Office Fees

15 Most Common Procedures

 Code Description Fee
 0120 Recall Exam $74
 0150 Comprehensive Exam $118
 0220 Peri-apical Radiograph $38
 0230 Additional Peri-apical $32
 0274 Bite-wing Radiographs $86
 1110 Prophylaxis Adult $122
 1206 Fluoride Varnish $44
 2330 Surface Composite Resin $232
 2331 Surface Composite Resin $290
 2740 All Porcelain Crown $1,504
 4910 Periodontal Maintenance $164
 2950 Build-up Restoration $330
 7140 Routine Extraction $233
 9940 Occlusal Guard $704
 9630 Prescription Toothpaste $22

All fees are estimates as actual charges are dependent on the circumstances at the time a service is rendered. If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular service provided at this office.  If you are not covered by health insurance, you are strongly encouraged to contact our office to discuss payment options and the actual amount of your financial responsibility.

Excellent care means a total commitment of 100% patient satisfaction