Office Fees/Codes

Fees are subject to change

Comprehensive Exam — D0150

$0 - $132

Certain PPO plans may cover 100%

Prophy Cleaning — D1110

$0 - $127

Certain PPO plans may cover up to 100%

Deep Cleaning (SRP) — D4341

$0 - $400

certain PPO plans may cover up to 100%

laser for bacterial reduction $125

medication $45

Teeth Whitening

$95 Take Home / $300 In Office

Orthodontics — D8010 - D8090

Invisalign Clear Aligners

$3,500 and up

Price depends on the number of aligners and length of treatment

Certain PPO plans may cover up to 50%

FILLINGS — D2330 - D2335, D2391 - D2394

$150 - $400

Certain PPO plans may cover up to 80%

Porcelain / Zirconia Crowns — D2740

$500 - $1,438

Certain PPO plans may cover up to 50%

Dental Implants — D6010 / D6057 / D6058

$2,500 - $4,222

Certain PPO's may have implant benefits, check with your plan

includes CT scan, implant, healing abutment, and crown

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