$0 Exam & X-Ray (Panoramic X-Ray), Schedule Today!
| Diagnostics (Exam & X-Ray) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 120 | Periodic Oral Evaluation - Established Patient | $61 | $0 | FREE |
| 140 | Limited Oral Evaluation - Problem Focused | $91 | $0 | FREE |
| 150 | Comprehensive Oral Evaluation - New or Established Patient | $105 | $0 | FREE |
| 210 | Intraoral - Complete Series of Radiographic Images | $158 | $0 | FREE |
| 220 | Intraoral - Periapical - First Radiographic Image | $37 | $0 | FREE |
| 230 | Intraoral - Periapical - Each Additional Radiographic Image | $31 | $0 | FREE |
| 270 | Bitewing - Single Radiographic Image | $35 | $0 | FREE |
| 272 | Bitewings - Two Radiographic Images | $55 | $0 | FREE |
| 273 | Bitewings - Three Radiographic Images | $66 | $0 | FREE |
| 274 | Bitewings - Four Radiographic Images | $79 | $0 | FREE |
| 330 | Panoramic Radiographic Image | $136 | $0 | FREE |
| Preventative (Cleanings, etc) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 1110 | Prophylaxis - Adult Cleaning | $110 | $58 | 47% off |
| 1120 | Prophylaxis - Child Cleaning | $83 | $48 | 42% off |
| 1351 | Sealant - Per Tooth | $67 | $28 | 58% off |
| 1510 | Space Maintainer - Fixed - Unilateral | $376 | $139 | 63% off |
| 1515 | Space Maintainer - Fixed - Bilateral | $498 | $238 | 52% off |
| 1520 | Space Maintainer - Removable - Unilateral | $459 | $137 | 70% off |
| 1525 | Space Maintainer - Removable - Bilateral | $565 | $175 | 69% off |
| Restorative (Fillings) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 2140 | Amalgam - One Surface, Primary or Permanent | $159 | $75 | 53% off |
| 2150 | Amalgam - Two Surfaces, Primary or Permanent | $199 | $96 | 52% off |
| 2160 | Amalgam - Three Surfaces, Primary or Permanent | $242 | $108 | 55% off |
| 2161 | Amalgam - Four or More Surfaces, Primary or Permanent | $291 | $138 | 53% off |
| 2330 | Resin - Based Composite - One Surface, Anterior | $184 | $86 | 53% off |
| 2331 | Resin - Based Composite - Two Surfaces, Anterior | $221 | $106 | 52% off |
| 2332 | Resin - Based Composite - Three Surfaces, Anterior | $272 | $126 | 54% off |
| 2335 | Resin - Based Composite - Four or More Surfaces, Anterior | $339 | $185 | 45% off |
| 2391 | Resin - Based Composite - One Surface, Posterior | $197 | $103 | 48% off |
| 2392 | Resin - Based Composite - Two Surfaces, Posterior | $252 | $143 | 43% off |
| 2393 | Resin - Based Composite - Three Surfaces, Posterior | $311 | $163 | 48% off |
| 2394 | Resin - Based Composite - Four or More Surfaces, Posterior | $371 | $196 | 47% off |
| Restorative (Crowns) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 2710 | Crown - Resin-Based Composite (indirect) | $1,145 | $430 | 62% off |
| 2720 | Crown- Resin With High Noble Metal | $1,292 | $688 | 47% off |
| 2750 | Crown - Porcelain Fused to High Noble Metal | $1,360 | $735 | 46% off |
| 2751 | Crown - Porcelain Fused to Predominantly Base Metal | $1,273 | $624 | 51% off |
| 2752 | Crown - Porcelain Fused to Noble Metal | $1,307 | $645 | 49% off |
| 2790 | Crown - Full Cast High Noble Metal | $1,418 | $899 | 37% off |
| 2791 | Crown - Full Cast Predominantly Base Metal | $1,228 | $530 | 57% off |
| 2930 | Prefabricated Stainless Steel Crown - Primary Tooth | $316 | $152 | 52% off |
