Dental implants in Baltimore, MD: cost estimate and public records
Compiled by Kindred Works LLC editorial from federal datasets. Data retrieved October 5, 2026. 4 of 4 city-level datasets have records for Baltimore.
The CMS NPI registry lists 729 active dentists with a practice address in Baltimore, and 59 of them list oral and maxillofacial surgery, prosthodontics or periodontics as their primary specialty. HRSA lists 19 health center sites in the city run by 5 organizations. Our cost estimate for the Baltimore-Columbia-Towson, MD area applies BEA's published price index for the metro to national cost figures, and the arithmetic is shown under the table. Among the 60 cities with pages on this site, Baltimore has the 13th-highest figure for adults 65+ who have lost all their teeth (17%). Nothing on this page is a quote, a review or a recommendation of any practice.
Estimated implant costs for the Baltimore-Columbia-Towson, MD area
Medical disclaimer: This site publishes prices, not treatment advice. Nothing here is dental or medical advice, a diagnosis, or a treatment plan, and no figure is a quote. Only a licensed dentist who has examined you can say which procedure you need or what it will cost.
| Procedure | National typical | Our Baltimore area estimate | Estimate range |
|---|---|---|---|
| Single implant | $2,143 | $2,175 | $1,675 to $4,225 |
| All-on-4 (per arch) | $15,176 | $15,400 | $11,825 to $27,900 |
| Mini implants | $860 | $875 | $675 to $1,650 |
| Bone graft | $558 | $575 | $425 to $1,100 |
| Sinus lift | $2,022 | $2,050 | $1,625 to $3,900 |
| Extraction | $363 | $375 | $275 to $725 |
How we got these numbers. Each national figure is multiplied by 101.5 / 100, BEA's 2024 "Services: Other" regional price parity for the Baltimore-Columbia-Towson, MD metro area (United States = 100), then rounded to the nearest $25. For example, $2,143 × 1.015 = $2,175, shown as $2,175. The metro's all-items parity is 104.5. The index is not dental-specific and the national inputs are aggregator estimates, so this is a planning figure, not a price any practice charges (method and limits).
Source: U.S. Bureau of Economic Analysis (BEA), Regional Price Parities by metropolitan statistical area (MARPP) · data as of 2024 · retrieved October 5, 2026
How Baltimore compares with the other cities on this site
Each row ranks one published figure across the 60 cities we cover (1st = highest). It compares places, not practices.
| Figure | Baltimore | Rank | Median city |
|---|---|---|---|
| Implant-related specialists as a share of active dentists | 8.1% | 32nd of 60 | 8.3% |
| Residents aged 65 and over | 15.3% | 15th of 60 | 14.2% |
| Adults with a dental visit in the past year | 53.9% | 44th of 60 | 58.5% |
| Adults 65+ who have lost all their teeth | 17% | 13th of 60 | 14.8% |
| HRSA health center sites in the city | 19 | 31st of 60 | 20 |
| BEA services price parity for the metro (U.S. = 100) | 101.5 | 9th of 60 | 98.9 |
Sources and dates are under each section below. The specialist share is the NPI registry count of oral and maxillofacial surgeons, prosthodontists and periodontists divided by all active dentists in the city.
Dentists with a Baltimore practice address
Counted once each by primary taxonomy, at the practice-location postal city NPPES records, which can reach past the city limits.
| Primary taxonomy (NUCC) | Active dentists |
|---|---|
| Dental Public Health | 1 |
| Dentist | 278 |
| Endodontics | 18 |
| General Practice | 298 |
| Oral and Maxillofacial Pathology | 8 |
| Oral and Maxillofacial Radiology | 2 |
| Oral and Maxillofacial Surgery | 23 |
| Orofacial Pain | 1 |
| Orthodontics and Dentofacial Orthopedics | 26 |
| Pediatric Dentistry | 38 |
| Periodontics | 21 |
| Prosthodontics | 15 |
Implant-related specialists, alphabetical
Alphabetical by last name, as the registry publishes them. Not a ranking or a recommendation; a listing says nothing about anyone's work, fees or availability. Check licenses with the Maryland dental board.
