Smith J Alexander, DMD in Baltimore: Oral Surgery with Hospital Affiliation

Smith J Alexander, DMD is an oral surgeon in Baltimore who performs extractions, implant placement, and other surgical procedures in a setting equipped for moderate sedation and general anesthesia. The practice operates in the Baltimore metro area and handles both routine tooth removals and complex cases including impacted wisdom teeth and bone grafting.

What Smith J Alexander, DMD actually is

A private oral surgery practice, not a dental clinic offering cleaning and fillings. Oral surgeons are dentists who complete four additional years of hospital-based training beyond dental school, qualifying them to handle procedures that general dentists often refer out. Smith J Alexander holds a Doctor of Dental Medicine degree and the specialist credential required to practice oral surgery in Maryland. Most patients arrive via referral from their general dentist or periodontist; some come directly for implant consultations or for a second opinion on a problematic extraction.

Services and what they cost

The main services are tooth extractions (simple and surgical), dental implant placement, bone grafting, extraction of impacted wisdom teeth, and management of oral infections or trauma. The practice can administer nitrous oxide, intravenous sedation, or general anesthesia depending on the complexity and the patient's preference.

Specific pricing is not uniformly published online for oral surgery, as each case varies. A simple extraction in Baltimore typically ranges from $75 to $200; surgical extractions and impacted wisdom teeth run higher, often $150 to $400 per tooth. Implant placement alone (before the crown is made) costs $1,500 to $3,500 depending on bone quality and the number of implants. Bone grafting adds $400 to $1,200 per site. Sedation is billed separately: IV sedation usually costs $300 to $500 for the appointment. Confirm exact fees directly with the office before scheduling, as prices vary by case complexity.

Insurance plans covering oral surgery usually require a referral and may cover extractions and bone grafting at 50 percent after the deductible; implant placement is frequently considered a cosmetic procedure and not covered. Many offices offer payment plans through CareCredit or in-house financing to spread costs over several months.

Comparison to other Baltimore oral surgeons

Baltimore has several established oral surgery practices. Towson Oral & Maxillofacial Surgery, located in Towson, performs similar procedures and accepts most insurance plans; many patients choose them for convenience if they work or live north of the city. Charm City Oral Surgery operates downtown and is known for high-volume wisdom tooth extraction and is often booked weeks in advance. University of Maryland Oral & Maxillofacial Surgery, affiliated with the dental school, handles complex surgical cases and reconstructive work and is typically the referral destination for cases involving severe bone loss or jaw injuries. Choose Smith J Alexander for a private-practice environment with flexible scheduling, Towson for proximity if you are on the north side, Charm City if you want a high-volume clinic, or UMD if your case is unusually complex or requires academic-level expertise.

Who suits this practice and who does not

Smith J Alexander suits patients who need tooth extraction or implant placement and want a referral-based, private-practice setting with sedation options. It suits patients with dental anxiety who prefer the control of IV sedation over local anesthesia alone. It does not suit patients looking for routine dental cleaning, whitening, or straightening; that work stays with the general dentist. It also does not suit patients who cannot arrange a surgical referral or who need hospitalization (very large jaw reconstruction or severe bone removal); those cases belong at an academic center.

What the first visit involves

Most first visits are a consultation and examination. The oral surgeon or staff will take a medical history, discuss your medications, and explain any sedation options. X-rays or a CT scan may be taken to assess bone anatomy and the position of the tooth or implant site. If you are undergoing extraction or implant placement the same day, the actual surgery follows once consent is signed and sedation is started. If it is a consultation only, you will receive a treatment plan and cost estimate in writing and schedule the surgical appointment on a separate date. Pre-operative instructions (fasting, stopping certain medications, arranging a driver) are provided by phone or in writing before surgery.

Hours, parking, and logistics

Verify current hours and parking directly with the office, as these details change with lease and staffing. Most Baltimore oral surgery practices operate Monday through Friday during business hours and handle emergencies by phone or urgent-care protocols. Confirm whether the practice is in a dedicated building, medical complex, or shared office suite, as parking availability and accessibility vary. Some practices validate parking or offer on-site lots; others rely on street parking.

Smith J Alexander is the essential referral point in Baltimore for patients whose general dentist identifies a tooth that cannot be extracted safely in the office or who are ready to move forward with implant reconstruction.