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Common Procedure Codes
The following chart displays our offices 15 most common procedure codes. We will update this monthly to ensure that patients can refer to this chart for any questions. Please feel free to call our office if you would like more information about our fees.
Updated: 06/05/2023
Service Code | Description | Standard Fee |
|---|---|---|
D0350 | 2D/Facial Photography Image | $60 |
D7140 | Extraction Erupted Tooth | $165 |
D9310 | Consultation/Second Opinion | $130 |
D1110 | Adult Prophylaxis | $94 |
D7210 | Surgical Extraction Erupted Tooth | $283 |
D0210 | Full Mouth X-Rays | $139 |
D0160 | Detailed and Extensive Oral Evaluation | $129 |
D0230 | Periapical X-Ray ADD. Film | $24 |
D0150 | Comprehensive Exam | $119 |
D0330 | Panoramic X-Ray | $105 |
D0220 | Periapical X-Ray, First Film | $29 |
D0470 | Diagnostic Casts | $101 |
D0274 | Bitewing X-Rays, 4 Films | $63 |
D4342 | Scaling and Root Planning 1-3 Teeth | $196 |
D1206 | Fluoride Varnish | $44 |
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