SAMPLE PRICES

SAMPLE PRICES

PROCEDUREPROCEDURE CODEAVERAGE COST
RECALL EXAM01202$64.24
COMPLETE ADULT EXAM01103$101.48
SCALING – 1 UNIT11111$67.16
FLUORIDE12101$28.99
COMPOSITE ANTERIOR FILLING – 1 SURFACE23111$136.51
COMPOSITE MOLAR FILLING – 1 SURFACE23321$149.60
CROWN – PORCELAIN FUSED TO METAL27211$825.44 + LAB FEES
ROOT CANAL – 1 CANAL33111$662.15
EXTRACTION – SIMPLE71101$134.33
EMERGENCY EXAM01205$64.24