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