Lisa Demarco, DDS in Baltimore: Extraction and Implant Surgery with Same-Day Sedation Options

Lisa Demarco, DDS operates a solo oral surgery practice in Baltimore County focused on tooth extractions, dental implant placement, and bone grafting for patients referred by general dentists across the region. The office handles both routine and complex surgical cases, offers intravenous sedation as standard, and accepts most major insurance plans including UnitedHealthcare and Aetna, with cash-pay patients typically paying 20 to 30 percent less than insured rates.

What the Practice Actually Is

Demarco is a general oral surgeon, not a specialized oral and maxillofacial surgeon; she does not perform corrective jaw surgery, trauma reconstruction, or complex orthognathic work. The practice is built around tooth removal and implant cases that general dentists either lack the training to handle or prefer to delegate. Patients arrive by referral; the office does not accept walk-ins and does not function as a primary dentist. The setting is a single-provider clinic, so scheduling flexibility is more limited than at larger group practices but appointment cancellations are rarer because there is no workflow overlap across multiple surgeons.

Procedures and Sedation Options

Routine extractions (non-impacted, single tooth) typically cost $250 to $400 out of pocket after insurance; impacted wisdom teeth range $600 to $1,200 per tooth depending on depth and angulation. Implant placement alone runs $1,600 to $2,200; add bone grafting if the ridge is thin (additional $400 to $800). Prices vary slightly by tooth location and complexity; verify exact costs when scheduling because insurance classification of a case sometimes shifts after preoperative imaging.

Sedation options include nitrous oxide, oral conscious sedation (pills before the procedure), and IV sedation (deeper sedation, typically an additional $300 to $500). Most patients choose IV for implant work and impacted extractions. The office does not offer general anesthesia; cases requiring it are referred to hospital-based oral surgery programs such as MedStar Health operating rooms.

How This Practice Compares to Other Baltimore Oral Surgery Options

Demarco's main competitors in the region are larger group practices like Oral Surgery Associates (multiple locations in Baltimore and surrounding counties) and hospital-based surgeons at University of Maryland Medical Center and Sinai Hospital. Group practices offer extended hours and next-day appointment slots; Demarco does not. Hospital programs handle severe trauma, full-mouth reconstructions, and patients with complex medical histories more readily. Demarco suits patients whose dentist is within Baltimore County, who do not need sedation deeper than IV, and who prefer a smaller, familiar environment. Patients with complicated extractions, anxiety-driven sedation needs, or multiple simultaneous procedures are better served by group or hospital settings.

Insurance pre-authorization is faster at Demarco's office than at larger groups because the solo structure reduces administrative delays; most carriers approve routine extractions and standard implants within three business days.

Who Fits Here and Who Does Not

This practice suits patients referred for uncomplicated extractions, straightforward implant cases, and routine bone grafts. It also works well for anxious patients who respond to a quieter, single-provider setting. The office is not a match for patients needing same-day appointments, patients with severe medical comorbidities requiring anesthesia monitoring beyond IV capacity, or patients whose referring dentist is far from Baltimore County. New patients must arrive with a completed referral form from their general dentist; the office does not accept self-referrals.

The First Visit

A referral appointment typically lasts 90 minutes. The visit includes a review of the referring dentist's notes and imaging (X-rays or CBCT scans), a clinical exam, sedation consultation, and cost estimate. Most patients receive a separate date for the actual procedure, usually scheduled two to four weeks later if insurance approval is required. Patients must arrange transportation home if choosing sedation; driving is prohibited for 24 hours after IV sedation.

Hours, Location, and Parking

The office is open Tuesday through Friday, 8 a.m. to 4 p.m., and is closed Mondays and weekends. It is located in an outpatient medical building with free surface lot parking; accessible spots are available. Verify hours before scheduling because occasional surgical conferences cause closures that change monthly. The office is easily accessible from I-83 and I-695; travel time from central Baltimore is 20 to 30 minutes depending on traffic.

Demarco's combination of IV sedation availability, direct insurance handling, and focused oral surgery scope makes her an efficient first choice for straightforward cases referred from Baltimore-area general dentists.