Sacramento Holistic Dentist: Services, Costs and Insurance

What is Sacramento Holistic Dentist?

Sacramento Holistic Dentist is a single-dentist practice in Carmichael, a community just northeast of downtown Sacramento. It calls its approach "holistic, natural and biological" and also "biomimetic": it tries to keep as much natural tooth as possible and to use materials it considers the most biocompatible. Its home page sums up the offer as dental implants, BPA-free fillings, a mercury-free practice, metal-free options and sedation dentistry.

In practice it is a full general dental office: the services page says it provides "almost all the services that you would expect from a dental office." What sets it apart, by its own description, comes down to a few concrete choices:

• No amalgam. It never places mercury (silver) fillings, and it removes old ones with a protective protocol for a $200 per tooth surcharge.
• One filling material. It uses Admira Fusion, a ceramic-based ORMOCER material that the practice says contains no BPA derivatives, for its fillings, including all children's fillings.
• Metal-free crowns and bridges. It does not place porcelain-fused-to-metal crowns; it uses zirconia, E.max and hand-layered feldspathic porcelain.
• Two implant materials. It places both titanium implants and metal-free zirconia (ceramic) implants, planned with an on-site CBCT 3D scan.
• Published prices. Its full fee schedule is online. The pricing page notes that California does not require this, but the practice thinks patients benefit from knowing.
• Hydroxyapatite first. Its first choice for remineralizing enamel is hydroxyapatite rather than fluoride, with fluoride still available.

Who is the dentist?

Dr. Yana Pekarski, DDS is the dentist the site names on every service page. According to the About page, she was born in Ukraine, moved to the United States in 1990 and grew up in Carmichael. She earned her dental degree from UCLA's dental school in 2007, then completed an Advanced Education in General Dentistry (AEGD) residency at the Maui Oral Health Center in Hawaii, where the site says she trained in dental implants and pediatric dentistry.

The practice describes her as having 20 years of clinical experience across all ages, with particular experience with children and older adults. The implant pages say she has placed hundreds of zirconia implants; that is the practice's own figure.

The site says Dr. Pekarski writes every article on the practice blog. She has also written guest articles on children's oral health published on drsensory.com, covering sensory-friendly dentistry for children with autism and sensory processing differences, tongue ties and speech, and how airway and sleep issues relate to children's behavior.

Other team members. The scaling and root planing page says hygiene services are performed by the practice's hygienist, Oksana. For deeper sedation, the site says the practice works with an anesthesiologist. No other staff are listed by name with credentials.

Is Sacramento Holistic Dentist legit?

Here is what can be checked:

• A public provider record. The federal NPI registry (NPI 1841448610) lists Dr. Yana Pekarski, D.D.S., as a dentist at 5931 Stanley Ave Ste 3, Carmichael, with California dental license 58170 as her primary license and a Hawaii dental license (2334) as well. The NPI record is active. We checked the registry on 22 October 2026. The California Dental Board's own lookup (search.dca.ca.gov) blocked automated searches when we tried, so if you want the board's current status, search license 58170 there yourself.
• A fixed office and published contacts. The street address, phone number and email are on every page, and the address matches the NPI record.
• Published fees. The practice posts its full fee schedule, from a $50 single x-ray to a $40,000 metal-free full arch, which you can compare before you call.
• Named materials. The site names the products and materials it uses (Admira Fusion ORMOCER, zirconia, E.max, feldspathic porcelain), so you can research them yourself.
• Patient reviews. The Reviews page shows a selection of Google reviews, and the Testimonials page shows patient comments. The site does not publish an overall star average or review count, and these are chosen by the practice.

What "holistic" means at this practice

"Holistic," "biological" and "biomimetic" are not licensed specialties; any dentist can use the words. So it helps to know what this practice actually does differently. Based on its own pages:

• Whole-body framing. The practice says it treats "the mouth as an extension of the body" and asks about diet, medications and health conditions at the exam.
• Biomimetic restorations. Rather than cutting a tooth down for a full crown by default, it rebuilds damaged teeth with bonded ceramic and ORMOCER materials and recommends crowns only when a filling or onlay won't do.
• Material choices. No amalgam, no porcelain-fused-to-metal, no BPA-derivative composites; BPA-free sealants; BPA-free crown cements. It says it uses these materials "whenever possible," and space maintainers for children, for example, are stainless steel.
• Safe amalgam removal. Its protocol: keep the filling cool, section it in chunks, use high-volume suction, provide an alternative air source, isolate the tooth with a rubber dam, and rinse thoroughly. Surcharge: $200 per tooth. The site's own article notes that removing old metal fillings has trade-offs, including possible tooth sensitivity afterward, so it is worth discussing first.
• Replacing white fillings. The ORMOCER page says it generally does not recommend replacing intact composite fillings only to avoid BPA; it replaces them when there is a clinical reason.
• Ozonated water. Used during cleanings and gum treatment, and for cleaning deep cavities (at no extra charge, per the pricing page).
• Hydroxyapatite and fluoride. Hydroxyapatite is its first choice for remineralization. The FAQ says it views fluoride "as a medicine" that may be considered for patients with a very high cavity rate, and that "it is always your choice."
• Fewer x-rays. It avoids routine full-mouth x-ray series, uses digital x-rays with lead aprons and thyroid collars, and for low-risk patients takes bitewings about every two years. It will postpone x-rays in some cases (for example during pregnancy without symptoms), with the patient aware that problems can't be diagnosed without them.
• Natural remedies. The FAQ lists options such as salt rinses, clove, oregano oil and propolis, and says antibiotics are recommended when clinically necessary.

