Per Houmann DDS in Baltimore: Oral Surgery with Direct Referral from Local Dentists

Per Houmann DDS is an oral surgery practice in Baltimore that handles tooth extractions, implant placement, and wisdom tooth removal, operating on a referral basis from general dentists and specialists across the city. The practice occupies a dedicated surgical suite and works primarily with patients sent by primary care dentists rather than accepting self-referrals, a model that shapes both the patient experience and how to access the service.

What the Practice Actually Does

Oral surgery requires a different skill set and infrastructure than general dentistry. Per Houmann DDS performs extractions ranging from straightforward removals to complex surgical extractions where teeth are partially impacted or heavily rooted. Implant placement, the surgical anchor for replacement teeth, represents another core service. Wisdom tooth removal, often bundled with general extractions, accounts for a large portion of referrals from local dentists. The practice also manages some bone grafting and sinus lift procedures that precede implant placement in patients with insufficient bone volume. This scope is typical for a standalone oral surgery office in Baltimore; it does not include orthodontic surgery or the broader surgical reconstructions you would find at a hospital-based maxillofacial surgery department.

Sedation and Pain Management

Patients arriving for extraction or implant work can expect sedation options. Local anesthesia with nitrous oxide (laughing gas) is standard for routine extractions and covers most referrals. Intravenous sedation is available for longer or more complex cases, particularly wisdom tooth removal or multiple extractions, and carries an additional cost. General anesthesia is not offered in the office and would require hospital admission; refer patients requiring full general anesthesia to a hospital setting or oral surgeons with operating room privileges. The choice of sedation affects the total cost and whether a patient can drive home immediately or must arrange a ride.

Referral Pathway and How It Works

Per Houmann DDS does not accept walk-in patients or self-referrals. Your dentist initiates the referral by sending imaging, clinical notes, and a referral form. Some dental offices in Baltimore keep a standing referral relationship; others send referrals on a case-by-case basis. This gating system ensures the oral surgeon reviews the case before the appointment, reduces no-shows, and streamlines the intake. It also means if your dentist does not have an established relationship with this practice, you may be referred elsewhere. Ask your dentist which oral surgeons they work with most often and whether Per Houmann DDS is an option for your case.

Comparing to Other Baltimore Oral Surgeons

Baltimore has several oral surgery practices. Implant specialists like those at practices focused solely on reconstruction may offer more implant options and digital planning but often carry higher fees. Hospital-based oral surgery programs at University of Maryland Medical Center and Johns Hopkins serve patients with medically complex histories, patients needing hospital sedation, or those without private insurance coverage (they accept Medical Assistance). For straightforward extractions or routine implant placement in healthy patients with insurance, a private oral surgery office like Per Houmann DDS typically moves faster and costs less than a hospital setting. If your case involves bone grafting or if you need financial flexibility through payment plans, verify what each provider offers before committing.

Cost and Insurance

Pricing for oral surgery in Baltimore varies significantly by procedure. Simple extractions typically cost $200 to $400 per tooth without sedation; surgical extractions, particularly impacted wisdom teeth, run $400 to $1,200 per tooth. Implant placement alone (the surgical portion, not the crown) ranges from $2,000 to $3,500. Intravenous sedation adds $500 to $1,200 to a case. Insurance coverage depends on your plan; many plans classify extraction as basic restorative (covered at 70 to 80%) and implants as cosmetic or surgical (covered at 0 to 50%, if at all). Verify your coverage with your insurance company before the appointment; out-of-pocket costs can be substantial. Per Houmann DDS accepts most major insurance plans; confirm with your referring dentist or the office whether your specific plan is in-network.

First Appointment Details

Once the referral is submitted, expect a scheduling call within one to two business days. You will provide consent for records transfer and verify insurance. At the appointment, you arrive 15 minutes early to update medical history and medications. The oral surgeon reviews the clinical situation, confirms the plan (extraction, implant, sedation level), and answers questions. If treatment proceeds, you may be scheduled the same day for a simple extraction or return for a scheduled surgical date. If sedation is used, you must arrange transportation home; most patients are ready to leave within 30 to 60 minutes after the procedure.

Hours and Logistics

The practice operates Monday through Friday, typically 8 a.m. to 5 p.m., with limited hours on some afternoons. Parking is available on-site or on nearby streets; confirm details when scheduling. Bring photo ID, insurance card, and a list of current medications. Post-operative recovery time for extraction is usually two to three days; implant placement requires six to twelve months of bone integration before crown placement.

Per Houmann DDS fits Baltimore's referral-based oral surgery landscape by offering streamlined surgical care for patients already engaged with a dentist who can coordinate the referral.