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