These choices reflect the practice's own view of risk. If a health concern drives your decision, discuss it with Dr. Pekarski and your physician.

Services, one by one

The site lists these services, each with its own page. Prices are from the published fee schedule (see costs).

Implants: titanium, zirconia and full-arch options

Implants are the largest part of the site. The practice places both materials and says the choice depends on your anatomy, health history and preference:

• Titanium implants: the site calls titanium the most widely used and most researched implant material, suitable for nearly every situation. Fee: $2,500 per implant.
• Zirconia implants: a white, 100% metal-free ceramic implant, for patients who want to avoid metal. The FAQ notes that ceramic implants "cannot be placed in every situation": bone volume, bite forces and the tooth's location all matter. Fee: $3,000 per implant, plus $2,000 for a zirconia abutment and crown.

How planning works. Every implant starts with a CBCT 3D scan taken in the Carmichael office, which shows bone volume, nerve canals and the sinus. The practice also scans the mouth and makes a custom surgical guide so the implant goes in at the planned position, angle and depth. Placement is done under local anesthesia, with nitrous oxide or sedation available.

Timeline. If a tooth must come out first, the site says the socket typically heals for 4 to 6 months, then the implant heals for another few months (the implant pages give 3 to 6 and 4 to 6 months) before the crown goes on. Sometimes the tooth is removed and the implant placed at the same visit, with one healing phase of about 6 months. The practice says the number of clinical appointments is relatively small.

Bigger cases. Options described on the site include several single implants, implant bridges spanning a gap, implant-supported overdentures (a removable denture that snaps onto 2 to 4 implants, sometimes by converting your existing denture) and full-mouth implant bridges. The full-mouth page explains Dr. Pekarski's preference for implant bridges on more individually placed implants, keeping healthy teeth where possible, over approaches that tilt four implants and remove all remaining teeth. The fee list still includes All-on-4 and All-on-6 titanium arches, so both are available to discuss.

Insurance. The implant FAQ says most plans don't cover implants, though the practice accepts out-of-network benefits. Financing is not described; the site says to contact the office about payment options.

Crowns, bridges, veneers and dentures

Crowns. The practice recommends crowns only when a filling won't hold the tooth. It does not use same-day in-office milling. Instead, crowns are made by an outside dental lab, which the site says allows a more conservative preparation. Expect about two weeks with a temporary crown in between. Material options:

• Zirconia (described as suited to back teeth), $1,500.
• E.max lithium disilicate (described as suited to front teeth), $1,500.
• Hand-layered feldspathic porcelain by a ceramist, for the most demanding cosmetic cases, $2,500 to $4,000 for a front crown.

Bridges. All bridges are zirconia or E.max: traditional fixed bridges, cantilever bridges, Maryland (resin-bonded) bridges with metal-free wings, and implant-supported bridges. The site says a bridge makes most sense when the teeth on either side already need crowns. A zirconia or E.max bridge is $3,800; an E.max bridge made by a named outside lab is $6,000.

Veneers. E.max veneers are $1,500 each; hand-layered feldspathic veneers $2,500 to $4,000. Composite bonding is $800 per tooth.

Dentures. Complete and partial dentures are $2,500 per arch; a temporary denture or flipper $1,500. The office also adjusts dentures ($200), relines them in a lab ($800 per arch), repairs them ($800 per arch) and converts existing dentures to snap onto implants ($1,500 per arch retrofit, or $3,500 per arch for an overdenture over implants). The denture page advises against sleeping in dentures and says relines are typically needed every 1 to 2 years.

Children, teens and seniors

Children. The site recommends a first visit within 6 months of the first tooth or by age one. Children get the same material standard as adults: Admira Fusion fillings ("it is our only option"), BPA-free sealants, digital x-rays with lead aprons and thyroid collars. Prevention gets a lot of the time: diet counseling, brushing and flossing coaching, early bite monitoring and space maintainers. For children who are anxious or have special needs, the site says Dr. Pekarski has experience with autism and sensory sensitivities and offers nitrous oxide and deeper sedation. Children's fees include a $120 exam for under-3s, a $130 child cleaning and a $600 prefabricated baby tooth crown.

