koen for over fifteen years. While Dr. Evans was fantastic, I have had a much different experience with Dr. Koen and the direction the practice has taken in the last few years. I have a feeling the practice has been taken over by a corporate entity because their focus is no longer on the patients. I went in three times a year for cleanings and only saw Dr. Koen for literally 20 seconds for the past fifteen plus years when he came in to view my mouth after a cleaning once a year. So I did not know the extent he would GHOST me when I needed his advice the most. I had some unexpected issues regarding a failed crown and had many questions. When in the office for the scan to measure my temporary tooth (called a flipper), I needed to talk to him during my scheduled appointment time. He refused to even pop in to see what my concern was! Then, the periodontist who was handling the crown issue and bone grafting specifically asked him to do a tooth vitality on a specific tooth next to the failed crown and Dr. Koen did not even do the tooth vitality! I even asked the person doing the scan to have Dr. Koen do the tooth vitality and then he (or his office manager) sent her back to say Dr. Koen would contact the periodontist directly without even taking the time to see what my question (s) where, but the periodontist told me Dr. Koen never verified the vitality of that tooth! Then, I was suppose to get my temporary tooth within a 2 week timeline, as it was only coming from the lab in Hutto. It never came! I had the office follow up daily and for days never came up with an explanation of what happened except that "the temporary tooth was lost"! Unacceptable! I even said I would drive to Hutto to get it (it had been paid in FULL 3 weeks prior), and they said that was not possible. Only the office manager would deal with me via phone; I even went to the office in person to speak to Dr. Koen and he refused to see me! I left him messages twice on his voicemail and he never returned my calls. I needed the temporary tooth in time for me to return to work, as I was extremely embarrassed by the gap and needed the temporary tooth as a minimum to work with my clientele, as well as my co-workers with confidence. He GHOSTED me yet again. Now, you may say I must have been a demanding patient or there must be some other reason for this response from the practice. The only reason is he did not care ENOUGH to reach out and make things right and do the bare minimum that a dental professional should do. If you are thinking of going to Main Street Dental-take your business elsewhere!! The office manager was rude and condescending. If all you need are cleanings and that is it, then this is the place for you. However, if you want to be reassured that Main Street Dental places their patients first, then please.............find another practice! All you will find is incompetence, arrogance and a disregard for professionalism in this field. I would give them a zero star rating if it was available. I have switched practices and advocate to anyone even considering this dental practice to take your hard-earned money, dignity and well--being somewhere else! read more

Local doesn't meant ethical, apparently! This is one of those dentists offices that schedule you four months out for an appointment, and then call you 24 hours before your appointment to let you know you're actually not in network or suprise you with their hidden fees. I scheduled an appointment months out for me and my son, and they called shortly before his appointment to let us know that he would not be covered, despite the fact that the health care provider's website said that they were in network and the receptionist stated that they took that provider's PPO insurance when I made the appointment. I asked Main Street Dental to please check to see whether MY health insurance (a different provider) was in network and whether everything would be covered for MY appointment for later that month. They stated that they normally only call right before the appointment. I explained that we didn't want to wait until right before the appointment to find out whether there were hidden fees/out of network issues/etc. They stated they would call and check, and then they actually DID call me back to say yes, my insurance was in network, and everything should be covered. Fast-forward to my appointment! UH-OH! Turns out this place requires panoramic X-rays, which my insurance doesn't cover, so they're just calling right before my appointment to let me know that will be an extra surprise fee! Why couldn't they have checked that when they called about my insurance the first time? HMMM.... Even MORE incredibly, the receptionist stated that they were required BY LAW to take panoramic X-rays. I actually am a lawyer, but I don't think you need to have gone to law school to know that there's NO law requiring people to take panoramic X-rays before receiving dental treatment. Call almost any other dental office in the area and ask. Steer clear of Main Street Dental. There are other new dental offices in the area who would love your business and won't hit you with surprises 24-48 hours before your appointment, after you've already waited 4 months to see a dentist. They also probably won't lie and tell you a medical procedure is required "by law" when it is not. read more

I am disappointed with this dental office. They don't mention preventative procedures that are paid for, (sealants for kids) but when kids age out and they can charge for them, then they are recommended. read more

Holy smokes nicest place ever! Melissa was my hygienist and made what I used to despise, cleaning, much better! She talked to me about both my teeth and common interests the whole time helping me to take my focus off my teeth and the noises. The dentist came in and was really nice. I was in and out in 30 minutes. They take delta dental so my cleaning was free. I also scored some good pointers about my brushing style, a new brush, floss, and toothpaste! Melissa informed me of a type of seal that she could put on my teeth for 30 something dollars and it would assist with sensitivity, so I went ahead and went for it. I am very excited because it already feels a bit better, granted it could be all in my head, but good job on the up sale! Lol! Super nice ladies all around, I will be going back and taking my friends and family with me!! read more

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Dr. Koen and his excellent staff prepared my tooth this morning for a crown replacement. I have had an abundance of dental work in the past and by far, Dr. Koen is the very best!!! He is very concerned about any discomfort or pain I experience. I have always had minimal discomfort and No Pain! I highly recommend this practice!!! read more

