Payam Nourmand in Baltimore: Adult Restorative Dentistry with In-House Orthodontics

Payam Nourmand operates a solo practice focused on restoring adult teeth and offering clear aligner treatment without referring patients elsewhere. General dentistry here centers on fillings, crowns, bridges, and implant placement rather than pediatric care or emergency triage; the practice also runs its own orthodontic component, eliminating the need for a separate specialist referral for mild to moderate alignment cases.

What This Practice Actually Is

Nourmand's office functions as a full-service adult dental practice with a defined scope. The dentist handles diagnosis and treatment planning in-house, performs restorative work (decay and damage repair), offers cosmetic bonding, and manages clear aligner cases directly. Patients requiring complex oral surgery, severe orthodontics, or periodontal specialist intervention are referred out, but the majority of routine adult care stays within the practice. This model suits established patients who need a stable home base and reduces the friction of coordinating multiple providers for common procedures.

Services and Pricing

Core restorative services include composite fillings, porcelain crowns, bridges, and implant restoration. Composite fillings typically run $150 to $300 per surface depending on size and location. Crowns range from $900 to $1,400 per tooth (verify current pricing with the office, as lab costs shift). Implant restoration fees vary by component type and complexity; patients are quoted individually after imaging and treatment planning.

Clear aligner treatment (similar to Invisalign) is offered in-house. Cost depends on case complexity and number of trays needed; straightforward cases often fall between $2,500 and $4,500 for the full course. Patients typically receive an estimate during the consultation before committing.

Preventive visits (cleaning and exam) are standard and most insurance plans cover twice-yearly visits at minimal or no out-of-pocket cost. Ask during scheduling whether your insurance requires a referral for restorative work; many plans do not, but some do.

How It Compares to Other Baltimore Dentists

Nourmand's hybrid model (general dentistry plus in-house orthodontics) differentiates it from most solo practices in Baltimore, which either focus exclusively on restorative work or refer all alignment cases to a specialist. This matters if you want alignment correction without the hassle of a separate referral, or if you prefer continuity with one provider. However, if you need only routine cleanings and preventive care, a general dental hygiene practice or larger group practice may offer more appointment flexibility and extended hours. For patients requiring extensive orthodontics (severe crowding, bite correction requiring elastics or extraction) or advanced periodontal treatment, a specialist practice remains necessary; Nourmand refers these cases appropriately rather than stretching scope.

Compared to chain practices like Aspen Dental, Nourmand operates at a smaller scale, which typically means less aggressive scheduling and more time per appointment but fewer same-day opening slots. Compared to academic practices at UMSOM or other teaching clinics, pricing is generally higher but wait times for routine appointments are shorter.

Who This Practice Suits and Who It Does Not

This practice works well for adults seeking restorative and cosmetic dentistry who also want the option of clear aligner treatment without switching providers. It suits patients comfortable in a small-practice environment and those with established insurance plans that cover routine and restorative care. Patients who need comprehensive orthodontic correction (extraction-based treatment, complex malocclusion) or advanced gum disease management should expect referral.

It is not suitable for pediatric patients (the practice does not treat children) or for emergency patients seeking immediate pain relief outside scheduled hours. Adults seeking only preventive cleanings may find the practice's orientation toward restorative work less appealing than a general hygiene-focused clinic.

What the First Visit Involves

New-patient appointments typically run 60 to 90 minutes. The visit includes a comprehensive exam (teeth, gums, jaw alignment), X-rays (full mouth series or panoramic, depending on history), and oral cancer screening. Nourmand or a hygienist documents the patient's dental history, insurance, and treatment goals. If restorative work is identified, a treatment plan with cost estimates and timing is provided before any work begins. If clear aligner treatment is being considered, photos and impressions may be taken during this visit, though formal treatment consent and payment occur at a follow-up consultation.

Bring your insurance card and a list of medications or allergies; this speeds paperwork.

Hours, Parking, and Logistics

The practice operates by appointment only; walk-ins are not accommodated. Hours vary and typically run mid-morning to late afternoon on weekdays, with limited Saturday availability (verify directly, as hours are subject to change). Parking information is confirmed at booking; many Baltimore dental offices in office parks or medical buildings offer dedicated lots or validated street parking nearby.

Insurance processing occurs in-house. The practice participates in most major DMO and PPO plans; confirm your specific plan's coverage during scheduling or after the first exam.

Payam Nourmand fills a clear role for Baltimore adults who want restorative and mild orthodontic care in one place without the complexity of coordinating multiple specialist offices.