With you, every step of the way.
For many patients, especially those with anxiety, special healthcare needs, or complex procedures ahead, access to safe in-office sedation is the key to making dental care possible and less stressful.
Meet the associates.
We put our patients first and they feel that.
Dr. Elisabeth Goldstein is a board-certified physician anesthesiologist with 15 years of training and a specialization in pediatric anesthesia. She graduated from Rutgers New Jersey Medical School and completed her anesthesia residency and her pediatric anesthesia fellowship at New York University. Dr. Goldstein is committed to providing safe, accessible, and high-quality sedation services for patients of all ages throughout the New Jersey area.
Dr. Elisabeth Goldstein
Physician Anesthesiologist
Dr. Anna Jankowska is passionate about helping people live healthier, happier lives. Known for her warm personality and down-to-earth approach, she blends professional expertise with genuine care for her patients. Friends and coworkers appreciate her for her energy, kindness, and sense of humor. Board Certifications - American Board of Anesthesiology (Pediatric Anesthesiology), 2013; American Board of Anesthesiology - Anesthesiology, 2010. Education and Training - Fellowship, Children's Hospital of Philadelphia, Pediatric Anesthesia, 2010; Residency, New York University, Anesthesiology, 2009; MD from New York University, 2005.
Dr. Anna Jankowska
Physician Anesthesiologist
Robin Ruggiero is a dedicated and compassionate nurse with over 30 years of experience in a wide range of clinical settings, including critical care, Pediatric ICU, and Post-Anesthesia Care Units (PACU). She earned her Bachelor of Science in Nursing from Chamberlain University and has built a career marked by skill, empathy, and a deep commitment to patient-centered care.
Robin has long held a special interest in caring for individuals with developmental and intellectual disabilities, an area of nursing that became even more personal and meaningful after her own son was diagnosed with autism at the age of two. This experience further fueled her passion and strengthened her dedication to serving children and adults with special needs, combining professional expertise with personal insight and compassion.
In her free time, Robin enjoys cooking with her husband, spending quality time with her two sons and two dogs and exploring new places through travel.
Robin Ruggio
Registered Nurse
Natalie Perron brings over 20 years of experience in the medical field, specializing in patient care coordination and guiding individuals through complex healthcare systems. She earned her degree in Psychology from Rutgers University, where she developed a strong foundation in understanding and supporting patient needs. Throughout her career, Natalie has been dedicated to improving patient experiences and ensuring compassionate, effective care.
Natalie Perron
Office Manager
Mordecai Goldstein is a co-founder of CSA with a distinguished background in both business and law. Mordecai graduated from New York University’s Stern School of Business before earning his J.D. from St. John’s University School of Law. Mordecai started his career in finance and later practiced law for more than 20 years, specializing in corporate and entertainment law.
Mordecai Goldstein
Operations & Business Development
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Registered Nurse
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Physician Anesthesiologist
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Physician Anesthesiologist
FAQ’s
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Dental sedation is the use of medications to help patients relax, feel calm, or even sleep during dental procedures. Depending on the type of sedation used, the experience may range from simply reducing anxiety while still being awake, to achieving a deeper level of relaxation where patients may have little or no memory of the procedure. Methods include nitrous oxide inhalation, oral medication, intravenous (IV) sedation, and general anesthesia. Generally speaking, our office performs general anesthesia. The goal of dental sedation is to provide a more comfortable and stress-free dental experience, especially for patients who have anxiety, need extensive dental work, or have difficulty tolerating traditional procedures.
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If your dentist recommends sedation for you or your child’s dental procedure, their office will notify us so we can begin the process. We will email you the necessary paperwork and information, and you will also receive a phone call confirming receipt and giving you the opportunity to ask questions. The anesthesiologist will review the medical history once your completed paperwork and deposit are submitted. If cleared, we will inform your dentist that the procedure is ready to be scheduled, and their office will contact you directly to confirm the date and time.
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Yes, when administered by qualified and properly trained professionals, sedation dentistry is considered safe. Our anesthesia providers conduct a detailed pre-assessment to evaluate each patient’s medical history and overall health to ensure they are appropriate candidates. During the procedure, patients are closely monitored using hospital grade equipment that tracks vital signs such as oxygen levels, heart rate, and blood pressure. Providers are trained to respond quickly to any changes, making office-based sedation both effective and reliable. Safety is our top priority, and protocols are in place to ensure the best outcomes for every patient.
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We provide a cost estimator tool to help you understand the financial responsibility (https://www.csamdllc.com/codes). All procedures are subject to a one-hour minimum. By adjusting the estimator to reflect the time estimated by your dentist, you will be able to see an approximate cost. You may also contact your insurance provider with the procedure codes to learn more about their reimbursement policies. Office-based sedation is typically less expensive than hospital anesthesia, since it avoids additional hospital and facility fees. While sedation does represent an added cost, many patients find the comfort, convenience, and ability to complete necessary treatment well worth the investment.
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We do not accept insurance and are considered non-participating/out-of-network with all medical insurance providers. We do not contact insurance companies on your behalf pre- or post-procedure. However, once your procedure is complete, we will provide you with a superbill that includes all relevant diagnoses and procedure codes. You may submit this to your medical insurance for possible reimbursement. To help plan ahead, you may use our cost estimator (https://www.csamdllc.com/codes), which allows you to see an estimated balance and request a sample superbill to share with your insurance company when inquiring about reimbursement rates.