Where do I even begin. I had the absolute best experience here and could not be more grateful for Stacy and Dr Koen. I was mortified to finally make it back to the dentist after major health problems had kept me home bound for over a year. My mouth was a complete train wreck but let me tell you that Stacy never once made me feel embarrassed or ashamed. She was so caring and went WAY BEYOND what anyone had to do to help me and Dr Koen made that possible as well. They have me back on the right track and SMILING again and I will never be able to repay her for that day and being so incredibly kind. Will absolutely be sending my family and anyone else their way as well as continue to make this my dental home!! read more

What an amazing dental team. Every member there makes sure you feel welcome. They take extra time to make sure that you leave satisfied and your teeth are taken care of! I highly recommend making this your new dental office. read more

After I posted my review, I was contacted by Dr. Koen about my experience that I had at their practice. I greatly appreciate his professionalism and his willingness to reach out to me about my experience. Dr. Koen even offered to pay me back for the expenses that I incurred at my orthodontist. I can't express how much it means to feel valued as a patient. Thank you. read more

Dr Evans is the best. The staff treats you like family and are very professional. I highly recommend them.

Recently changed companies so I had new dental insurance. I was nervous about the switch but found this place on Yelp. Came in and was surprised by the positivity and great customer service! I got my teeth cleaned and found out I don't have periodontal disease like C*stle D*ntal told me I did. What a relief! Pricing was affordable - the place was cozy and made me feel at ease. Kaylee (sp?) was very knowledgeable and gentle. She was also kind and funny - she didn't rush and just made the entire experience positive. This place is truly top notch! read more

I just want to say that Dr. Koen is absolutely the best dentist I have ever been to. I started going to him when his practice was off of Lake Austin Blvd near downtown Austin as it was 5 minutes from my office. When he moved to Buda, I stayed at his old practice with his old partner, huge mistake. I live in Leander and work in downtown Austin and Dr. Koen is worth the drive for his services. He has the best personality, is funny, and makes you feel at ease. His work is second to none and his staff are some of the best as well, you can tell that everyone is happy to be there and make your dental experience the best possible. I never write reviews, but felt I had to share what an amazing dentist and practice Main Street Dental is. read more

I had trouble finding a great dentist until I found Dr Koen at Main Street Dental. The office environment is very calm and friendly. Dr. Koen is gentle and very good at explaining what's wrong and what my options are. So happy I found such a great dentist. read more

Most often these days, a customer is disappointed with service, personnel, or overall care or professionalism in a business or in a healthcare setting. This is not the case with Main Street Dental. I have had nothing but excellent care from each and every employee-this includes all the years I have been a patient of Main Street Dental! This is rare. I go religiously for my cleanings, and each hygienist has been caring, professional and personable. This tells me that from the top down, each and every employee truly cares, along with consistent training for everyone coming in contact with patients. My last cleaning, with Patrice, was a seamless appointment. Her professionalism was evident. Even when Dr. Koen came in to do his part, he was attentive, gentle and caring. I highly recommend this dental practice and for the constantly growing Hays county, you will not be disappointed. This practice is the BEST. read more

I would really have to dig deep to find any negative to say about Main Street Dental. You feel welcomed and are treated with dignity and kindness from start to finish. I'm fortunate to find a great place like this just minutes from home, but truthfully if I ever leave Buda I'd still be a patient. Just great experiences so far! read more

I have used Main Street Dental for over ten years and have moved a couple of times and I continue to go back to Main Street Dental. The staff makes me feel like family. I had to have some emergency work done while out of town and the dentist there told me that I had had excellent dental care. I have recommended them to several people and they too have been very pleased with the dentists and the staff. I now live about 20 miles away, but continue to use Main Street Dental. Sue PratorSue read more

I absolutely love Main Street Dental. I will be a patient for life. Everyone there is always so nice. When I walk in I feel like I am walking into see a group of friends. My hygienist always makes me feel very comfortable and gives me new ideas for taking care of my teeth and gums along with the softest toothbrush you'll ever find. I mostly see Dr. Evans who is professional, throughout, and honest. She makes me feel at ease with whatever procedure I am having done. She is also always informative about pros/cons and any risks that may come up. I have seen Dr.Koin once for an emergency visit when my tooth broke. He got me fixed right up in no time. Then after all the dental work comes the time to pay :) Main Street Dental is very upfront about costs and insurance coverage. They also work very hard to get as much covered by insurance as possible. If you can't tell I have had my share of dental work and have been to many dentist offices one time and not gone back due to feeling insure. I know this will never be the case at Main Street Dental. I am very happy and very grateful to be their patient. read more

Dr's. Evans and Koen are awesome! The office staff is great. Some of the friendliest folks I've ever had the pleasure of meeting. my 7 year old had some work done a few days ago, he was afraid, but they calmed him down. He came out happier than when he walked in. I had some major work done on my teeth, no lectures as to how bad a person I was for neglecting my teeth. they took care of me first, then kindly stressed the importance of taking care of my teeth. read more

Just wanted to add that Dr. Koen is a BADASS! I know this man loves his job. It's rare thing when you are able to feel someone's passion for their profession. Most people just go through the motions of their daily jobs but you can tell Dr. Koen cares about his patients and about doing a great job. read more

No one likes going to the dentist but I have to say every visit to Main Street Dental has been a great experience! Everyone is welcoming and kind and professional. So happy to have found Main Street Dental! read more

My daughter went to this place and she is 19 years old. Those staff played her and now I have to pay total of $259 for only 10 minutes visit because they tricked her by saying the insurance covers. I am hugely disappointed in them. Please be careful. read more

I have never had a more gentle cleaning than I recieved at Main Street Dental. I also love the beautiful historic home the practice is in.

