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 understand that each procedure could vary in price 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)

$0-327

Certain PPO plans may cover 100%

Emergency Exam

$0-75

Certain PPO plans may cover 100%

Deep Cleaning (D4341)

$0-254

Certain PPO plans may cover 100%

Posterior Composite (White) Fillings

$180-341

D2391 (1 surface) $180
D2392 (2 surfaces) $231
D2393 (3 surfaces) $285
D2394 (4 surfaces) $341
Certain PPO plans may cover up to 80%

Anterior Composite (White) Fillings

$169-312

D2330 (1 surface) $169
D2331 (2 surfaces) $203
D2332 (3 surfaces) $250
D2335 (4 surfaces) $312
Certain PPO plans may cover up to 80%

Restorative Dental

Dental Implants (D6010/D6057/D6058)

$2,212-$3,655

Includes 3-D X-ray, Certain PPO plans may cover up to 80%

Porcelain Crown

$141-1,124

Certain PPO plans cover up to 80%

Extractions

$13-551

Certain PPO plans cover 80%
Depending on difficulty and billing code

Cosmetic Dental

Take Home Whitening

$268

Take Home and In-Office Whitening

$368

Porcelain Veneers

$1,153

Additional Services

Orthodontics (D6010/D6057/D6058)

$2,000-5,200

Certain PPO plans may cover up to 50%

Sedation Nitrous (D9230b)

$5

Certain PPO plans may cover up to 100%

Sedation IV Sedation (Hour)

$0-516

$147 for first 15 minutes, $123 for each subsequent increment, Certain PPO plans may cover up to 100%

Cold Sore Laser Treatment

$94

Botox Unit

$10