Frank Parreira, DDS in Baltimore: Endodontist with Flat-Fee Root Canal Pricing

Frank Parreira, DDS operates a single-provider endodontic practice in Baltimore focused on root canal therapy, retreatment, and apicoectomy. Root canal specialists in Baltimore fall into two patterns: those embedded in larger group practices (where scheduling can stretch weeks) and independent practitioners like Parreira who manage their own case load and referral timeline.

What this practice actually is

Parreira is an endodontist, not a general dentist. Endodontists complete two additional years of graduate training beyond dental school and limit their practice to the pulp and periapical tissues of the tooth. General dentists in Baltimore refer patients to specialists when a root canal is indicated but either too complex, requires retreatment, or needs surgical intervention. Parreira accepts referred patients only; he does not see walk-ins or provide preventive or restorative work like fillings or cleanings.

Root canal procedures and pricing

Parreira offers conventional root canal therapy, nonsurgical retreatment (when a prior root canal has failed), and apicoectomy (surgical removal of a tooth root tip and surrounding infected bone when nonsurgical options are exhausted). Pricing for initial root canal therapy runs from $1,200 to $1,600 depending on tooth location and canal complexity. Maxillary molars (three roots, multiple canals) sit at the high end; single-rooted teeth at the low end. Retreatment ranges from $1,200 to $1,500. Surgical procedures (apicoectomy) cost $1,400 to $1,800. Parreira uses a flat-fee model, not per-canal pricing, which means the total fee does not increase if a tooth has four canals rather than two. Insurance reimbursement varies widely; verify your plan's endodontic coverage before scheduling. Many Delta Dental plans in Maryland cover 80% of the procedure cost; others cap coverage lower or require prior authorization.

How Parreira compares to other Baltimore endodontists

Baltimore has approximately twelve endodontists, most affiliated with group practices or dental schools. Associated Endodontists of Maryland, based in Canton, operates a multi-provider office and typically books complex cases 4 to 6 weeks out. Parreira's single-office model allows faster access; routine referrals are often scheduled within 1 to 2 weeks. Group endodontic practices in Baltimore offer broader coverage (evening hours, weekend availability through rotation) but less continuity (your retreatment may be performed by a different provider than your original treatment). Parreira sees cases Monday through Thursday, 8 a.m. to 4 p.m., which suits referrals from typical dental office hours but not emergency scheduling on weekends. If your general dentist suspects you need endodontic care, ask whether they prefer a single specialist or a group that rotates; Parreira is a reasonable fit if you value continuity and faster scheduling for straightforward cases.

Who Parreira is suited for, and who is not

Parreira is the right choice if your general dentist has diagnosed a tooth requiring root canal therapy and you want a straightforward procedure with one provider. He is also appropriate for retreatment when a tooth previously treated elsewhere has become reinfected. If you need emergency root canal therapy on a Saturday, Parreira is not an option; your general dentist will direct you to an urgent or group practice. If your tooth requires surgical extraction rather than root canal therapy, Parreira does not perform extractions; your dentist will refer you to an oral surgeon. Patients without dental insurance pay out of pocket and benefit from Parreira's transparent flat-fee structure; those on plans with high deductibles should confirm coverage and out-of-pocket maximums with the insurance carrier and office before treatment.

What your first visit involves

Your general dentist prepares the referral and sends radiographs to Parreira's office. At your appointment, Parreira takes updated radiographs, examines the tooth, and confirms diagnosis (whether pulpitis, necrosis, or retreatment). He explains treatment steps, fees, and post-operative expectations. Root canal therapy typically takes 45 minutes to 90 minutes depending on canal anatomy. You receive local anesthesia and a rubber dam (isolation barrier). Parreira instruments the canal system, irrigates to remove bacteria and debris, and fills the space with gutta-percha (a biocompatible resin). The tooth is temporarily sealed. Your general dentist restores the tooth with a post and crown in the weeks after. Parreira does not provide restorative work; coordination with your dentist is essential.

Hours, parking, and location logistics

Parreira operates Monday through Thursday, 8 a.m. to 4 p.m. His office is located in Baltimore and accepts most insurance plans, though you should call to confirm your specific carrier. Street parking is available; there is no dedicated lot. Confirm appointment availability and parking options with the office when your dentist initiates the referral.

Frank Parreira's practice fills a gap for Baltimore patients who need a specialized endodontist without the weeks-long wait typical of group offices. His flat-fee pricing removes billing ambiguity.