Office Fees
Preventative Care
Comprehensive Exam
$296
Most PPO plans may cover up to 100%
Emergency Exam
$107
Most PPO plans may cover up to 100%
Basic Cleaning (Prophylaxis)
$135
Most PPO plans may cover up to 100%
Gum Therapy
$311
Certain PPO plans may cover up to 100%
Night Guard
$647
Certain PPO plans may cover up to 70%
Restorative Dental
Dental Implants
$2,502 - $4,839
Includes 3-D X-ray certain PPO plans may cover up to 50%
Implants with Dentures
$8,000 - $25,000 / arch
Porcelain Crown
$1,457
Certain PPO plans may cover up to 80%
Dental Onlay
$1,268 - $1,387
Certain PPO plans may cover up to 70%
Anterior Composite (White) Fillings
1 surface: $210
2 surfaces: $265
3 surfaces: $327
4 surfaces: $393
Certain PPO plans may cover up to 80%
Posterior Composite (White) Fillings
1 surface: $240
2 surfaces: $303
3 surfaces: $365
4 surfaces: $420
Certain PPO plans may cover up to 80%
Extractions (non-impacted)
$222 - $372
Certain PPO plans may cover up to 80%
Extractions (wisdom teeth or impacted teeth)
$534 - $578
Certain PPO plans may cover up to 80%
Extraction with Bone Grafting
$1,047
Extraction: $372
Bone Graft: $675
Certain PPO plans may cover up to 80%
Root Canal Anterior, Premolar
$1,069 - $1,240
Certain PPO plans may cover up to 50%
Full Denture
$1,096 - $2,218
Certain PPO plans may cover up to 50%
Partial Denture
$2,027 - $2,163
Certain PPO plans may cover up to 50%
Cosmetic Dental
Take-Home Custom Trays with Gel
$300
Take-Home Bleach Refills (Opalescence)
$50 / 2.4 ml Pack
Porcelain Veneers
$1,352
Additional Services
Orthodontics (Invisalign®)
$5,000
Certain PPO plans may cover up to 50%
Nitrous Sedation
$72
