|
1
|
Comprehensive Oral Consultation
|
$50
|
|
2
|
Single Periapical x-ray (each)
|
$12
|
|
3
|
Four bite wing cavity detecting x-rays |
$95
|
|
4
|
Panoramic X-ray |
$45
|
|
5
|
Cleaning (per visit) |
$45
|
|
6
|
Deep scaling |
$50 - $200
|
|
7
|
Regular composite resin fillings |
$65 - $125
|
|
8
|
Amalgams (removal and replacement with compatible composite) |
$125
|
|
9
|
Temporary crown (removal of offending crown or large filling prep o tooth to receive a permanent crown at a later date (3-6 months) and fabrication of a plastic temporary crown) |
$250
|
|
10
|
Permanent biocompatible crowns-composite (each) |
$595
|
|
11
|
Permanent biocompatible crowns High Noble metal fused to composite (each) |
$650
|
|
12
|
Fixed Bridge 3 tooth composite (no metal) |
$1785.00
|
|
13
|
Fixed Bridge 3 tooth biocompatible metal fused to composite |
$1950.00
|
|
14
|
Temporary removable partial |
$175
|
|
15
|
Permanent removable partials depending on materials used |
$750 - $1,500
|
|
16
|
Dentures (1 upper or 1 lower) |
$550
|
|
17
|
Dentures (full set, upper and lower) |
$1,100
|
|
18
|
Extraction (depending on difficulty of procedure) |
$75 - $200
|
|
19
|
Cavitation (depending on difficulty of procedures) |
$75 - $175
|
|
20
|
Tatoos (surgical removal of amalgam tattoos) |
$175
|
|
21
|
For unusual oral procedure fees, the quote will be determined by the patients needs |
*
|
|
22
|
Intravenous vitamin C (per dosage) |
$100
|
|
23
|
Intravenous sedation |
$100 (per hour)
|
|
24
|
Oxygen Administration for Sedation |
$15
|
|
25
|
PZI Shot |
$10
|
|
26
|
Wafer biomagnets (each) |
$16
|
|
27
|
Electrical Current Test |
$50
|
|
28
|
Onlays / Inlays (Resin) |
$525 each
|
|
29
|
Veneers |
$595 each
|
|
Please note:
The above fee schedule is for general reference only. Every person's dental needs are unique, and a dental visit may occasionally involve additional work and attention that goes beyond one of the standard categories listed above. In general, every attempt will be made to notify the patient ahead of time when a procedure fee will vary from the one listed. However, sometimes the need for additional work is not identified until after the procedure has initiated. If this is the case, the patient or caregiver will be consulted for approval.
