Dermatology Services - Maine Direct Dermatology

Medical Dermatology

Urgent spot check

$75

This appointment is only for a single mole or skin growth that is changing, bleeding, painful, or has a concerning appearance.

This is not for rashes, full skin checks, or hair loss. See other options below.

Level 1 Visits

Up to 15 minutes with Dr Goddard

$125

Schedule

Examples:

This appointment type is generally for established patients following up with Dr Goddard.

Follow up for acne, eczema, psoriasis, warts, or medication refills

This appointment type is not the right choice if you desire a full skin exam or full skin cancer screening. See below for other options

Level 2 Visits

Up to 30 minutes with Dr Goddard

$250

Schedule

Examples:

Most new patient evaluations fit this category

Full skin exam - This includes a thorough “head to toe” mole check by a board certified dermatologist and expert in melanoma and dermoscopy. This is a skin cancer screening and an appropriate visit choice for patients wanting a baseline or annual prevention check, but do not have a history of extensive skin cancer removals or other skin/hair concerns to address at this visit

Cryotherapy (freezing precancerous actinic keratosis, irritated seborrheic keratosis (nicknamed “barnacles”) or warts included for up to 10 spots

New patient visit for new issues such as acne, unknown rash, melasma, psoriasis or eczema.

Hair loss initial consultation and treatment plan

Level 3 Visits

45-60 minutes with Dr Goddard

$325 - $450

Schedule

Examples:

45-60 minute visits are uncommon, but are certainly available for more complex needs such as:

visits for multiple concerns (i.e. mole check + rash + acne)

autoimmune inflammatory conditions

blistering skin conditions

a functional medicine initial consultation

If you feel your concerns fit this complexity level, or you would just prefer to have 45-60 minutes with Dr Goddard you can book this time slot and you will receive a call from the office so that we can better understand your specific needs

Teledermatology

(Virtual Visit)

$125

Schedule

A teledermatology visit is a virtual appointment with Dr Goddard through a smartphone, tablet or internet-connected computer that has a camera and microphone. This is done directly through our secure and privacy protected technology platform. You can use a teledermatology visit to address any number of new or existing dermatology-related problems. Common conditions we can address virtually include acne, rosacea, hair loss, psoriasis and other various rashes. Conditions that cannot be addressed with teledermatology include skin cancers, changing moles or conditions requiring hands on surgical procedures.

Extras

Skin biopsy prices

Shave biopsy - $125

Flat fee for single shave biopsy (no stitches).

Includes pathology lab fee

Punch biopsy - $150

Flat fee for single punch biopsy (includes stitches and stitch removal)

Includes pathology lab fee

You have the option to submit these lab specimens under your insurance for potential coverage but there will be a fee of $50-75 for the procedure that is separate from what the pathology lab charges your insurance to process and read the slides.

Additional fees for special immunostains may occur. These are uncommon and you would be notified if special tests are needed.

Prescription drug prior authorization - $25-50

Certain prescription medications require extensive paperwork and phone calls to gain coverage. You will be informed in advance if your prescription requires this extra step.

Surgical Dermatology

Shave removal

$100

Schedule

This is for an irritated raised mole that is irritated by clothing or grooming

Skin tag removal

$150 and up

Schedule

Freezing: $150 for up to 10 small skin tags that can be treated with cryotherapy (freezing). These are those tiny little nub that can be found around the neck

Snipping: $250 for up to 10 slightly larger skin tags that are too big to freeze. These are common in the underarms

Cosmetic freezing

$150 and up

Schedule

This is for seborrheic keratosis (AKA “barnacles” or brown, rough, warty age spots) or appropriate facial lentigines (flat light brown age spots)

Benign excision

Surgical removal of entire lesion that requires stitching

$250+

Schedule

Examples would be lipomas, cysts, neurofibromas, very large “skin tags” that require stitching.

Pricing varies based on size, location and complexity. Full precise estimate will be provided at consultation

Some benign lesions will require a pathology specimen fee in addition. This will be discuss prior to surgery if required

Skin cancer excision

$350+

Schedule

Previously diagnosed skin cancer via skin biopsy by Dr Goddard or outside medical provider

Pricing varies based on size, location and complexity. Full precise estimate will be provided at consultation. As a reference $650 would be the higher end for a melanoma requiring larger/deeper margins and more complex repair

Destruction of superficial skin cancers

by curettage (scraping) and electrodessication (burning)

$200

Schedule

This is often referred to as “scrape and burn” in dermatology offices

This is appropriate only for smaller superficial basal cell carcinoma or squamous cell carcinoma in situ and not an option for deeper skin cancers

Cosmetic cauterization

$100-300

Schedule

This is for sebaceous hyperplasia (overgrown oil glands on the face), cherry angiomas (bright red small growths on the body)

Milia extraction

$100-300

Schedule

This is for those little white pinpoint bumps/cysts that are a common nuisance on the face. They are clogged pores with trapped miniature keratin cysts. We prep the skin, open up the cyst and press them out in a safe and effective way

Cosmetic Dermatology

Cosmetic consultation

$175

Schedule

This includes expert evaluation of skin texture, discoloration and unwanted lines. We will discuss a plan based on your budget that could include topical prescription or over the counter products, in-office chemical peels, and injectable therapies

The consultation fee can be applied to services provided within 1 month of consultation

All cosmetic procedures at MD Derm are performed directly by Dr Goddard, an expert in the science of skin and positive aging

Wrinkle relaxers

$200-600

Schedule

We are talking about products such as Botox™, Dysport™, Xeomin™. These are also referred to as “neurotoxins”. These products are injected into muscles of facial expression to reduce lines that are caused by facial muscle movement. Examples are the vertical lines between the eyes, horizontal lines on the forehead, and “crows feet” around the eyes.

