Office Visit fee |
$25.00 per visit |
Diagnostic & Preventive Services |
  |
Routine & Emergency Exams |
Covered by office visit
fee |
Sealants |
$30.00 |
Teeth Cleaning |
$50.00 |
All X-rays |
Covered by office visit
fee |
Oral Cancer Screening |
Covered by office visit
fee |
Oral Hygiene Instruction |
Covered by office visit
fee |
Periodontal Screening |
Covered by office visit
fee |
Restorative Dentistry & Prosthetics |
  |
Fillings (Amalgam) |
$50.00-$105.00 (dependent on size) |
Composite Fillings (White) |
$70.00-$135.00 (dependent on size) |
Crowns |
$595.00-$628.00 |
Bridge-per tooth |
$545.00-$628.00 (dependent on material) |
Oral Surgery |
  |
Routine Extraction-Single Tooth |
$100.00 |
Surgical Extraction |
$175.00 |
Impacted wisdom teeth extractions |
$225.00 |
Endodontics & Periodontics |
  |
Root canal therapy- anterior |
$175.00 |
Root canal therapy- premolar |
$225.00 |
Root canal therapy- molar |
$300.00 |
Root Planning |
$100.00 per quadrant |
Miscellaneous |
  |
Nitrous Oxide |
$35.00 |
Night Guard |
$200.00 |
Missed Appointment Fee |
$25.00 |
Teeth Bleaching Tray |
$125.00 |