Oral and Maxillofacial Surgery: 23 dentists
- ARROYO, BONNIE MARIE D.D.S.NPI 1073771937 · Oral and Maxillofacial Surgery · 1228 DOCKSIDE CIR, BALTIMORE, MD 21224 · enumerated 05/28/2008
- ASHER, IMANI HELEN D.D.SNPI 1801159637 · Oral and Maxillofacial Surgery · 600 N WOLFE ST, BALTIMORE, MD 21287 · enumerated 06/18/2012
- BERGMAN, STEWART ALAN D.D.S.NPI 1508867599 · Oral and Maxillofacial Surgery · 650 W BALTIMORE ST, SUITE 414, BALTIMORE, MD 21201 · enumerated 08/02/2005
- BRAHIM, JAIME S DDS, MSNPI 1063501815 · Oral and Maxillofacial Surgery · 650 W BALTIMORE ST STE 1401, BALTIMORE, MD 21201 · enumerated 10/12/2006
- BRINKLEY, JANICE LORRAINE RDHNPI 1417088949 · Oral and Maxillofacial Surgery · 600 N WOLFE ST, BLALOCK 266, BALTIMORE, MD 21287 · enumerated 03/08/2007
- BUI, QUANG HA DANGNPI 1720667967 · Oral and Maxillofacial Surgery · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 04/05/2021
- CARIATI, PAOLO MDNPI 1780232934 · Oral and Maxillofacial Surgery · 650 W BALTIMORE ST STE 1401, BALTIMORE, MD 21201 · enumerated 08/30/2019
- CHYZUS, PAUL JOHNNPI 1558414284 · Oral and Maxillofacial Surgery · 1003 NORTH POINT BLVD, SUITE 603, BALTIMORE, MD 21224 · enumerated 01/18/2007
- DANIEL, ALEXANDER KAMALNPI 1629509856 · Oral and Maxillofacial Surgery · 600 N WOLFE ST, BALTIMORE, MD 21287 · enumerated 03/21/2017
- EISEN, MARK Z.NPI 1336225440 · Oral and Maxillofacial Surgery · 10 N GREENE ST, BALTIMORE VA MEDICAL CENTER DENTAL DEPARTMENT, BALTIMORE, MD 21201 · enumerated 10/31/2006
- EVERETT, DWAYNE ERIC DDSNPI 1972662641 · Oral and Maxillofacial Surgery · 1501 DIVISION ST, BALTIMORE, MD 21217 · enumerated 12/08/2006
- FREEDMAN, THEODORE STUART DDSNPI 1225139967 · Oral and Maxillofacial Surgery · 6666 SECURITY BLVD, BALTIMORE, MD 21207 · enumerated 09/26/2006
- HENDERSON, WILLIAM D.D.S.NPI 1134170251 · Oral and Maxillofacial Surgery · 601 N CAROLINE ST, BALTIMORE, MD 21287 · enumerated 05/13/2006
- JUNG, EUNSUNPI 1770962375 · Oral and Maxillofacial Surgery · 600 N WOLFE ST, BALTIMORE, MD 21287 · enumerated 05/28/2015
- KIT, VICTOR DDSNPI 1225108863 · Oral and Maxillofacial Surgery · 8647 BELAIR RD, BALTIMORE, MD 21236 · enumerated 11/09/2006
- MCGHEE, STANLEY WATSON D.D.S.NPI 1871568840 · Oral and Maxillofacial Surgery · 1009 FREDERICK RD, BALTIMORE, MD 21228 · enumerated 02/22/2006
- MITCHERLING, JOHN JOSEPHNPI 1871588202 · Oral and Maxillofacial Surgery · 1900 E NORTHERN PKWY, SUITE 108, BALTIMORE, MD 21239 · enumerated 09/12/2005
- MITCHERLING, WILLIAM WEBSTERNPI 1356336499 · Oral and Maxillofacial Surgery · 1900 E NORTHERN PKWY, SUITE 108, BALTIMORE, MD 21239 · enumerated 09/14/2005
- NASSIRI, JUSTIN DDSNPI 1568992279 · Oral and Maxillofacial Surgery · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 06/14/2017
- ROMEO, FRANK JOHN DDSNPI 1316098288 · Oral and Maxillofacial Surgery · 7544 BELAIR RD, BALTIMORE, MD 21236 · enumerated 01/16/2007