I'm a new patient and they made me feel like I belong. Just a really great and helpful place. I needed some paperwork filled out for a trip, and they had it to me the next day. Very professional dentists, extremely friendly hygienist. Very pleased overall. read more

I'll start with the positive: The hygienists are friendly and good at what they do. The negative: Dr. Evans and Dr. Koen constantly apply pressure (aka scare tactics) to convince you to get additional work done. You expect that in a car repair shop, but it's really disappointing in a small town dentist office. Insult to injury (literally), they don't even do this work well. I had to spend hundreds of additional dollars to fix what wasn't broken before Main St. Dental started. There are plenty of dentist offices out there. I recommend supporting one that puts patients before profits. read more

I had my fourth appointment with Main St Dental today, and I've had a great experience with everyone there. I set up my first appointment (in about six years) and they did some x rays but were unable to do a cleaning due to the amount of plaque build up. At the time I didn't have dental insurance and they kept price in mind with the amount of x rays they did, which I appreciated. They gave me a quote for the deep cleaning, a few fillings, and an extraction. The price seemed in line with what other dentists charge, and they told me all the options for how we could proceed to make it as easy as possible on my wallet. I went ahead and got dental insurance and we proceeded with the next three appointments. I saw Patrice, Melissa, and Dr Koen. They were all incredibly nice and helpful. Everyone up front was great too. The office is super cute and close to home, but that's all icing on the cake. If you want kind, professional, and honest care this is the place to go. read more

I have a true phobia of the dentist. I was hesitant about going for a number of years, but finally decided to try out Main Street Dental. Everyone there is so nice. They made sure I was comfortable the entire time and walked me through every appointment. Dr. Koen is amazing. He is really gentle and kind. He is very confident in his work, and really seems to care about your experience. I even had a crown the other day with out any nitric gas! A huge step for me. I appreciate this office, and would recommend it to anyone. Especially if you have fear with dentists. read more

I Love this office! Everyone in the office was welcoming, professional and put me at ease. I was a demtslphob but I think they have cured me. They have all the newest technology and everything to make my appointments really great. I have met both Dr. Evans and Koen and really like them both! in fact, you can really tell that the staff cares about you and that they care for each other. Oh, they also really try to work with your insurance or payment issues to make it work! Feel so lucky that I doing Main St! read more

Am I in an alternative universe? My children are EXCITED to go to the dentist. They adore Dr. Koen and his team - such caring, sweet, skilled professionals, complete with an old-school treasure box full of prizes at the end. I see them too - so nice to have one spot for all of us to go. If you're concerned about pain, rest your mind - gentle and thorough, no matter what procedure you need. I can't rate them highly enough - worth a drive south to the sweet Buda main street. read more

I am so happy that I started coming to this place! They are really amazing and make me feel right at home when I am there. I have always had anxiety when it comes to the dentist but this place by far exceeded my expectations and put me right at ease. Great dentists and staff! read more

I really love this place. I have A LOT of dental work that needs to be done and I have been trying to find a decent place to make it happen for a long long time. I called Main Street Dental based off of good reviews and found they didn't officially take my insurance. However, Laurie (who is AMAZING) talked me through some things and I decided to move forward with seeing if my insurance would cover an initial visit. They did and I am so grateful. Everyone in this office is welcoming and kind. This sounds extreme but I used to skip appointments, come up with excuses to not go, but now I honestly look forward to it. They are understanding of financial barriers and really work with you. I had already gotten a treatment plan for another dentist & Main St Dental came out less expensive, but if they had been more expensive I would have still gone with them based on their kindness and professionalism. I could go on and on but trust me - this place is great. read more

The time I spent using Main St Dental has been tedious to say the least. I started using their service in 2012. I choose Main St Dental for the convenience of having a dentist close to my home. My first service was cleaning which was good. At this time I received a treatment plan which showed the replacement of caps over teeth already capped, which I did not agree with. I wanted a partial and that was my main reason for seeking their service. However, I found that Dr. Koen wanted to do far more than I expected. I said no to some of the service which started the tedious relationship I had with Dr. Koen. My impression of Dr. Koen's recommendations was to increase his dollar intake rather than what I needed in Dental service. I always felt I was being pushed to do dental work that was not necessary. I received a temporary partial which had to be repaired twice and never received a successfully fitting permanent partial. I choose to discontinue my service after months of frustration. I now use a family dental service in Austin. read more