First Visit


During your specialist consultation at Costello Oral Surgery Associates, an assessment of your needs and presenting illness or problem, including a review of information provided by your dentist, a thorough medical history and review of pertinent health information will take place as appropriate. Diagnostic x-ray, known as panoramic, and for select patients, a 3-dimensional scan, will be taken, so that your situation can be thoroughly evaluated and the ideal treatment plan can be determined. Your surgeon will discuss your diagnosis, explain procedures and sedation options, and create a treatment plan that best fits your individual needs. Any questions you may have will be addressed at this time.

Surgery can sometimes be performed on the day of your specialist consultation. Depending upon your medical history or treatment plan, we may do an evaluation, and provide treatment at a subsequent appointment.

IF you have not completed new patient forms online through our secure portal sponsored by the ADA, please arrive a few minutes early to allow time to complete the medical/dental health questionnaire, the patient information form, and the financial information form. Please take your routine medications prior to your visit, as applicable. Please do not take pain medication for at least 4 to 6 hours prior to your appointment.

Please bring the following items with you to your first visit.

  • Check your email from your dentist and forward the following items to info@njcosa.com before your appointment:
    • Do not place your name in the subject line
    • A written referral from your dentist
    • X-rays, particularly a panoramic x-ray if your dentist has provided them
  • Your dental and medical insurance card
  • Driver’s license
  • A list of your current medications

A preoperative consultation and physical examination are mandatory for patients undergoing IV anesthesia for surgery. Please do not eat or drink for eight hours prior to your surgery. You will need an adult to drive you home.

Please speak with the doctor about any concerns you have regarding your care, including sedation. If you have a medical condition that may be a concern prior to your visit such as diabetes, high blood pressure, rheumatic fever, artificial joints or heart valves, etc., please let us know before your appointment. If you require antibiotics for any existing conditions please contact our office prior to your visit.

All patients under the age of 18 need to be accompanied by their parent or legal guardian.

If you wish to verify coverage with your insurance for your first appointment, use the following billing codes from the latest CDT (Current Dental Terminology 2018):

  • Specialist consultation (CDT code D9310)
  • Panoramic radiograph (CDT code D0330)
  • 3-dimensional scan (CDT codes range from D0364-D0367)