- SCHWEBER, SAUL D.D.S.NPI 1497044002 · Oral and Maxillofacial Surgery · 650 W BALTIMORE ST, DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY, BALTIMORE, MD 21201 · enumerated 04/04/2011
- SINADA, GHASSAN G D.D.S.NPI 1043378169 · Oral and Maxillofacial Surgery · 6569 N CHARLES ST, PPW SUITE 601, BALTIMORE, MD 21204 · enumerated 12/04/2006
- WILKEN, NICHOLAS DDS, MDNPI 1467845214 · Oral and Maxillofacial Surgery · 650 W BALTIMORE ST, 1ST FLOOR SUITE 1401, BALTIMORE, MD 21201 · enumerated 03/17/2015
Periodontics: 21 dentists
- AICHELMANN-REIDY, MARY ELIZABETH DDSNPI 1073653002 · Periodontics · 650 WEST BALTIMORE STREET,, ROOM, 4209, DEPARTMENT OF PERIODONTICS, BALTIMORE, MD 21201 · enumerated 02/07/2007
- BLASI, GONZALO DDS MSNPI 1407396369 · Periodontics · 305 W FAYETTE ST APT 1412, BALTIMORE, MD 21201 · enumerated 02/26/2017
- BOWEN, WILLIAM JOHN DDSNPI 1952440224 · Periodontics · 4019 WILKENS AVENUE, BALTIMORE, MD 21229 · enumerated 02/05/2007
- BURSTEIN, WENDY C DDS MSNPI 1366475436 · Periodontics · 2 EAST LEE STREET, BALTIMORE, MD 21202 · enumerated 07/09/2006
- CRUZ, CHRISTOPHER DOMINGO DDS, MSNPI 1245129816 · Periodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 06/30/2025
- FISHER, HOWARD BRAINUM DDSNPI 1245316033 · Periodontics · 1 VILLAGE SQUARE, SUITE 130, BALTIMORE, MD 21210 · enumerated 10/27/2006
- FRIED, ANDREW THEEMAN DMDNPI 1457413734 · Periodontics · 9712 BELAIR RD STE 304, BALTIMORE, MD 21236 · enumerated 12/14/2006
- FRIEDMAN, PAUL R DDSNPI 1275657744 · Periodontics · 103 SUDBROOK LN, BALTIMORE, MD 21208 · enumerated 03/19/2007
- JONES, DEBORAH S. D.D.S.NPI 1457408874 · Periodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 01/05/2007
- LEE, MARY GRAY D.M.D, M.S.DNPI 1558610444 · Periodontics · 6080 FALLS ROAD, SUITE 202, BALTIMORE, MD 21209 · enumerated 09/06/2012
- LESCO, BARBARA A DDSNPI 1154368652 · Periodontics · 2 EAST LEE STREET, BALTIMORE, MD 21202 · enumerated 06/01/2006
- LEVIN, MARTIN ALBERT DDSNPI 1073619755 · Periodontics · 1 VILLAGE SQUARE, SUITE 130 CROSS KEYS, BALTIMORE, MD 21210 · enumerated 09/16/2006
- LIVINGSTON, HERBERT L D.D.S.NPI 1780673418 · Periodontics · 1001 N POINT BLVD, SUITE#501, BALTIMORE, MD 21224 · enumerated 10/15/2005
- MAO, RICHARD D.M.D.NPI 1952427825 · Periodontics · 8600 LASALLE RD, 402 SEVERN BUILDING, BALTIMORE, MD 21286 · enumerated 03/22/2007
- MEEHAN, PATRICIA DDSNPI 1508265828 · Periodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 08/22/2014
- MURPHY, KEVIN GEORGE DDS, MSNPI 1790149052 · Periodontics · 6080 FALLS RD #202, BALTIMORE, MD 21209 · enumerated 04/12/2016
- PARK, SANG HOON D.D.S.NPI 1629242946 · Periodontics · 650 W BALTIMORE ST, ROOM 4203, BALTIMORE, MD 21201 · enumerated 04/17/2008
- SAITO, HANAENPI 1710387642 · Periodontics · 650 W BALTIMORE ST, 4201, BALTIMORE, MD 21201 · enumerated 08/28/2014
