FEE SCHEDULE

 

DIAGNOSTIC

 

Full mouth X-rays (D0210) and Comprehensive Exam (D0150): $80

Emergency exam (D0140) or Consultation with 2 X-rays: $40

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CLEANING

 

Prophylaxis (D1110): $70

Debridement (D4355): $100

Periodontal Maintenance (D4910): $100

Deep cleaning per quadrant (4341): $150

Full mouth deep cleaning: $500

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RESTORATIVE 

 

Porcelain/zirconia crowns (D2740): $900

Veneers (D2962): $900

Core Build-up (D2950) : $150

Composite fillings: $150-250

Implant custom abutment (D6057) and Implant Crown (D6058): $1700

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EXTRACTIONS

 

Basic (D7210): $250

Surgical D7140): $350

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ENDODONTICS

Anterior (D3310): $700

Bicuspids (D3320): $800

Molar (D3330): $950

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