Office Fees
Providing the Complete Overview
Preventative Care
Cost
Dental Code
Payment Options
Cleaning, Exam, Full Series of X-Rays, Fluoride
$0 - $443
(D0150)
Certain PPO plans may cover 100%
Emergency Exam
$0 - $103
(D0140)
Certain PPO plans may cover 100%
Deep Cleaning
$0 - $333 per quadrant
(D4341)
Certain PPO plans may cover 100%
Restorative Dental Services
Cost
Dental Code
Dental Implants
$999 - $5,198
(D6010/D6057/D6058)
Porcelain Crown
$1,469
Extractions
$250 - $720
Per tooth.
Posterior Composite (White) Fillings
$205-$446
Price varies per number of surfaces.
Anterior Composite (White) Fillings
$222
1 Surface: (D2330)
Anterior Composite (White) Fillings
$265
2 Surfaces: (D2331)
Anterior Composite (White) Fillings
$327
3 Surfaces: (D2332)
Anterior Composite (White) Fillings
$408
4 Surfaces: (D2335)
Cosmetic Dental Services
Cost
Take Home Whitening
$334
Take Home and In-Office Whitening
$459
Porcelain Veneers
$1,507
Removable Prosthetics
Cost
Dental Code
Complete Upper Denture
$2,285
5110
Complete Lower Denture
$2,288
5120
Partial Upper Denture (All Resin)
$1,843
5211
Partial Lower Denture (All Resin)
$1,843
5212
Partial Upper Denture (Metal Frame)
$2,342
5213
Partial Lower Dentures (Metal Frame)
$2,350
5214
Additional Dental Services
Cost
Dental Code
Orthodontics
$2,000 - $6,658
(D8060-D8090)
Nitrous Sedation
$5
(D9230b)
IV Sedation
$0-$676
Cold Sore Laser Treatment
$123
