Questions & Answers
The things people actually ask.
Including the ones most dental websites avoid — what treatment costs, whether you are too old for it, and what to do when work done elsewhere has failed.
Part 1
About the practice
What is a prosthodontist, and why does it matter?
A prosthodontist is a dental specialist who has completed three additional years of full-time hospital residency after dental school, devoted entirely to replacing and rebuilding teeth. It is one of only twelve dental specialties formally recognized in the United States.
It matters because any licensed dentist may place implants or rebuild a bite without any specialty training at all. When the work is complex — a full arch, a worn-down bite, restorations that keep failing — the depth of that training is what determines whether the result lasts.
Do I need a referral?
No. Call the office at 212-874-1700 and book directly.
Some patients are referred by their own dentist or an oral surgeon, and many find us independently. Both are equally welcome.
Are you taking new patients?
Yes, for both routine general dentistry and specialty treatment.
Do you see children?
Yes. The practice has cared for Upper West Side families for over thirty years, and in many cases we now see three generations of the same family.
Is Dr. Steven retiring?
He continues to see patients. The practice is transitioning gradually to his son, Dr. Jonathan Berkowitz, but this is a deliberate handover within the family rather than a sale to an outside group.
The same staff, the same office, and the same standard of care — with the addition of specialty prosthodontic training that was not previously available here.
Part 2
Cost and payment
What does a dental implant cost?
In Manhattan, a single implant with its abutment and crown generally falls between $4,500 and $7,000 in total. The variation depends on whether an extraction or bone graft is needed first and what the crown is made of.
Be wary of prices well below that. They frequently quote the implant post alone and exclude the abutment and crown, which together are usually more than half the real cost.
What does full-arch or All-on-4 treatment cost?
A single arch generally runs between $25,000 and $45,000 in Manhattan; both arches typically fall between $45,000 and $80,000. That covers the surgery, the implants, the temporary bridge, and the final bridge.
Where a case sits in that range depends on how many implants are needed, whether extractions and grafting are required, and what the final bridge is made from.
Will I know the cost before treatment starts?
Always, and in writing. You receive an itemized plan showing each procedure, the fee, the estimated insurance contribution, and your estimated portion.
Which insurance plans do you take?
We are in-network with Delta Dental Premier, Aetna PPO, Guardian PPO. We also file out-of-network claims on your behalf for most other carriers.
Please confirm your insurance at the time of your appointment — plan participation and individual policies change, and we would rather verify it with you than have you find out afterward.
Call the office with your plan details and we will check your specific benefits before you commit to anything.
Do you offer financing?
Third-party financing is available for larger treatments, including interest-free options for patients who qualify.
Many patients also phase treatment over time, both to spread cost and to make use of more than one year of insurance benefits. We will structure the plan around that wherever it is clinically safe.
Part 3
Treatment questions
Am I too old for dental implants?
Almost certainly not. There is no upper age limit, and we routinely treat patients in their seventies and eighties.
General health and gum condition matter far more than age. In practice older patients often benefit most, since the alternative — adapting to a removable denture — tends to be harder the later in life you begin.
I was told I do not have enough bone for implants.
This is one of the most common reasons people seek a second opinion, and it is frequently solvable. Bone grafting, sinus lifts, and modern implant designs make many previously untreatable cases straightforward.
A 3D scan shows exactly what is available. It is worth finding out from a specialist before accepting that implants are not possible for you.
My implant or crown from another dentist has failed. Can you help?
Yes, and a meaningful share of the work in this practice is exactly that.
We will diagnose what went wrong, explain whether the cause is still active, and lay out the options honestly — including telling you when the existing work is fine and the problem lies elsewhere.
If an implant is loose, painful, or the gum around it is swollen, please do not wait. Bone loss accelerates once it starts.
Does dental work hurt?
Modern local anesthetic is very effective, and most procedures — including implant placement and root canal treatment — are not painful while they are being done.
Recovery varies. Most implant patients report less discomfort than they expected and manage with over-the-counter pain relief. We will tell you honestly what to expect before any procedure.
How long do dental implants last?
The implant post itself is designed to be permanent, and studies following implants over ten years and longer report survival above ninety-five percent when well placed and well maintained.
The crown on top is a wearing part and may need replacing after fifteen to twenty years.
What is the difference between an implant, a bridge, and a denture?
An implant replaces the root of a single tooth and does not involve the neighbouring teeth. A bridge spans a gap by crowning the teeth on either side, which means reducing them in size. A denture is removable and rests on the gums.
Each has a place. An implant is usually the best long-term choice for a single gap between healthy teeth, but not always — and cost is a legitimate factor in the decision. We will walk you through the comparison rather than defaulting to the most expensive option.
Part 4
Visiting the office
Where exactly are you?
40 West 86th Street, Suite 1C, New York, NY 10024 — on 86th Street between Central Park West and Columbus Avenue.
Two minutes from the B and C at 86th Street, about eight from the 1 at Broadway. The M86 crosstown stops at the corner.
Is the office accessible?
Yes. The suite is on the ground floor with street-level access and no stairs.
If you need any particular assistance, mention it when you call and we will make arrangements.
What if I have a dental emergency?
Call the office at 212-874-1700 straight away. We keep time available for urgent problems and will do our best to see you the same day.
If you have difficulty breathing or swallowing, or swelling spreading toward the eye or neck, go to an emergency room — that is a medical emergency rather than a dental one.
I am nervous about coming in. Can that be accommodated?
Yes, and it is worth telling us when you book rather than waiting until you are in the chair.
Knowing in advance means we schedule more time, explain before doing rather than after, agree a signal for you to stop us at any point, and break treatment into shorter visits where that helps.
Still Wondering?
Ask us directly.
You do not need to know the name of the procedure, and there is no obligation to book anything. Describe the problem and we will tell you what the options are.
Talk it through with a specialist.
Most people considering implants or major reconstruction have been thinking about it for a long time. A conversation costs nothing and there is never any pressure.
40 West 86th Street, Suite 1C · New York, NY 10024