Pricing is based on the amount of neurotoxin needed. This is determined by Dr Goddard based on your facial muscle strength, the number of areas treated and the severity of lines. A typical session can cost $200-600 and a precise estimate for your treatment will be discussed at consultation.

Volume boosters

$650-2400

Schedule

We are talking about what is more commonly referred to as “Fillers”. There are typically hyaluronic acid based products, injected into areas of the face that have lost volume and would benefit from a plumping effect. This can include desire for fuller lips, cheeks, or a more defined jawline

Pricing is based on the amount of product needed to achieve desired results. We priced based on product type/brand and volume needed. Prices range between $650-$2400 per treatment, depending on the area treated and significance of volume change.

Chemical Peels

$150-300

Schedule

Chemical peels are an in-office procedure that can improve acne, reduce fine lines, and correct sun-damaged skin. These are stronger than over the counter peels and require precision in strength, chemical compound and application technique.

Common Questions

I’m not sure which type of appointment to schedule

That’s okay! Give us a call or message us in our “contact us” message box and we’ll help figure it out with you.

Will my insurance help cover any of your costs?

If you have private insurance such as BCBS, Aetna, etc., we can provide you with a superbill that includes visit codes. You can submit this to your insurance, yourself, and they will evaluate if your office visit fees from MD Derm can be used toward your deductible or you may even get reimbursed if you have met your deductible for the year.
If you have a government based insurance plan such as Medicare or Medicaid, we can not provide you with a superbill and they do not allow you to be reimbursed for visit with MD Derm.
For private insurance and Medicare patients, you can chose to use your insurance for lab fees, imaging (radiology), pathologist fees, and prescriptions.

Do you offer payment plans for higher-cost procedures?

Our top priority is improving access to expert dermatologic care. If you need a medical procedure, such as a skin cancer removal, that is unobtainable for you financially, we are open to discussing a payment plan with you, in person, on an individual basis.
We do not offer payment plans for elective cosmetic procedures

What Medical Dermatology services do you offer?

Acne
Eczema
Psoriasis
Rashes
Melasma
Full “head-to-toe” skin exam
Mole exams, including urgent spot checks for a single mole or skin growth that is changing, bleeding, painful, or has a concerning appearance.
Cryotherapy (freezing precancerous actinic keratosis, irritated seborrheic keratosis (nicknamed “barnacles”) or warts
Skin cancer and skin biopsies (both Shave and Punch)
Hair loss and treatment plan
Autoimmune inflammatory conditions
Blistering skin conditions
Functional medicine consultation for those struggling with chronic inflammation in the skin and are interested in exploring potential root causes such as leaky gut, SIBO, hormonal imbalances, nutritional/micronutrient deficiencies.

What Surgical Dermatology services do you offer?

Raised mole removal
Skin tag removal - freezing and snipping. $150 and up
Cosmetic freezing for seborrheic keratosis (AKA “barnacles” or brown, rough, warty age spots) or appropriate facial lentigines (flat light brown age spots)
Benign excision (surgical removal of entire lesion that requires stitching) such as: lipomas, cysts, neurofibromas, or very large “skin tags” that require stitching.
Skin cancer excision
Destruction of superficial skin cancers by curettage (scraping) and electrodessication (burning) - often referred to as “scrape and burn” in dermatology offices, appropriate for smaller superficial basal cell carcinoma or squamous cell carcinoma in situ and not an option for deeper skin cancers.
Cosmetic cauterization for sebaceous hyperplasia (overgrown oil glands on the face), or cherry angiomas (bright red small growths on the body).
Milia extraction (those little white pinpoint bumps/cysts that are a common nuisance on the face. They are clogged pores with trapped miniature keratin cysts.

What Cosmetic & Aging related services do you offer?

Cosmetic consultation and plan creation
Wrinkle relaxers (Botox™, Dysport™, Xeomin™) to reduce lines that are caused by facial muscle movement.
Volume boosters: “fillers” for for fuller lips, cheeks, or a more defined jawline
Chemical Peels

Do you offer Teledermatology (Virtual) visits?

Yes we do! Performed directly through our secure and privacy protected technology platform, our teledermatology visits can help you address a number of new or existing dermatology-related problems. Common conditions we can address virtually include acne, rosacea, hair loss, psoriasis and other various rashes. Conditions that cannot be addressed with teledermatology include skin cancers, changing moles or conditions requiring hands on surgical procedures.