Preventative Dental Care
Cleaning, Exam, Full Series of X-Rays, Fluoride (D0150)
$0-$412
- Cleaning, Exam, Full Series of X-Rays, Fluoride (D0150): $0-$412
Certain PPO plans may cover 100%
Dental Exams
$49-$81
- Periodic Exam (D0120) $49
- Comprehensive Exam (D0150) $79
- Limited Exam (D0140) $81
Emergency Exam
$0-147
- Emergency Exam: $0-147
Certain PPO plans may cover 100%
Dental Cleanings (Prophylaxis)
$77-$96
- Child Teeth Cleaning (D1120) $77
- Adult Teeth Cleaning (D1110) $96
Dental X-Rays
$32-$261
- PA (D0220): $34
- Addt’l PAs (D0230): $32
- 1 BWX (D0270): $34
- 2 BWX (D0272): $54
- 4 BWX (D0274): $77
- Panoramic X-Ray (D0330): $130
- CT (D0367): $261
Dental Sealants (D1351)
$51
- Dental Sealants: $51
Fluoride (D1206)
$30
- Fluoride (D1206): $30
Posterior Composite (White) Fillings
$199-$404
- 1 surface — $199
- 2 surface — $253
- 3 surface — $315
- 4 surface — $366
- 5 surface — $404
Certain PPO plans may cover up to 80%
Anterior Composite (White) Fillings
$179-$404
- 1 surface —$179
- 2 surface — $221
- 3 surface — $273
- 4 surface — $339
- 5 surface —$404
Certain PPO plans may cover up to 50-80%
Periodontal Maintenance (D4910)
$156
- Periodontal Maintenance (D4910): $156
Certain PPO plans may cover up to 80%
Restorative Dental Care
Porcelain Crown
$1,349-$1,650
- $1,349 (crown only)
- $1,650 (Including the build up)
Certain PPO plans cover up to 80%
Scaling & Root Planing
$183 – $283
- 1-3 Teeth (D4342): $183
- Quad (D4341): $283
Root Canals
$941 – $1,453
- Anterior (D3310): $941
- Bicuspid (D3320): $1,071
- Molar (D3330): $1,453
Tooth Extractions
$211 – $538
-
Surgical Extraction (D7210): $330
Bone Grafts
$429 – $829
- With Extraction (D7953): $429
- With Implant Placement: (D7950) $829
Dental Implants (D6010/D6056/D6059)
$4,417
- D6010: $2,098
- D6057: $7485
- D6058: $1,534
Includes 3-D X-ray–certain PPO plans may cover up to 50%
Denture Services
$75 – $1,904
- Denture Repair: $75-$300
- Denture Reline (D5750 & 5751): $450
- Flipper (D5820 & D5821): $500-$1,000
- Complete Upper (D5110): $1,813
- Complete Lower (D5120): $1,813
- Immediate Upper (D5130): $1,883
- Immediate Lower (D5140): $1,883
- Upper Partial (D5213): $1,904
- Lower Partial (D5214): $1,904
Includes 3-D X-ray–certain PPO plans may cover up to 50%
Implant-Supported Dentures
$5,500-9,500
- 2 implant overdenture — $5,500
- 4 implant overdenture — $9,500
Includes all costs except sedation and tooth extractions
Implant-Supported Bridge
$20,000 / arch
- Implant-Supported Bridge: $20,000 / arch
Includes 6 implants per arch and all costs except tooth extraction
Sinus Augmentation
$892 – $2,625
- Sinus Bump (D7952): $892
- Sinus Lift (D7951): $2,625
Cosmetic Dental
Take-Home Whitening (Custom Trays)
$299
- Take-Home Whitening (Custom Trays): $299
Take-Home Whitening (GO Whitening Package)
$75
- Take-Home Whitening (GO Whitening Package): $75
Porcelain Veneers
$1,380
- Porcelain Veneers: $1,380
Additional Services
Orthodontics (D8090)
$2,500-5,200
- Orthodontics (D8090): $2,500-5,200
Certain PPO plans may cover up to 50%
Nitrous Sedation
$99
- Nitrous Sedation: $99
Oral Conscious Sedation
$365
- Oral Conscious Sedation: $365
IV Sedation
$0-750
- IV Sedation: $0-750
Certain PPO plans may cover up to 100%
Sleep Apnea Appliance
$5,775
- Sleep Apnea Appliance: $5,775
We accept all Dental PPO and Medicaid Insurance
Don't see your insurance? Don't sweat!
Our simple, affordable care plan covers cleanings, exams, and routine X-rays, plus savings on fillings, teeth whitening, and Invisalign.
