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Financial Office Fees

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

The image features a price tag icon in dark gray with a circular dollar sign ($) in the center. The tag has a hole at the top with a loop, symbolizing attachment to items, representing pricing or cost in retail and commerce.

Cost

The image shows a graphic representation of a receipt. The receipt is depicted in a dark gray color with a dollar sign ($) prominently displayed in the center. There are four horizontal lines to the right of the dollar sign, which likely represent itemized entries or amounts on the receipt.

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

The image features a price tag icon in dark gray with a circular dollar sign ($) in the center. The tag has a hole at the top with a loop, symbolizing attachment to items, representing pricing or cost in retail and commerce.

Cost

The image shows a graphic representation of a receipt. The receipt is depicted in a dark gray color with a dollar sign ($) prominently displayed in the center. There are four horizontal lines to the right of the dollar sign, which likely represent itemized entries or amounts on the receipt.

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

The image features a price tag icon in dark gray with a circular dollar sign ($) in the center. The tag has a hole at the top with a loop, symbolizing attachment to items, representing pricing or cost in retail and commerce.

Cost

The image shows a graphic representation of a receipt. The receipt is depicted in a dark gray color with a dollar sign ($) prominently displayed in the center. There are four horizontal lines to the right of the dollar sign, which likely represent itemized entries or amounts on the receipt.

Dental Code

Limited Exam/Emergency Visit

$113

D0140

Periapical X-ray

$42

D0220

Total Service Cost

$155

Self-pay Preventative Care

The image features a price tag icon in dark gray with a circular dollar sign ($) in the center. The tag has a hole at the top with a loop, symbolizing attachment to items, representing pricing or cost in retail and commerce.

Cost

The image shows a graphic representation of a receipt. The receipt is depicted in a dark gray color with a dollar sign ($) prominently displayed in the center. There are four horizontal lines to the right of the dollar sign, which likely represent itemized entries or amounts on the receipt.

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

The image features a price tag icon in dark gray with a circular dollar sign ($) in the center. The tag has a hole at the top with a loop, symbolizing attachment to items, representing pricing or cost in retail and commerce.

Cost

The image shows a graphic representation of a receipt. The receipt is depicted in a dark gray color with a dollar sign ($) prominently displayed in the center. There are four horizontal lines to the right of the dollar sign, which likely represent itemized entries or amounts on the receipt.

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

The image features a price tag icon in dark gray with a circular dollar sign ($) in the center. The tag has a hole at the top with a loop, symbolizing attachment to items, representing pricing or cost in retail and commerce.

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

The image features a price tag icon in dark gray with a circular dollar sign ($) in the center. The tag has a hole at the top with a loop, symbolizing attachment to items, representing pricing or cost in retail and commerce.

Cost

The image shows a graphic representation of a receipt. The receipt is depicted in a dark gray color with a dollar sign ($) prominently displayed in the center. There are four horizontal lines to the right of the dollar sign, which likely represent itemized entries or amounts on the receipt.

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

Where are we located?

The image shows a metallic office sign mounted on a wall. The sign has the number "303" at the top and the name "MARK JEFFERIES, DMD, PLC" below it. This image is relevant as it indicates the office location and the name of the professional, likely a dentist, working in room 303.

Mark S. Jefferies, DMD, PLC

500 Grove St Suite 303
Herndon, VA 20170

Hours

Monday - Thursday: 8:00 a.m. - 5:00 p.m.
Friday: 8:00 a.m. - 1:00 p.m.
Saturday and Sunday: Closed

Phone

703-793-1771

Email

[email protected]

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