Barry Peltzman DDS in Baltimore: Oral Surgery for Extractions and Implants

Barry Peltzman DDS operates as a solo oral surgery practice in Baltimore, handling tooth extractions, dental implant placement, and wisdom tooth removal with conscious sedation available in-office. The practice draws primarily self-referred and dentist-referred patients seeking surgical dental care without the overhead and wait times of hospital-based oral surgery departments.

What Peltzman DDS actually is

Oral surgery in private practice differs sharply from hospital systems. Peltzman runs a focused extraction and implant clinic, meaning lower facility costs translate to competitive patient pricing, faster scheduling than academic medical centers, and one surgeon's continuity of care from extraction through implant restoration. The practice is not a general dental office; it does not handle routine cleanings or fillings. Patients arrive either via direct self-referral or, more commonly, through referral from their general dentist who identifies a need for extraction or implant work and coordinates the handoff.

Procedures, sedation, and referral pathway

Peltzman's core scope includes simple and surgical extractions, wisdom tooth removal, implant placement, and bone grafting when needed for implant support. Conscious sedation (twilight sedation) is administered in-office by the surgeon, allowing patients to relax during longer procedures without general anesthesia and the cost and recovery time it demands. Extraction-alone patients typically return to work the next day; implant placement requires 3 to 6 months of osseointegration before a crown is placed by the referring general dentist.

Referral is not mandatory but is standard. If a patient's general dentist identifies impacted wisdom teeth or the need for extraction before implant work, they send records and imaging to Peltzman's office. The surgeon reviews the case and confirms feasibility before scheduling. Self-referred patients without existing dental homes should have pre-operative imaging (typically a panoramic X-ray or CBCT scan) available; Peltzman's office will request it if missing. Insurance pre-authorization also requires the referring dentist's documentation in many cases.

Pricing and insurance

Out-of-pocket extraction costs for straightforward cases run lower at private oral surgery than at hospital surgery centers: simple extractions typically $150 to $350 per tooth; surgical extractions (impacted or complex root anatomy) range $300 to $800 depending on difficulty. Implant placement averages $1,200 to $2,000, excluding the crown, abutment, and restoration work performed by the general dentist afterward. Bone grafting, when necessary to restore inadequate ridge volume, adds $400 to $1,500 per site. Confirm current fees directly with the practice; these figures reflect typical 2024 ranges but do change.

Peltzman accepts most major insurance plans and files claims on the patient's behalf. Patients pay their insurance copay and coinsurance; the practice bills the remainder to insurance, reducing out-of-pocket liability. Coverage varies by plan: some plans cap surgical benefits at $1,000 to $1,500 per year, meaning a patient splitting implant and extraction work across two calendar years can spread costs. Uninsured patients should ask about cash-pay discounts, which private practices often extend.

How it compares to other Baltimore oral surgery options

Baltimore's oral surgery landscape includes hospital-based departments (Mercy Medical Center, Johns Hopkins), larger multi-surgeon practices, and solo surgeons like Peltzman. Hospital departments offer the broadest scope (complicated reconstructions, patients with serious comorbidities) but require longer waits and higher facility fees. Johns Hopkins oral surgery, for instance, typically runs 6 to 12 weeks for routine extraction and serves more medically complex patients; scheduling is coordinated through referring providers. Larger group practices (such as offices with three or more surgeons) maintain short wait times but add overhead to fees.

Peltzman's advantage is direct access, fast scheduling (often 1 to 4 weeks), and one surgeon's familiarity with your case from consultation to completion. His practice is not the lowest cost for straightforward extractions (some low-cost dental clinics undercut private surgery by $50 to $100 per tooth) but offers sterile, equipped facilities and sedation without facility costs. Choose Peltzman if your referring dentist knows him and trusts his work, or if you value speed and personal continuity over absolute lowest price. Choose a hospital department if your medical history or extraction complexity warrants the broadest surgical capability.

Who it suits and who it does not suit

Peltzman DDS suits patients with straightforward to moderate surgical needs: impacted wisdom teeth, extraction before implant, routine implant placement, and patients who tolerate conscious sedation well. It also suits referred patients whose general dentist has an established relationship with the practice and expects smooth handoff. Ideal candidates are generally healthy, have realistic timelines for implant restoration (understanding the crown comes later), and prefer to avoid hospital-based surgery and general anesthesia costs.

It does not suit patients requiring extensive reconstruction, those with severe medical comorbidities, or those needing admission to a hospital. Pediatric patients and patients with extreme dental anxiety who need general anesthesia are better served by hospital departments. Patients without insurance and without means to pay cash should explore community health center sliding-scale options before committing to private oral surgery fees.

First visit and logistics

Initial consultations include an exam, review of imaging, sedation consent, and fee estimate. Bring photo ID, insurance card, and any recent X-rays or CBCT scans from your general dentist; Peltzman's office will request missing imaging in advance. Plan 60 to 90 minutes for the first visit. On procedure day, plan a full morning or afternoon, arrange a driver (sedation requires escort), and schedule no critical work or childcare the same day. Post-operative instructions include rest, ice, elevation, and pain management with prescribed or over-the-counter medication; swelling peaks at 48 to 72 hours and resolves over 1 to 2 weeks.

Hours and location

Verify current hours directly with the practice, as surgical schedules often shift seasonally. The practice is located in Baltimore and serves patients across the metro area. Parking is typically available on-site or nearby; call ahead if you have mobility concerns.

Peltzman's practice occupies a defined niche in Baltimore's surgical landscape: extraction and implant work at private practice speed and pricing, backed by one surgeon's continuity. For patients referred by a trusted general dentist or for those who value faster scheduling and lower facility costs over hospital resources, it is the practical choice.