- VAN-DINH, KIM-THI D.D.S., M.SNPI 1811244627 · Periodontics · 3801 CANTERBURY RD, UNIT 407, BALTIMORE, MD 21218 · enumerated 08/10/2012
- WARD, MELODY D DDS, MSNPI 1548558158 · Periodontics · 6080 FALLS RD STE 202, BALTIMORE, MD 21209 · enumerated 07/17/2011
- YU, SHAN HUEY DDS MSNPI 1184191132 · Periodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 10/29/2018
Prosthodontics: 15 dentists
- CHANDY, TINTU SARA DDSNPI 1174268403 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 05/02/2022
- DRISCOLL, CARL FRANCIS D.M.D.NPI 1881964328 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 12/30/2011
- FARAONE, KAREN LEE DDSNPI 1932211372 · Prosthodontics · 600 LIGHT ST, HARBOR HEALTH CARE, BALTIMORE, MD 21230 · enumerated 08/31/2006
- FAY, GUADALUPE GARCIA DMDNPI 1124396551 · Prosthodontics · 650 W BALTIMORE ST # 4220, BALTIMORE, MD 21201 · enumerated 12/13/2011
- FRIED, IVAN S. D.D.S.NPI 1972663391 · Prosthodontics · 1700 REISTERSTOWN RD, POMONA SQUARE SUITE 203, BALTIMORE, MD 21208 · enumerated 12/08/2006
- HOMAYOUNFAR, NEGARNPI 1730581554 · Prosthodontics · 650 WEST BALTIMORE STREET, UNIVERSITY OF MARYLAND DENTAL SCHOOL, BALTIMORE, MD 21201 · enumerated 09/24/2014
- KOSTAGIANNI, AIKATERININPI 1851799365 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 12/15/2014
- LIMKANGWALMONGKOL, PENWADEE DDS, MS, FACPNPI 1174893580 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 01/03/2012
- MURPHY, KEVIN MICHAEL DDS, MSNPI 1619995735 · Prosthodontics · 3900 N CHARLES ST, SUITE 112, BALTIMORE, MD 21218 · enumerated 07/17/2006
- OKASHA, ISMAIL DMDNPI 1669802054 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 11/20/2013
- PRYMAS, STUART D. D.D.S.NPI 1184913972 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 04/01/2011
- SCHWARTZBERG, MARTIN R DDSNPI 1548387327 · Prosthodontics · 106 OLD COURT RD, SUITE 201, BALTIMORE, MD 21208 · enumerated 03/25/2007
- TOVAR SUINAGA, LOANA MAIELLA DDS, MSNPI 1609389121 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 11/06/2017
- WEINMAN, JONATHAN HOWARD D.D.S.NPI 1851517502 · Prosthodontics · 106 OLD COURT RD, SUITE 201, BALTIMORE, MD 21208 · enumerated 04/18/2007
- YAHYA, JENIN DDSNPI 1346626835 · Prosthodontics · 650 W BALTIMORE ST, BALTIMORE, MD 21201 · enumerated 08/06/2015
Source: Centers for Medicare & Medicaid Services (CMS), NPPES NPI Registry, monthly full data dissemination file · data as of September 13, 2026 · retrieved October 5, 2026 · NPPES file September 2026
Health center sites in Baltimore
HRSA lists 19 active, permanent service-delivery sites of federally funded health centers and look-alikes in Baltimore. HRSA requires these health centers to offer a sliding fee discount based on income for the services in their approved scope (HRSA Compliance Manual, chapter 9). HRSA's file does not say which sites offer dental care, so call and ask. School and correctional sites are left out.
