Office Fees
Dental Services Cost and Fees
It is important to us that we build your trust with our practice. Being transparent on dental services cost and fees is one way we can accomplish that. Please reference below for common dental service costs at our practice. Out-of-pocket costs may be lower than the fees displayed here, based on insurance coverage or participation in our dental membership plan, however these fees are the maximum you can expect to pay for our services. Reach out to our team if you have any questions.
Self-pay Preventative Care
Cost
Dental Code
Complete Exam
$136
D0150
Adult Prophy
$125
D1110
Full Mouth Series of X-rays
$195
D0210
Fluoride
$66
D1206
Total Service Cost with Fluoride
$522
Self-pay Preventative Care
Cost
Dental Code
Periodic Exam
$75
D0120
Adult Prophy
$125
D1110
Full Mouth Series of X-rays
$195
D0210
Fluoride
$66
D1206
Total Service Cost with Fluoride
$461
Total Service Cost without Fluoride
$395
Self-pay Preventative Care
Cost
Dental Code
Limited Exam/Emergency Visit
$113
D0140
Periapical X-ray
$42
D0220
Total Service Cost
$155
Self-pay Preventative Care
Cost
Dental Code
Deep Cleaning/Scaling and Root Planning
$331/per quadrant
D4341
Total Service Cost
Up to $1,324 for all four quadrants
Self-pay Restorative Dental Services
Cost
Dental Code
Final Restorative Dental Implant Abutment and Crown
$1,120 (D6057) - $2,001 (D6058), Total Service Cost: $3,121
D6057, D6058
Porcelain Crown
$1678
D2740
Surgical Extraction
$363
D7210
Posterior Composite (White) Fillings
$238 - $469
D2391, D2392, D2393, D2394
Anterior Composite (White) Fillings
$219 - $350
D2330, D2331, D2332, D2334
Complete Upper Dentures
$3,800
D5110
Complete Lower Dentures
$3,800
D5120
Partial Upper Dentures (All Resin)
$1,540
D5211
Partial Lower Dentures (All Resin)
$1,900
D5212
Partial Upper Dentures (Metal Frame)
$2,441
D5213
Partial Lower Dentures (Metal Frame)
$2,441
D5214
Partial Denture/Immediate (Short-term)
$779
D5820, D5821
Upper Valplast
$1,756
D5225
Lower Valplast
$1,920
D5226
Bioclear
$650 - $1,000
D2995
Orthodontics
$6,500
D8090
Self-pay Cosmetic Dental Services
Cost
Dental Code
Take-Home Teeth Whitening Kit
$549
N/A
In-office Teeth Whitening
$899
N/A
Porcelain Veneers
$1555 per veneer
D2962
Additional Dental Services
Cost
Dental Code
Nitrous Oxide
$165
N/A
BioClear
$650 - $1,000 (depending on the number of services)
N/A
CT Scan
$450
N/A
Sleep Apnea Appliance
$1,035 - $2,000 (letter of medical necessity available upon request to help with reimbursement through your medical plan, prescription for device is needed by your primary care doctor and a sleep study must be done)
N/A
Trigger Point Injections (Botox) for TMJ
$11 per unit
N/A