| 2931 | Prefabricated Stainless Steel Crown - Permanent Tooth | $381 | $130 | 66% off |
| 2950 | Core Buildup - Including Any Pins | $324 | $113 | 65% off |
| 2951 | Pin Retention Per Tooth in Addition to Restoration | $96 | $27 | 72% off |
| 2952 | Post and Core in Addition to Crown, Indirectly Fabricated | $498 | $178 | 64% off |
| 2954 | Prefabricated Post and Core in Addition to Crown | $410 | $139 | 66% off |
| Endodontics (Root Canals, etc) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 3110 | Pulp Cap Direct (excluding final restoration) | $102 | $25 | 75% off |
| 3120 | Pulp Cap Indirect (excluding final restoration) | $101 | $25 | 75% off |
| 3220 | Therapeutic Pulpotomy (excluding final restoration) | $246 | $60 | 76% off |
| 3310 | Endodontic Therapy - Anterior Tooth (excluding final restoration) | $895 | $449 | 50% off |
| 3320 | Endodontic Therapy - Bicuspid Tooth (excluding final restoration) | $1,019 | $551 | 46% off |
| 3330 | Endodontic Therapy - Molar (excluding final restoration) | $1,254 | $699 | 44% off |
| Periodontics (Scaling, Deep Cleaning, etc) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 4210 | Gingivectomy or Gingivoplasty - Four or More Contiguous Teeth or Tooth Bonded Spaces Per Quadrant | $758 | $338 | 55% off |
| 4341 | Periodontal Scaling and Root Planing - Four or More Teeth Per Quadrant | $308 | $118 | 62% off |
| 4910 | Periodontal Maintenance | $165 | $95 | 43% off |
| Prosthodontics (Dentures, Partials, Bridges, etc) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 5110 | Complete Denture - Maxillary | $2,113 | $1,125 | 47% off |
| 5120 | Complete Denture - Mandibular | $2,117 | $1,125 | 47% off |
| 5130 | Immediate Denture - Maxillary | $2,247 | $1,245 | 45% off |
| 5140 | Immediate Denture - Mandibular | $2,272 | $1,245 | 45% off |
| 5211 | Maxillary Partial Denture - Resin Base (including any conventional clasps, rests and teeth) | $1,706 | $662 | 61% off |
| 5212 | Mandibular Partial Denture - Resin Base (including any conventional clasps, rests and teeth) | $1,646 | $662 | 60% off |
| 5213 | Maxillary Partial Denture - Cast Metal Framework with Resin Denture Bases (including any conventional clasps, rests and teeth) | $2,166 | $1,213 | 44% off |
| 5214 | Mandibular Partial Denture - Cast Metal Framework with Resin Denture Bases (including any conventional clasps, rests and teeth) | $2,173 | $1,213 | 44% off |
| 5410 | Adjust Complete Denture - Maxillary | $110 | $38 | 65% off |
| 5411 | Adjust Complete Denture - Mandibular | $108 | $38 | 65% off |
| 5510 | Repair Broken Complete Denture Base | $265 | $65 | 75% off |
| 5520 | Replace Missing or Broken Teeth - Complete Denture (each tooth) | $230 | $60 | 74% off |
| 5630 | Repair or Replace Broken Clasp | $325 | $158 | 51% off |
| 5650 | Add Tooth to Existing Partial Denture | $278 | $145 | 48% off |
| 5660 | Add Clasp to Existing Partial Denture | $324 | $145 | 55% off |
| 5730 | Reline Complete Maxillary Denture (chairside) | $461 | $153 | 67% off |
| 5731 | Reline Complete Mandibular Denture (chairside) | $457 | $153 | 67% off |
| 5740 | Reline Maxillary Partial Denture (chairside) | $445 | $147 | 67% off |
| 5741 | Reline Mandibular Partial Dent (chairside) | $448 | $147 | 67% off |
