Office Fees
Preventative Care
Cost
Dental Code
Cleaning, Exam, Full Series of X-Rays, Fluoride
$535
D0150
Emergency Exam
$99
D0140
Deep Cleaning
$306–$1,000
D4341
Restorative Dental Services
Cost
Dental Code
Dental Implants
$4,500–$5,500
D6010 / D6057 / D6058
Porcelain Crown
$1,300–$1,500
D2740
Extractions (per tooth)
$250–$1,100
D7140 / D7210
Posterior Composite (White) Fillings
$150–$400
D2391 / D2392 / D2393 / D2394
Anterior Composite (White) Fillings
$150–$400
D2330 / D2331 / D2332 / D2335
Cosmetic Dental Services
Cost
Dental Code
In-Office Whitening Service
$500
Take Home Whitening Trays
$350
Porcelain Veneers
$1,500
Removable Prosthetics
Cost
Dental Code
Complete Upper Dentures
$2,000–$2,500
D5110
Complete Lower Dentures
$2,000–$2,500
D5120
Partial Upper Dentures (All Resin)
$1,500–$2,000
D5211
Partial Lower Dentures (All Resin)
$1,500–$2,000
D5212
Partial Upper Dentures (Metal Frame)
$2,800
D5213
Partial Lower Dentures (Metal Frame)
$2,800
D5214
Valplast (Flexible) Upper Partial Denture
$2,000-$2,500
D5225
Valplast (Flexible) Lower Partial Denture
$2,000-$2,500
D5226
Additional Dental Services
Cost
Dental Code
Orthodontics
$2,500 - $5,500
D8060 – D8090
Full Arch Occlusal Guard
$550
D9944
Sleep Apnea Appliance
$2,000
D9947
Retainers
$350–$500
D8680
