Proceder Description/ Procedure code
(Our fee*)
ORAL EVALUATION
Consultation including Exam and X-rays
($100)
Surgical (Extractions & Pulling)
Extraction (baby tooth) (D7110)
($300)
Surgical Extraction (D7140/ D7250)
($700+)*
* Exact price is given at time of consultation (No Surprises!!)
Prophylaxis (Cleaning)
Cleaning (D1110/ D1120)
($100)
Fluoride Varnish (D1206)
(Free with cleaning)
Fillings and Restorations
White filling (3 or more surfaces) (code varies)
($300)
Crowns & Bridges
Porcelain-Ceramic crown (D2740)
($1200)
Porcelain-Ceramic veneer (D2962)
($1200)
Recement crown (D2920)
($300)
Dentures
Complete denture (per arch) (D5110 or D5120)
($1000)
Partial denture - flexible (per arch) (D5225 or D5226)
($1500)
Immediate denture Surcharge (This covers a second set for free after the gums have finished healing)
($300)