- AbsoluteCare Inc.1040 Park Ave, Suite 200, Baltimore, MD 21201 · 443-738-0300 · operated by BALTIMORE MEDICAL SYSTEM, INC.
- BELAIR EDISON FAMILY HEALTH CTR3120 Erdman Ave, Baltimore, MD 21213 · 443-558-4800 · operated by BALTIMORE MEDICAL SYSTEM, INC. · full-time
- BMS AT ST. AGNES900 S Caton Ave, Baltimore, MD 21229 · 443-703-3200 · operated by BALTIMORE MEDICAL SYSTEM, INC. · full-time
- BMS at Yard 565525 Eastern Ave, #201, Baltimore, MD 21224 · 410-703-3600 · operated by BALTIMORE MEDICAL SYSTEM, INC.
- Chase Brexton Health Services, Inc. - Mt. Vernon Center1111 N Charles St, Baltimore, MD 21201 · 410-837-2050 · operated by CHASE BREXTON HEALTH SERVICES INC. · full-time
- Division Health Center1501 Division St, Baltimore, MD 21217 · 410-383-8300 · operated by TOTAL HEALTH CARE, INC. · full-time
- East Baltimore Medical Center1000 E Eager St, Baltimore, MD 21202 · 410-522-9800 · operated by BALTIMORE MEDICAL SYSTEM, INC.
- Health Care for the Homeless - 421 Fallsway421 Fallsway, Baltimore, MD 21202 · 617-529-9507 · operated by HEALTH CARE FOR HOMELESS INC · full-time
- Health Care for the Homeless, West Baltimore2000 W Baltimore St, Baltimore, MD 21223 · 443-703-1400 · operated by HEALTH CARE FOR HOMELESS INC
- Highlandtown Healthy Living Center3700 Fleet St, Baltimore, MD 21224 · 410-558-4900 · operated by BALTIMORE MEDICAL SYSTEM, INC. · full-time
- Kirk Health Center2400 Kirk Ave, Baltimore, MD 21218 · 410-383-8300 · operated by TOTAL HEALTH CARE, INC. · full-time
- Open Gates Health Center1111 Washington Blvd, Baltimore, MD 21230 · 410-383-8300 · operated by TOTAL HEALTH CARE, INC.
- Our Daily Bread725 Fallsway, Baltimore, MD 21202 · 410-837-5533 · operated by HEALTH CARE FOR HOMELESS INC
- PARK WEST MEDICAL CENTER - BELVEDERE3319 W Belvedere Ave, Baltimore, MD 21215 · 410-542-7800 x7305 · operated by PARK WEST HEALTH SYSTEMS, INCORPORATED · full-time
- PARK WEST MEDICAL CENTER - PLAZA SITE4120 Patterson Ave, Baltimore, MD 21215 · 410-764-2266 · operated by PARK WEST HEALTH SYSTEMS, INCORPORATED · full-time
- PARK WEST MEN & FAMILY HLTH CTR4151 Park Heights Ave, Baltimore, MD 21215 · 410-542-7800 · operated by PARK WEST HEALTH SYSTEMS, INCORPORATED · full-time
- SARATOGA HEALTH CENTER1501 W Saratoga St, Baltimore, MD 21223 · 410-383-8300 · operated by TOTAL HEALTH CARE, INC. · full-time
- Westside Health Center2449 Frederick Ave, Baltimore, MD 21223 · 410-383-8300 · operated by TOTAL HEALTH CARE, INC.
- WHRC clinic620 Fallsway, Baltimore, MD 21202 · 410-855-5533 · operated by HEALTH CARE FOR HOMELESS INC
Source: Health Resources and Services Administration (HRSA), Health Center Service Delivery and Look-Alike Sites · data as of October 5, 2026 · retrieved October 5, 2026
Dental shortage designations in Baltimore city
HRSA lists 14 dental Health Professional Shortage Area designations in Baltimore city, the county that contains most of Baltimore. 9 cover a geographic area or a population group (such as low-income residents) and 5 cover individual facilities. HRSA scores dental HPSAs from 0 to 26; a higher score means a greater shortage under HRSA's criteria.
