SAMPLE PRICES
| PROCEDURE | PROCEDURE CODE | AVERAGE COST |
|---|---|---|
| RECALL EXAM | 01202 | $73.85 |
| COMPLETE ADULT EXAM | 01103 | $116.66 |
| SCALING – 1 UNIT | 11111 | $77.21 |
| FLUORIDE | 12112 | $33.33 |
| COMPOSITE ANTERIOR FILLING – 1 SURFACE | 23111 | $156.93 |
| COMPOSITE MOLAR FILLING – 1 SURFACE | 23321 | $171.98 |
| CROWN – PORCELAIN FUSED TO METAL | 27211 | $948.91 + LAB FEES |
| ROOT CANAL – 1 CANAL | 33111 | $761.19 |
| EXTRACTION – SIMPLE | 71101 | $154.42 |
| EMERGENCY EXAM | 01205 | $73.85 |