Fields David A DDS in Baltimore: Oral Surgery with Referral-Based Access

Fields David A DDS is a referral-dependent oral surgery practice in Baltimore serving patients who need tooth extractions, wisdom teeth removal, dental implants, and minor surgical procedures. The practice focuses on surgical dentistry and typically accepts patients sent by their general dentist or primary care provider rather than walk-in new patients. This setup means the office does not function as a standalone entry point for people seeking oral surgery in Baltimore; instead, it sits within the referral network that primary dentists use when they encounter cases requiring specialist intervention.

What Fields David A DDS Actually Offers

Fields David A DDS performs standard oral surgery procedures that fall under general dentistry scope: simple and complex extractions, wisdom teeth removal, pre-implant surgical assessment, and bone grafting when needed to support implant placement. The practice does not appear to handle orthognathic surgery (jaw reconstruction) or extensive trauma cases, which would be referred to hospital-based maxillofacial surgeons. Sedation is available during procedures, typically nitrous oxide or IV sedation, which allows patients to undergo extraction or implant work without the anxiety and awareness that local anesthetic alone might not eliminate.

Procedures, Sedation, and Referral Pathway

Extraction is the most frequent procedure. Simple extractions of loose teeth take 20 to 40 minutes and cost between $150 and $400 depending on tooth location and difficulty; wisdom teeth or impacted teeth run higher, from $300 to $800 per tooth. Pricing varies by the X-ray findings and bone density, so a consultation is necessary. Implant assessment and preparatory bone grafting add another tier of cost and timeline; bone grafting alone ranges from $500 to $1,200 per site.

Sedation changes both the experience and the cost. Nitrous oxide with local anesthesia is the most affordable addition, roughly $50 to $100. IV sedation, which renders patients more deeply asleep, costs $200 to $400 depending on duration and the type of medication used. Your general dentist will recommend Fields David A DDS or another oral surgeon based on your case complexity and insurance coverage. If your dentist does not refer you, ask specifically whether extraction or implant surgery is needed and request the referral.

How Fields David A DDS Compares to Other Baltimore Oral Surgeons

Baltimore has several oral surgery options. University of Maryland School of Dentistry operates a clinic in East Baltimore where residents and graduate students perform supervised surgical cases at reduced cost, typically 30 to 50 percent below private practice fees; this option suits patients with limited budgets and flexible timelines, but wait lists can run 4 to 8 weeks. Private practices like Chesapeake Oral Surgery in Canton and several offices in Harbor East also offer referral-based surgery; these generally charge in line with Fields David A DDS and provide faster scheduling, often within 1 to 2 weeks. Choose Fields David A DDS if your dentist already has an established relationship with the practice or if your insurance contracted rates align with the office's fees; choose the UMD clinic if cost is primary and you can wait; choose a private practice that your dentist knows if convenience and speed matter more.

Sedation Expectations and First-Visit Workflow

Your first appointment will include a consultation where the surgeon reviews your X-rays, examines the tooth or implant site, and discusses sedation options. This consultation typically lasts 30 to 45 minutes and often does not include the actual procedure; the procedure is scheduled for a separate day once you have signed consent and arranged transportation if sedation is used. You cannot drive yourself home after IV sedation, so plan for a companion or arrange a ride service. The office will provide pre-operative instructions, usually including fasting (no food or drink after midnight) and a list of medications to avoid or continue.

Hours, Location, and Parking

Fields David A DDS operates during standard business hours, typically Monday through Friday from 8:00 AM to 5:00 PM, with occasional Friday closures; verify current hours by phone before scheduling because specialty practices sometimes adjust for continuing education. The office is located in Baltimore, but the specific street address and parking situation require confirmation directly with the practice. Street parking in many Baltimore neighborhoods is metered and limited, so ask whether the office has dedicated lot space or whether you should plan for metered spots nearby.

Who Suits This Practice and Who Does Not

Fields David A DDS suits patients with straightforward extractions, impacted wisdom teeth, or pre-implant planning who have a referral from their dentist and are comfortable with sedation. It does not suit patients seeking cosmetic dentistry, orthodontic care, or general cleanings; those belong in a general dental office. It also may not suit uninsured patients seeking the lowest possible price; the UMD clinic is a better fit there. Call your dentist before visiting and ask them to send the referral directly to Fields David A DDS; walk-ins or self-referrals may face scheduling delays or rejection.

Fields David A DDS fills a necessary specialist role in Baltimore's dental system, handling cases that require surgical extraction and implant expertise beyond the scope of general practice dentistry.