Office Fees
Preventative Care
Cleaning, Exam, Full Series of X-rays
$0-$384
Certain PPO plans cover 100 percent
Emergency Exam
$0-$115
Certain PPO plans cover 100 percent
Deep Cleaning (4341)
$0-$247
Certain PPO plans may cover 80 percent.
Restorative Care
Posterior Composites (tooth colored) fillings
$199-$366
One Surface - $199
Two Surface - $250
Three Surface - $309
Four Surface - $366
Certain PPO plans may cover 80 percent.
Anterior Composite (tooth colored) fillings
$186-$334
One Surface - $186
Two Surface - $222
Three Surface - $270
Four Surface - $334
Certain PPO plans may cover 80 percent.
Dental Implants (D6010-D6057-D6058)
$2059-$4537
Certain PPO plans may cover up to 50 percent.
Porcelain Crown D2740
$1228
Certain PPO plans may cover up to 80 percent.
Extractions
$150-$337
Certain PPO plans may cover between 50-80 percent.
Root Canals
$811-$1112
Certain PPO plans may cover between 50-80 percent.
Nitrous Sedation
$86
Certain PPO plans may cover between 50-80 percent
Cosmetic Dental
These services are typically not covered by insurance.
Take home whitening
$150-$300
Porcelain Veneers
$1251
Additional Services
Invisalign
$4800
Certain PPO plans may cover up to 50 percent.