DESCRIPTION
Rev. 2012 Complete Exam Full Mouth X-Rays (series of 14 films) Single X-Ray Film Panoramic X-Ray Prophylaxis (Simple Teeth Cleaning) Topical Fluoride Amalgam One Surface (Silver Filling) Amalgam Two Surface (Silver Fillings) Amalgam Three Surface (Silver Fillings) Amalgam Four/Five Surface (Silver Fillings) Composite One Surface (White Fillings) Composite Two Surface (White Fillings) Composite Three Surface (White Fillings) Composite Four/Five Surface (White Fillings) All Porcelain Crown (Cap) Porcelain/Metal Crown (Cap) Post & Core Buildup Recementation Crown/Bridge Direct/Indirect Pulp Cap (add'l deep filling medication) Pulpotomy (Partial Removal of Tooth Nerve) Root Canal Anterior (Front tooth) Root Canal Bicuspid (Side tooth) Root Canal Molar (Back tooth) Apicoectomy including Retrograde (front tooth) Gum Surgery (Quad) Deep Cleaning (Quad) Full Denture Partial Denture (Metal + Acrylic Plastic) Flexi Partial Denture (Acrylic) Denture Repairs inc Adding teeth Office Reline Lab Reline Porcelain/Metal Pontic Porcelain/Metal Abutment Simple Extraction Intravenous Sedation Surgical Extraction Soft Tissue Impaction Partial/Full Bony Impaction Alveoloplasty Palliative Treatment (Emergency Treatment) Emergency Exam Consultation Bleaching (Arch) Porcelain Veneers Sealant (per tooth) |
Our Usual Fees
$59 $109 $30 $107 $94 $33 $129 $168 $203 $212 $149 $169 $197 $249 $1,098 $948 $298 $97 $98 $168 $498 $689 $987 $700 $993 $65 $1,233 $1,233 $1,088 $138 $118 $329 $1,088 $1,088 $188 $260-$440 $350 $450 $650 $225 $98 $57 $70 $300 $936 $49 |
*Membership Fees*
$41 $76 $21 $75 $66 $23 $90 $118 $142 $149 $105 $118 $138 $174 $769 $664 $209 $68 $69 $118 $349 $482 $691 $490 $695 $46 $863 $863 $762 $97 $97 $230 $762 $762 $132 $182-$308 $315 $315 $455 $158 $69 $40 $49 $269 $888 $34 |
Call us for further information!
(845)564-9300
(845)564-9300