Financial Information

Our Top 15 Office Codes and Prices

• D0120- Periodic Oral Eval (Current Patient exam): $73.00
• D0150- Comprehensive Oral Eval (New Patient exam): $126.00
• D0220- Intraoral Periapical Image (First PA Xray): $43.00
• D0230- Intraoral Periapical each add’l (Additional PA Xrays): $36.00
• D0330- Panoramic Image (Pano): $157.00
• D1110- Prophylaxis-Adult (Adult Cleaning): $126.00
• D1120- Prophylaxis-Child (Child Cleaning): $93.00
• D1206- Topical Applic Fluoride Varnish (Fluoride): $55.00
• D1351- Sealant per Tooth (Sealants): $75.00
• D2391- Resin Composite 1s, Posterior (1 surface Filling): $251.00
• D2392- Resin Composite 2s, Posterior (2 surface Fillings): $319.00
• D2930- Prefab stain steel Crown Primary (Stainless Steel Crown): $363.00
• D2934- Prefab esth ctd stnl stl crn-prm (Esthetic Stainless Steel Crown with White Coating): $487.00
• D7140- Extract, erupted th/exposed rt (Extraction): $263.00
• D9230- Analgesia-inhale of Nitrous Oxid (Laughing Gas): $109.00