Health Care Price List

The health care price list for any given health care service is an estimate. Actual charges for the health care service are dependant on the circumstances, including any complications or exceptional treatment, at the time the service is rendered.

Top 15 procedure codes and pricing:

  1. 0150 – New patient exam – $100.00
  2. 0120 – Periodic exam – $60.00
  3. 1110 – Adult cleaning – $100.00
  4. 1120 – Child cleaning – $70.00
  5. 0274 – 4 bite wing x-rays – $75.00
  6. 0272 – 2 bite wing x-rays – $35.00
  7. 0220 – Single pa x-ray – $35.00
  8. 0230 – Additional pa x-ray – $30.00
  9. 1208 – Fluoride – $25.00
  10. 0330 – Full mouth x-ray – $130.00
  11. 2391 – 1 surface comp posterior fill – $200.00
  12. 2392 – 2 surface comp posterior fill – $250.00
  13. 2740 – Crown – $1000.00
  14. 6066 – Implant crown – $1800.00
  15. 4341 – Scaling & root planing / quad – $200.00
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