Frequently Asked FEES
$264 – $671
Surgical Extraction (D7210): $392
Soft Tissue Impaction (D7220): $437
Partial Bony Impaction (D7230): $545
Full Bony Impaction (D7240): $671
$1021 – $1,415
Anterior (D3310): $1021
Bicuspid (D3320): $1,161
Molar (D3330): $1,415
$1,500
$1,500
$95-$125
Child Teeth Cleaning (D1120) $95
Adult Teeth Cleaning (D1110) $125
$266 – $353
1-3 Teeth (D4342): $266
Quad (D4341): $353
$5,644
Implant D6010: $2,603
Abutment D6057: $1168
Crown D6058: $1,873
$23,000 / arch Includes 4-6 implants per arch and all costs including sedation and extractions
$450
$900
Transparent Pricing Structure
Preventive Care
$0-$412
Most PPO plans may cover 100%
In House membership Plan covers 100%
$72-$107
Periodic Exam (D0120) $72
Comprehensive Exam (D0150) $125
Limited Exam (D0140) $107
Most PPO plans may cover 100%
In House membership Plan covers 100%
$0-107
Most PPO plans may cover 100%
In House membership Plan covers 100%
$95-$125
Child Teeth Cleaning (D1120) $95
Adult Teeth Cleaning (D1110) $125
Most PPO plans may cover 100%
In House membership Plan covers 100%
$32-$261
PA (D0220): $41
Addt’l PAs (D0230): $35
1 BWX (D0270): $40
2 BWX (D0272): $64
4 BWX (D0274): $91
Panoramic X-Ray (D0330): $157
CT (D0367): $350
Certain PPO plans may cover up to 100%
$255-$468
1 surface — $255
2 surface — $322
3 surface — $399
4 surface — $468
Certain PPO plans may cover up to 100%
$233-$432
1 surface —$233
2 surface — $282
3 surface — $346
4 surface — $432
Certain PPO plans may cover up to 100%
$0-186
Certain PPO plans may cover 100%
Cosmetic Dental
Additional Services
$2,500-5,495
Certain PPO plans may cover up to 50%
$0-900
Certain PPO plans may cover up to 100%
Certain PPO plans may cover up to 100%
Certain PPO plans may cover up to 100%
Restorative Dental Care
$1021 – $1,415
Anterior (D3310): $1021
Bicuspid (D3320): $1,161
Molar (D3330): $1,415
Certain PPO plans cover up to 100%
$264 – $601
Surgical Extraction (D7210): $392
Certain PPO plans cover up to 100%
$350 – $829
With Extraction (D7953): $350
Certain PPO plans cover up to 100%
$1,531-$1,898
$1,531 (crown only)
$1,898 (Including the build up)
Certain PPO plans cover up to 100%
$266 – $353
1-3 Teeth (D4342): $266 Quad (D4341): $353
Certain PPO plans cover up to 100%
$5,644
D6010: $2,603
D6057: $1168
D6058: $1,873
Includes 3-D X-ray- Certain PPO plans cover up to 100%
$75 – $2,546
Denture Repair: $75-$300
Flipper (D5820 & D5821): $500-$1,000
Complete Upper (D5110): $2,374
Complete Lower (D5120): $2,379
Immediate Upper (D5130): $2,526
Immediate Lower (D5140): $2,546
Upper Partial (D5213): $2,461
Lower Partial (D5214): $2,463
$10,000-15,000
2 implant overdenture — $10,000/ arch
4 implant overdenture — $15,000/ arch
Includes all costs including sedation and tooth extractions
$23,000 / arch
Includes 4 to 6 implants per arch and all costs including sedation and extractions