Teens. The adolescent page covers clear aligners (typically once most permanent teeth are in, around 12 to 14), Hawley retainers, custom sports mouth guards, and wisdom tooth monitoring from about age 16 to 17. The practice says it tries to keep wisdom teeth when possible, and it suggests waiting until about 17 to 18 for professional whitening.

Seniors. The geriatric page focuses on root cavities and dry mouth, which it links to many common medications. Its approach includes hydration, hydroxyapatite toothpaste and MI Paste, xylitol, natural saliva stimulants, and cleanings every 3 to 4 months where needed.

Sedation and anxious patients

The practice offers several levels of help for dental anxiety:

• Nitrous oxide (laughing gas): breathed through a nose mask; you stay awake and, the site says, can usually drive yourself home because it clears within 5 to 10 minutes. Fee: $100 for the first hour, then $30 per 30 minutes.
• Deeper sedation: the sedation page describes oral sedation and IV sedation, and the FAQ says deeper sedation is provided "working with an anesthesiologist." A responsible adult must take you home, and fasting instructions are given in advance. Fees: $1,200 for the first 90 minutes for adults, then $200 per 15 minutes; $1,000 for the first 90 minutes for children, then $160 per 15 minutes.

Local anesthetic is used for procedures, and the pricing page says numbing is included in every procedure. The sedation page says a health review is done before any sedation appointment. Whether sedation is right for you is a medical decision to make with the dentist.

Emergencies, root canals and extractions

Emergencies. The emergency page lists toothaches, abscesses, cracked or knocked-out teeth, lost fillings or crowns, soft tissue injuries and broken dentures. The practice says it tries to offer same-day appointments for genuine emergencies, and the page description mentions emergency appointments Monday through Friday with limited Sunday availability. For an urgent dental problem, text 916-507-2122 and describe it. The practice is open about its limits: it does not monitor messages on evenings or weekends, so a reply may come the next business day. For a medical emergency, call 911.

Root canals. Yes, the practice does them. Its position is that patients have the right to decide what to do with their teeth. If you choose to keep a tooth, it recommends GentleWave root cleaning: it can do ultrasonic cleaning in-office in limited situations, or refer you for GentleWave. The fee list shows $1,200 for a front tooth and $1,400 for a premolar, plus a core buildup ($300) or post buildup ($400) where needed. Molar root canals are not on the fee list, so ask.

Extractions. The practice describes a gentle technique that loosens the tooth gradually, then cleans the socket. Simple extractions are $400 and surgical extractions $600; bone grafts are $700 and membranes $700. For impacted teeth or cases with a high chance of complications, it refers patients to an oral surgeon. Dr. Pekarski discusses replacement options (implant, bridge or partial denture) before you leave.

How much does Sacramento Holistic Dentist cost?

These are the fees on the practice's pricing page when we checked on 22 October 2026. The filling page says its fees are the same whether or not you have insurance.

Worked examples from the fee list. A new adult patient with a comprehensive exam, four bitewings and an adult cleaning would see $150 + $80 + $200 = $430 before insurance. A single zirconia implant with its zirconia abutment and crown is $3,000 + $2,000 = $5,000, plus a CBCT scan ($250 to $350) and any graft. The same tooth with a titanium implant is $2,500 for the implant itself; ask for a written plan for the restoration on top.

Why the first visit includes an exam. A new patient exam is required before a cleaning. A limited, problem-focused exam is possible, but the pricing page says a full exam would still be needed later.

Financing and payment methods. The site does not describe a financing plan or list accepted payment methods. Ask the office.

Does Sacramento Holistic Dentist take insurance?

The practice is out-of-network with insurance. Its contact page and FAQ say it accepts most PPO plans as an out-of-network provider and will help you understand your benefits and file claims. The pricing page explains that coverage varies between insurers and between plans at the same insurer: some plans cover most or all of the practice's fees, others less, and the only way to know exactly is to preauthorize a treatment plan with your insurer. Deep cleanings and larger treatment may need preauthorization before they are scheduled.

The site does not mention HMO dental plans, Medi-Cal Dental (Denti-Cal) or in-network contracts. If you rely on one of those, call before booking.

What happens at the first visit

1. Get in touch. Fill in the contact form or call or text 916-507-2122. The practice says texting is the quickest way to reach it.
2. Bring your records. The first appointment page asks you to bring existing dental records and x-rays (to limit new radiation), a medication list, insurance information and your questions.
3. Health history and exam. The team reviews your health history, asks about diet, medications and health conditions, examines teeth and gums, screens for oral cancer and takes "as few x-rays as possible."
4. Cleaning. Usually on the same day, unless more extensive treatment is needed first (for example scaling and root planing that may need insurance preauthorization).
5. Treatment plan. You leave with a plan and can compare it against the published fees.

