Office Fees
Giving You the Full Picture
At Capital Dental, we put you at the center of everything we do, which means being as transparent as possible about not only who we are and the services we offer, but also about how our fees are structured. We’ve listed most of our services with fee structures below. Please note that the price of each procedure could vary from these numbers depending on the need–every patient and every case is different.
Preventative Care
Cleaning, Exam, Full Series of X-Rays, Fluoride (D0150)
$0 - $378
Certain PPO plans may cover 100%
Emergency Exam
$0 - $89
Certain PPO plans may cover 100%
Deep Cleaning (D4341)
$0 - $290
Certain PPO plans may cover 100%
Posterior Composite (White) Fillings
$205-389
D2391 (1 surface) $205
D2392 (2 surfaces) $263
D2393 (3 surfaces) $326
D2394 (4 surfaces) $389
Certain PPO plans may cover up to 80%
Anterior Composite (White) Fillings
$193-356
D2330 (1 surface) $193
D2331 (2 surfaces) $231
D2332 (3 surfaces) $285
D2335 (4 surfaces) $356
Certain PPO plans may cover up to 80%
Restorative Dental
Dental Implants (D6010/D6057/D6058)
$3,133 - $4,167
Includes 3-D X-ray–certain PPO plans may cover up to 80%
Porcelain Crown
$1281
Certain PPO plans cover up to 80%
Extractions
$153 - $628
Certain PPO plans cover 80% depending on difficulty and billing code
Cosmetic Dental
Take Home Whitening
$306
Take Home and In-Office Whitening
$420
Porcelain Veneers
$1,314
Additional Services
Orthodontics (D6010/D6057/D6058)
$2,000 - $5,200
Certain PPO plans may cover up to 50%
Nitrous Sedation (D9230b)
$5
Certain PPO plans may cover up to 100%
IV Sedation
$0-588
$168 for first 15 minutes, $140 for each subsequent increment–certain PPO plans may cover up to 100%
Cold Sore Laser Treatment
$107
Botox Unit
$15