Office Fees

Preventative Care

Cleaning, Exam, Full Series of X-Rays, Fluoride (D0150)

$0-415

Certain PPO plans may cover 100%

Emergency Exam

$0-134

Certain PPO plans may cover 100%

Deep Cleaning (D4341)

$236-301 per quad

Certain PPO plans may cover 80%

Restorative & Surgical Dentistry

Posterior Composite (White) Fillings

$266-$402

D2391 (1 surface) $266
D2392 (2 surfaces) $314
D2393 (3 surfaces) $343
D2394 (4 surfaces) $402
Certain PPO plans may cover up to 80%

Anterior Composite (White) Fillings

$248-384

D2330 (1 surface) $248
D2331 (2 surfaces) $277
D2332 (3 surfaces) $324
D2335 (4 surfaces) $384
Certain PPO plans may cover up to 50%

Porcelain Crown

$1588

Certain PPO plans cover up to 80%

Porcelain Inlay/Onlay

$1588

Certain PPO plans cover up to 80%

Extractions

$177-379

Certain PPO plans cover up to 100%

Extractions with Bone Grafting

$1277-1479

Root Canal Therapy Anterior/Posterior

$1024-1312

Complete Denture (per arch)

$2625-3098

Partial Denture (per arch)

$2601-2801

Cosmetic Dental

Take Home Whitening

$125

In-House Whitening

$375

Combo Whitening

$425

Porcelain Veneers

$1788

Additional Services

Orthodontics (D8090)

$4500-$5500

Certain PPO plans may cover up to 50%