Office Fees
Preventative Dental Services
Cleaning, Exam, Full Series of X-Rays, Fluoride
$0 - $661
Certain PPO's may cover up to 100%
Emergency Exam
$0 - $146
Certain PPO's may cover up to 100%
Deep Cleaning
$0 - $455
Certain PPO's may cover up to 100%
Restorative Dental Services
Dental Implants
$999 - $7,162
Includes 3-D X-ray
Certain PPO's may cover up to 80%
Porcelain Crown
$1,985
Certain PPO's may cover up to 80%
Extractions
$363 - $521
Per tooth
Certain PPO plans cover 80% depending on difficulty and billing code
Posterior Composite (White) Fillings
$336 - $611
1 surface (D2330): $336
2 surfaces (D2331): $428
3 surfaces (D2332): $519
4 surfaces (D2335): $611
Certain PPO plans may cover up to 80%
Anterior Composite (White) Fillings
$314 - $572
1 surface (D2330): $314
2 surfaces (D2331): $373
3 surfaces (D2332): $458
4 surfaces (D2335): $572
Certain PPO plans may cover up to 80%
Cosmetic Dental Services
Take Home Whitening
$239 per arch
Take Home and In-Office Whitening
$605
Porcelain Veneers
$2,140
Dentures
Complete Upper Dentures
$0 - $3,232
Complete Lower Dentures
$0 - $3,235
Partial Upper Dentures (All Resin)
$0 - $2,641
Partial Lower Dentures (All Resin)
$0 - $2,645
Partial Upper Dentures (Metal Frame)
$0 - $3,341
Partial Lower Dentures (Metal Frame)
$0 - $3,361
