Office Fees
Providing the Complete Overview
Preventative Care
Cost
Dental Code
Adult Cleaning, Exams, Full Series of X-rays, Fluoride
$453
D1110/D0150/D0210/D1206
Child Cleaning, Exams, 2 Bitewings+Panoramic X-ray, Fluoride
$454
D1110/D0150/D0210/D1206
Emergency Exam + X-ray if needed
$106 + $40
D0140/D0230
Deep Cleaning also known as Scaling and Root Planning
$343
D4341
Restorative Dental Services
Cost
Dental Code
Dental Implant/Abutment/Crown
$5,355
D6010/D6057/D6058
Porcelain Crown
$1,513
D2740
Posterior Composite (White) Fillings
$242
1 Surface: D2391
Posterior Composite (White) Fillings
$311
2 Surface: D2392
Posterior Composite (White) Fillings
$385
3 Surface: D2393
Posterior Composite (White) Fillings
$459
4 Surface: D2394
AnteriorComposite (White) Fillings
$299
1 Surface: D2330
AnteriorComposite (White) Fillings
$273
2 Surfaces: D2331
AnteriorComposite (White) Fillings
$337
3 Surfaces: D2332
Anterior Composite (White) Fillings
$420
4 Surfaces: D2335
Surgical Services
Cost
Dental Code
Simple Extraction
$258
D7140
Surgical Extraction
$379
D7210
Impacted Tooth/ Soft Tissue
$414
D7220
Impacted Tooth/ Partially Bony
$519
D7230
Impacted Tooth/ Complete Bony
$636
D7240
Expose and Bond
$639
D7280
Cosmetic Dental Services
Cost
Take Home Whitening
$344
In-Office Professional Whitening
$473
Porcelain Veneers
$1,552
Night/ Occlusal Guard
$604
Removable Prosthetics
Cost
Dental Code
Complete Upper Denture
$2,354
D5110
Complete Lower Denture
$2,357
D5120
Partial Upper Denture (All Resin)
$1,898
D5211
Partial Lower Denture (all Resin)
$1,898
D5212
Partial Upper Denture (Metal Frame)
$2,412
D5213
Partial Lower Dentures (Metal frame)
$2,421
D5214
Additional Dental Services
Cost
Dental Code
Orthodontic Care/Adult
$5,790
D8090
Orthodontic Care/ Teenager
$6,858
D8070
Nitrous Sedation
$5
D9230
IV Sedation
$199-$697
D9239/D9243
Cold Sore Laser Treatment
$127
D7465
TMJ Laser Treatment (10 visits)
$217
D9131