| Designation type | Count |
|---|---|
| Federally Qualified Health Center | 5 |
| Geographic HPSA | 2 |
| HPSA Population | 7 |
Area and population designations (9)
- LI- South BaltimoreHPSA ID 6248878440 · Low Income Population HPSA · score 21 · Proposed For Withdrawal · designated September 9, 2021
- LI - West Central Baltimore CityHPSA ID 6247276322 · Low Income Population HPSA · score 19 · Proposed For Withdrawal · designated April 21, 2022
- LI - West Central Baltimore CityHPSA ID 6244379634 · Low Income Population HPSA · score 19 · Designated · designated May 28, 2026
- LI - East Baltimore CityHPSA ID 6243159413 · Low Income Population HPSA · score 17 · Designated · designated October 12, 2021
- LI-ClaremontHPSA ID 6247320615 · Low Income Population HPSA · score 17 · Proposed For Withdrawal · designated May 24, 2022
- LI-East Central Baltimore CityHPSA ID 6247771749 · Low Income Population HPSA · score 17 · Proposed For Withdrawal · designated May 24, 2022
- Southeast Baltimore CityHPSA ID 6245912379 · Geographic Population · score 17 · Proposed For Withdrawal · designated April 21, 2022
- North Central Baltimore CityHPSA ID 6245807710 · Geographic Population · score 15 · Proposed For Withdrawal · designated May 4, 2022
- ME - Southeast Baltimore CityHPSA ID 6241174289 · Medicaid Eligible Population HPSA · score 11 · Designated · designated June 11, 2026
Source: Health Resources and Services Administration (HRSA), Health Professional Shortage Areas: Dental Health (HPSA detail file) · data as of October 5, 2026 · retrieved October 5, 2026
Oral health estimates for Baltimore
CDC's estimate of past-year dental visits in Baltimore (53.9%) is lower than the 54.1% it estimates for Baltimore city. For complete tooth loss among adults 65 and over, the city estimate is 17% against 14.3% for the county. Both are CDC model estimates from survey data, not patient counts.
Source: Centers for Disease Control and Prevention (CDC), PLACES: Local Data for Better Health, Place Data, 2025 release · data as of 2025 release (BRFSS 2022 survey year) · retrieved October 5, 2026
Population 65 and over in Baltimore
The share of Baltimore residents aged 65 and over is lower than the national share in the same survey. It bears on how implants get paid for, because Medicare.gov says that in most cases Medicare does not cover dental services or items such as dentures and implants. If you have a Medicare Advantage or other plan, check its documents for any dental benefit.
Source: U.S. Census Bureau, American Community Survey 5-year estimates, 2020-2024, table B01001 (Sex by Age) · data as of 2020-2024 · retrieved October 5, 2026
Dentist wages in the Baltimore-Columbia-Towson, MD area
BLS puts the mean annual wage of employed general dentists in this metro area at $184,400, 4% lower than the national mean. The survey excludes self-employed practice owners, and wages are not patient prices.
Source: U.S. Bureau of Labor Statistics (BLS), Occupational Employment and Wage Statistics (OEWS), Dentists, General (SOC 29-1021) · data as of May 2025 · retrieved October 5, 2026
Nearby and related
All Maryland localities · Build an itemized estimate · All states
National cost by procedure
This page republishes public records from the Centers for Medicare & Medicaid Services (CMS), the Health Resources and Services Administration (HRSA), the Centers for Disease Control and Prevention (CDC), the U.S. Census Bureau, the Bureau of Labor Statistics (BLS) and the Bureau of Economic Analysis (BEA). Records can lag or contain errors; verify with the official source before making decisions. Not affiliated with any of these agencies.
See a record that is wrong, or want a listing removed? Email hello@dentalimplantestimate.com with the page address and the record. Practitioner details come from the CMS NPI registry, so a lasting fix also needs an update there, which the practitioner can make in NPPES. Read how these pages are built in our methodology.
Medical disclaimer: This site publishes prices, not treatment advice. Nothing here is dental or medical advice, a diagnosis, or a treatment plan, and no figure is a quote. Only a licensed dentist who has examined you can say which procedure you need or what it will cost.