| 5750 | Reline Complete Maxillary Denture (lab) | $570 | $201 | 65% off |
| 5751 | Reline Complete Mandibular Denture (lab) | $574 | $201 | 65% off |
| 6010 | Implant | $9,065 | $1,512 | 83% off |
| 6065 | Implant Supported Porcelain/Ceramic Crown | $1,821 | $910.50 | 50% off |
| 6066 | Implant Supported Porcelain Fused To Metal Crown (Titanium, Titanium Alloy, High Noble Metal) | $1,829 | $914.50 | 50% off |
| 6067 | Implant Supported Metal Crown (Titanium, Titanium Alloy, High Noble Metal) | $1,825 | $912.50 | 50% off |
| 6240 | Pontic - Porcelain Fused to High Noble Metal | $1,367 | $735 | 46% off |
| 6241 | Pontic - Porcelain Fused to Predominantly Base Metal | $1,275 | $622 | 51% off |
| 6242 | Pontic - Porcelain Fused to Noble Metal | $1,307 | $671 | 49% off |
| 6750 | Crown - Porcelain Fused to High Noble Metal | $1,395 | $735 | 47% off |
| 6751 | Crown - Porcelain Fused to Predominantly Base Metal | $1,261 | $618 | 51% off |
| 6752 | Crown - Porcelain Fused to Noble Metal | $1,307 | $678 | 48% off |
| Oral Surgery (Tooth Extractions, etc) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 7140 | Extraction, Erupted Tooth or Exposed Root (elevation and/or forcepts removal) | $215 | $75 | 65% off |
| 7210 | Surgical Removal of Erupted Tooth Requiring Removal of Bone and/or Sectioning of Tooth, and Including Elevation of Mucoperiosteal Flap if Indicated | $335 | $161 | 52% off |
| 7220 | Removal of Impacted Tooth - Soft Tissue | $373 | $146 | 61% off |
| 7230 | Removal of Impacted Tooth - Partially Bony | $467 | $165 | 65% off |
| 7240 | Removal of Impacted Tooth - Completely Bony | $572 | $231 | 60% off |
| 7250 | Surgical Removal of Residual Tooth Roots (cutting procedure) | $370 | $127 | 66% off |
| 7310 | Alveoloplasty in Conjunction with Extraction - Four or More Teeth or Tooth Spaces, Per Quadrant | $361 | $106 | 71% off |
| 7320 | Alveoloplasty not in Conjunction with Extractions - Four or More or Tooth Spaces, Per Quadrant | $528 | $152 | 71% off |
| 7510 | Incision and Drainage of Abscess - Intraoral Soft Tissue | $292 | $108 | 63% off |
| Orthodontics (Braces - Children & Adults, etc) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 8070 | Comprehensive Orthodontic Treatment of the Transitional Dentition | $6,159 | $3,080 | 50% off |
| 8080 | Comprehensive Orthodontic Treatment of the Adolescent Dentition | $6,243 | $3,122 | 50% off |
| 8090 | Comprehensive Orthodontic Treatment of the Adult Dentition | $6,266 | $3,133 | 50% off |
| Adjunctive Services (Anethesia, Analgesia, etc) | ||||
| ADA code | Procedure | Average Price | You Pay | Savings |
| 9110 | Palliative (emergency) Treatment Dental Pain - Minor Procedure | $156 | $90 | 42% off |
| 9215 | Local Anesthesia in Conjunction With Operative or Surgical Procedures | $79 | $15 | 81% off |
| 9230 | Inhalation of Nitrous Oxide/Anxiolysis, Analgesia | $95 | $75 | 21% off |
| 9951 | Occlusal Adjustment Limited | $230 | $57 | 75% off |
| 9952 | Occlusal Adjustment Complete | $805 | $228 | 72% off |
| Elective Services (Cosmetic, etc) | ||||
| SDP code | Procedure | Average Price | You Pay | Savings |
| 1323 | Teeth Whitening - In Office | $418 | $249 | 40% off |
| 1324 | Porcelain Veneer | $1,256 | $899 | 28% off |
| 1325 | Invisalign® | $6,500 | $4,200 | 35% off |
