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SAMPLE PRICES

SAMPLE PRICES

PROCEDURE PROCEDURE CODE AVERAGE COST
RECALL EXAM 01202 $64.24
COMPLETE ADULT EXAM 01103 $101.48
SCALING – 1 UNIT 11111 $67.16
FLUORIDE 12101 $28.99
COMPOSITE ANTERIOR FILLING – 1 SURFACE 23111 $136.51
COMPOSITE MOLAR FILLING – 1 SURFACE 23321 $149.60
CROWN – PORCELAIN FUSED TO METAL 27211 $825.44 + LAB FEES
ROOT CANAL – 1 CANAL 33111 $662.15
EXTRACTION – SIMPLE 71101 $134.33
EMERGENCY EXAM 01205 $64.24