Health Care Price List

We believe in straightforward pricing, so you can make informed decisions about your care. Below are the standard fees for our most common services. If you have insurance, your actual out-of-pocket cost will depend on your specific plan’s negotiated rates, deductible, and co-pays.

Top 16 procedure codes and prices:

1. 0150 – New patient exam – $140.00
2. 0140 – Limited exam – $120.00
3. 0120 – Periodic exam – $80.00
4. 1110 – Adult cleaning – $140.00
5. 1120 – Child cleaning – $105.00
6. 0274 – 4 bite wing x-rays – $95.00
7. 0272 – 2 bite wing x-rays – $70.00
8. 0220 – Single pa x-ray – $50.00
9. 0230 – Additional pa x-ray – $45.00
10. 1208 – Fluoride – $50.00
11. 0330 – Full mouth x-ray – $180.00
12. 2391 – 1 surface comp posterior fill – $300.00
13. 2392 – 2 surface comp posterior fill – $350.00
14. 2740 – Crown – $1600.00
15. 6066 – Implant crown – $2500.00
16. 4341 – Scaling & root planing / quad – $400.00