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Dental Services

*Please note, fees and rates may be subject to change and may vary.

ā€‹

Please call us ahead of your appointment if you have any questions.

Periodontal Scaling & Root Planning - 4+ teeth

Code:

D4341

Fee:

$75.00

IPA Rate:

$218.40

Periodontal Scaling & Root Planning - 1-3 teeth

Code:

D4341

Fee:

$75.00

IPA Rate:

$218.40

Full Mouth Debridement

Code:

D4355

Fee:

$75

IPA Rate:

$73.40

Complete Denture - Mandibular

Code:

D5120

Fee:

$675

IPA Rate:

$673.74

Immediate Denture - Mandibular

Code:

D5140

Fee:

$675

IPA Rate:

$673.40

Mandibular Partial Denture - Resin Base

Code:

D5212

Fee:

$675

IPA Rate:

$673.40

Mandibular Partial Denture - Cast Metal Framework

Code:

D5214

Fee:

$675

IPA Rate:

$673.40

Immediate Mandibular Partial Denture - Resin Base

Code:

D5222

Fee:

$675

IPA Rate:

$673.40

Immediate Mandibular Partial Denture - Cast Metal Framework

Code:

D5224

Fee:

$675

IPA Rate:

$673.40

Pontic Crown - Metal Base

Code:

D6211

Fee:

$500

IPA Rate:

$320.09

Pontic Crown - Porc/Metal High Noble

Code:

D6240

Fee:

$500

IPA Rate:

$320.09

Complete Denture - Maxillary

Code:

D5110

Fee:

$675

IPA Rate:

$673.74

Immediate Denture - Maxillary

Code:

D5130

Fee:

$675

IPA Rate:

$673.40

Maxillary Partial Denture - Resin Base

Code:

D5211

Fee:

$675

IPA Rate:

$673.40

Maxillary Partial Denture - Cast Metal Framework

Code:

D5213

Fee:

$675

IPA Rate:

$673.40

Immediate Maxillary Partial Denture - Resin Base

Code:

D5221

Fee:

$675

IPA Rate:

$673.40

Immediate Maxillary Partial Denture - Cast Metal Framework

Code:

D5223

Fee:

$675

IPA Rate:

$673.40

Pontic Crown - Metal High Noble

Code:

D6210

Fee:

$500

IPA Rate:

$320.09

Pontic Crown - Metal Noble

Code:

D6212

Fee:

$500

IPA Rate:

$320.09

Pontic Crown - Porc/Base Metal

Code:

D6241

Fee:

$500

IPA Rate:

$320.09

Pontic Crown - Porc Metal Noble

Code:

D6242

Fee:

$500

IPA Rate:

$320.09

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