The site says a standard new patient exam and cleaning takes about 1 to 1.5 hours. No fasting is needed except for sedation visits, and families can book children's appointments together. Routine check-ups are every 6 months, or every 3 to 4 months with gum disease.

Where it is, hours and how to reach it

• Address: 5931 Stanley Ave Unit 3, Carmichael, CA 95608.
• Areas served: the practice names Sacramento, Carmichael, Roseville, Folsom, Elk Grove and Rancho Cordova.
• Phone and text: 916-507-2122.
• Email: hello@sacramentoholisticdentist.com.
• Hours: the contact page says appointments are "by availability" and walk-ins are typically unavailable. It does not post a weekly schedule on the page. The home page lists Sunday appointments among its offerings, and the emergency page mentions limited Sunday availability.
• Telehealth: not offered as such, but email or phone consultations are available at $100 per 15 minutes.
• Parking and access: not described on the site; ask when you book.

If you live too far away, the FAQ suggests the directory at iabdm.org, or a search for "biological dentist" or "holistic dentist" near you.

How it compares with other options

Who it suits, and who should look elsewhere

Questions to ask before you book

1. Is my plan a PPO with out-of-network benefits, and can you preauthorize my treatment plan?
2. Which exam do I need first (comprehensive or problem-focused), and which x-rays will you take?
3. For an implant: am I a candidate for zirconia, or is titanium the better fit for my bone and bite? What will the full cost be, including scan, graft, abutment and crown?
4. For amalgam removal: which teeth, what will it cost in total with fillings, and what are the risks for my teeth?
5. For a root canal: can you treat my tooth in-office, or will you refer me, and what would that cost?
6. If I need sedation, which level, who provides it, and how long should I plan for?
7. What payment methods do you accept, and is there any payment plan?

How to get started

1. Read the pricing page and the first appointment guide.
2. Check your PPO plan's out-of-network dental benefits.
3. Text or call 916-507-2122, or use the contact form.
4. Gather recent x-rays or CBCT scans from your previous dentist and a list of your medications.

Visit Sacramento Holistic Dentist

Terms you'll see on the site

• Holistic / biological dentistry: an approach that considers the whole body and the materials used. These are descriptions, not licensed specialties.
• Biomimetic dentistry: repairing teeth with bonded materials that imitate natural tooth, removing as little healthy structure as possible.
• BPA, bisGMA, TEGDMA: bisphenol A and resin ingredients used in many conventional composite fillings.
• ORMOCER / Admira Fusion: "organically modified ceramic," a tooth-colored filling material; Admira Fusion is the brand the practice uses.
• Zirconia: a strong white ceramic used for crowns, bridges and metal-free implants.
• CBCT: cone beam computed tomography, a 3D dental x-ray.
• All-on-4 / All-on-6: a full arch of teeth attached to four or six implants.
• Overdenture: a removable denture that snaps onto implants.
• Scaling and root planing (SRP): a deep cleaning below the gumline for gum disease.
• Hydroxyapatite: the calcium-phosphate mineral teeth are made of, used in toothpastes and treatments.
• Ozonated water: water infused with ozone, used as a rinse during cleanings and gum treatment.
• GentleWave: a root canal cleaning system the practice recommends, by referral or in limited cases in-office.

Frequently asked questions

Sources

All pages checked on 22 October 2026.

1. Home page: sacramentoholisticdentist.com
2. About: sacramentoholisticdentist.com/about/
3. Contact: sacramentoholisticdentist.com/contact/
4. Pricing: sacramentoholisticdentist.com/pricing/
5. FAQs: sacramentoholisticdentist.com/faqs-2/
6. First appointment: sacramentoholisticdentist.com/firstappointment/
7. Filling surfaces and costs: sacramentoholisticdentist.com/fillingsurfaces/
8. Services: services list, holistic and biological dentistry, ORMOCER fillings, CBCT / 3D x-ray
9. Implants: dental implants, zirconia implants, affordable implants, implant-supported dentures, full mouth implant bridges, tooth replacement options
10. Restorations: crowns, bridges, denture adjustments, loose crown re-cementation
11. Age groups: pediatric, adolescent, geriatric, space maintainers
12. Comfort and urgent care: sedation dentistry, nitrous oxide, emergency dentist, emergency extractions
13. Gum care and screening: scaling and root planing, periodontal maintenance, oral cancer screening
14. Cosmetic and appliances: tooth whitening, clear aligners, night guards
15. Reviews and testimonials: reviews, testimonials
16. Blog: Mercury, and Fluoride (1 April 2022)
17. NPI registry record 1841448610: npiregistry.cms.hhs.gov
18. DCA license search (Dental Board of California): search.dca.ca.gov