Prime Plan | Fee Schedule
Fees as follows:
- Comprehensive Exam............. $35.00
- Limited Exam............. $29.00
- Emergency Visit............. $25.00
- Full Mouth X-rays............. $75.00
- Bitewings (four)............. $35.00
- Single X-ray............. $15.00
- Panoramic X-ray............. $85.00
- CT SCAN (3D/NON ORTHO)............. $185.00
- Filling Anterior (one surface)............. $79.00
- Filling Posterior (one surface)............. $86.00
- Filling Anterior (two surface)............. $96.00
- Filling Posterior (two surface)............. $98.00
- Filling Anterior (three surface)............. $106.00
- Filling Posterior (three surface)............. $110.00
- Filling Anterior (four surface)............. $117.00
- Filling Posterior (four surface)............. $125.00
- Root Canal Anterior............. $400.00
- Root Canal Posterior............. $485.00
- Root Canal Molar............. $595.00
- Root Canal Additional Root Therapy............. $95.00
- Root Canal Anterior Re-treatment............. $640.00
- Root Canal Posterior Re-treatment............. $740.00
- Root Canal Molar Re-treatment............. $825.00
- Apicoectomy (anterior tooth)............. $175.00
- Apicoectomy (bicuspid)............. $198.00
- Apicoectomy (molar)............. $235.00
- Apicoectomy (additional root)............. $95.00
- Cyst Removal (less than 1.25 cm in size)............. $250.00
- Cyst Removal (more than 1.25 cm in size)............. $320.00
- Prophy Adult............. $60.00
- Prophy Child............. $40.00
- Scaling and Root Planning (full mouth)............. $425.00
- Periodontal Maintenance (full mouth)............. $75.00
- Post/Core Prefabricated............. $95.00
- Custom Post............. $179.00
- Old Post Removal............. $125.00
- Crown Porcelain Anterior............. $600.00
- Crown Porcelain Fused to Metal............. $670.00
- Crown Zirconia............. $720.00
- Porcelain Veneer............. $680.00
- Bridge Crown Fused to Metal (retainer or abutment)............. $680.00
- Bridge Crown Zirconia (retainer or abutment)............. $720.00
- Denture Acrylic (partial) with no metal base............. $695.00
- Denture Acrylic (partial) with metal base............. $715.00
- Denture Acrylic (full) with no metal base............. $700.00
- Denture Acrylic (full) with metal base............. $715.00
- Denture Repair (simple)............. $65.00
- Denture Repair (hook or tooth replacement)............. $85.00
- Denture Rebase............. $75.00
- Denture Reline............. $75.00
- Simple Extraction............. $105.00
- Surgical Extraction............. $160.00
- Wisdom Tooth (erupted)............. $240.00
- Wisdom Tooth (unerupted)............. $275.00
- Bone Grafting (1-2 teeth)............. $550.00
- Bone Grafting (3-4 teeth)............. $730.00
- Bone Grafting (4 or more teeth)............. $895.00
- Sinus Lifting (per quadrant)............. $1800.00
- Implant Endosteal............. $900
- Implant Abutment............. $300
- Implant Crown............. $900
- Implant Bridge Crown............. $900
- Implant Bridge Crown (abutment)............. $879
- Mini Implant............. $479
- Implant Retained Denture (four or more implants supporting denture)............. $2400
- Overdenture Hybrid (all-in-one)............. $2700