NostiD.M.D.

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Cost & financing

An itemized plan,
in writing,
before you commit.

Complex dentistry is expensive and pretending otherwise would be insulting. What you are owed is a plan that names every stage and every fee, so that what you are paying for is legible rather than a single intimidating number.

Why people come here

  • He teaches occlusion and full-mouth rehabilitation to other dentists
  • Fellowships in three academies — FAGD, FACE and FICOI
  • The complex cases other practices refer out
  • A written, itemized plan before anything is scheduled
§ 01

How fees work here

Why there is no price list on this page.

Dental websites that publish a figure for implants or veneers are publishing the cheapest version of it, and the figure almost never survives the examination. That is not transparency; it is a hook. What is published here instead is exactly what drives the number, so you can tell whether a quote you have been given is complete.

You will receive an itemized written plan after your examination: each stage named, each fee stated, the order they happen in, and the expected timeline. Insurance is checked and the likely benefit is written on the same document. Nothing is scheduled before you have it, and nothing is added to it without a conversation first.

What actually moves the number on an implant case

  • Whether the site needs grafting, and how much — this is the single biggest variable
  • Whether a sinus procedure is required in an upper back site
  • Whether a failing tooth has to come out first, and whether the socket can be grafted at the same visit
  • How many implants the arch actually needs — four, five or six changes the total materially
  • The restoration on top: a single crown, a bridge, a removable overdenture or a fixed arch
  • Whether the bite has to be corrected before the implant work can be expected to last

What moves the number on a cosmetic case

  • How many teeth are being restored, which is often fewer than patients expect
  • Whether teeth need to be moved with aligners first — adds cost, usually removes more
  • Whether the gum line has to be leveled before the design will work
  • The ceramic chosen, and whether the case needs a technician's hand rather than a milled restoration
  • Whether the bite needs treating first, which is a separate phase with its own fee
  • Whether an appliance is needed afterward to protect the result
§ 02

Paying for it

Four routes, and they combine.

01

Dental insurance

Filed on your behalf. Most plans contribute something toward crowns, extractions, dentures and surgical stages, and many contribute nothing toward cosmetic work. Your actual benefit is verified before treatment starts and written into the plan.

02

Third-party healthcare financing

Monthly payment plans through an independent lender, including interest-free promotional terms on some plans. Approval is the lender's decision, not this office's, and the terms come from them. The front desk will help you apply.

03

Staging the treatment

The most underrated option. A large plan is sequenced so that the urgent work happens first and each later phase is a sensible stopping point. You pay per phase, across months or years, with no interest involved.

04

Medical insurance, in specific cases

Oral appliance therapy for physician-diagnosed sleep apnea is often a medical claim rather than a dental one, and some temporomandibular treatment is too. Where that applies, the office will tell you and file accordingly.

How insurance is handled in detail

§ 03

A word about comparing quotes

Compare the plans,
not the totals.

Two quotes for the same mouth can differ by a factor of two and both be honest, because they are describing different treatment. The cheaper one may omit grafting the case needs, or restore fewer teeth, or skip the phase that corrects the bite, or use a milled restoration where the case wants a layered one.

So when you compare, compare line by line: how many implants, is grafting included, how many teeth are being restored, which material, is the bite being addressed, what is the provisional stage, and what happens if something fails. If a plan does not let you ask those questions, that is information in itself.

And ask directly whether the extra stages in the more expensive plan are necessary in your case. Here you will get a specific answer about your mouth. Occasionally the answer is that the simpler plan is fine.

What the examination involves

§ 04

Questions

Money, answered.

Can you tell me a price over the phone?

For a cleaning, an examination or a consultation, yes. For implants, veneers or a reconstruction, no — and a practice that does is guessing at findings it has not seen. A number given before an examination is either padded to be safe or going to change once the examination happens.

Do I pay everything up front?

No. Payment follows the treatment: typically a deposit at the start of a phase and the balance at its completion, so the money tracks the work. The schedule is written into the plan you receive, so there are no surprises about when something is due.

Is the cheapest version of this treatment available here?

If the cheapest version is a legitimate option for your case, it will be on the plan as an option with its trade-offs stated — a removable partial instead of an implant, composite bonding instead of ceramic, an overdenture instead of a fixed arch. If it is not a legitimate option for your case, it will not be offered, and you will be told why.

What if I cannot afford the whole plan?

Say so, early, and the plan gets sequenced around that. This is an ordinary conversation and it changes the plan rather than ending it. What matters is that the urgent and structural work happens in the right order; the cosmetic refinements can wait, sometimes for years.

Keep reading

Next step

Start with an examination and a straight answer.

A consultation includes an examination, the records the case needs and a written, itemized plan. If what you are asking for is not the right treatment, Dr. Nosti will say so and tell you what is.

Call the officeBook a consult