Office Fees
Providing the Complete Overview
Preventative Care
Cost
Dental Code
Adult Cleaning, Exams, Full Series of X-rays, Fluoride
$0 - $440
D0150/D0210/D1110/D1206
Emergency Exam
$0 - $150
D0140/D0220
Deep Cleaning also known as Scaling and Root Planning
$0 - $1,375
D4346/D4342/D4341
Restorative Dental Services
Cost
Dental Code
Dental Implant
$1,080-$5,400 Per site
D6010/D6057/D6058
Porcelain Crown
$300-$1,900
D2740/D2950
Posterior Composite (White) Fillings
$50-$460
D2391/2392/D2393/D2394
Anterior Composite (White) Fillings
$50-$340
D2330/D2331/D2332
Endodontic Therapy Molar Tooth
$280-$1,400
D3330
Endodontic Therapy Premolar Tooth
$200-$1,134
D3320
Endodontic Therapy Anterior Tooth
$200-$1,000
D3310
Surgical Services
Cost
Dental Code
Implant Consult
$100
Extraction Consult
$0-$106
Extractions (per tooth)
$50-$640
D7140/D7220/D7230/D7240
Cosmetic Dental Services
Cost
Take Home Whitening
$344
In-Office Professional Whitening
$473
Porcelain Veneers
$540-$1,200
Removable Prosthetics
Cost
Dental Code
Complete Upper Denture
$1,200-$2,360
D5110
Complete Lower Denture
$1,200-$2,360
D5120
Partial Upper Denture (All Resin)
$950-$1,900
D5211
Partial Lower Denture (all Resin)
$950-$1,900
D5212
Partial Upper Denture (Metal Frame)
$1,200-$2,420
D5213
Partial Lower Dentures (Metal frame)
$1,200-$2,420
D5214
Additional Dental Services
Cost
Dental Code
Orthodontics
$1,000-$5,790
D8090/D8040
Nitrous Sedation
$5
D9230b
IV Sedation
$0-$200 per 15 min
Cold Sore Laser Treatment
$127
D7465
TMJ Laser Treatment (10 visits)
$217
D9131
Occlusal/Night Guard
$300-$604
D9944/D9945
Panoramic X-ray
$0-$155
D0330
CBCT (3D Imaging)
$0-$357
D0368/D0364
TMJ Imaging
$50-$430
D0383
