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