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Exam & X-ray (D0140/D0340)


Denture and Implant Consult (D0120) 

New Patient


Existing Patient of Record

Exam & X-ray (D0140/D0340)


Referred Patient with X-ray

Exam & X-ray (D0140/D0340)

$150 per tooth 

Two or more Extractions*


Single Tooth Extraction*

Dental Extraction Services

Wisdom Teeth Removal

One Wisdom Tooth Extraction**

2 Wisdom Teeth Extractions

3 Wisdom Teeth Extractions

4 Wisdom Teeth with IV Sedation






If you look inside your mouth and can see the entire biting surface of the wisdom tooth, the tooth is probably not impacted. Wisdom teeth that are still covered by gums and/or bone are usually considered impacted.

How can I tell if my wisdom tooth is impacted?

Sedation Services

Nitrous Oxide "Laughing Gas" (D9230) 

IV Moderate "Twilight Sleep" Sedation (D9243)



Note:Must have a driver/caretaker on the day of surgery

Denture and Implant Services

Full Upper or Full Lower Denture (D5110, D5120)


Denture Reline (D5750, D5751)

$250 (each denture)

Implant Denture Stabilization (2 implants and attachments to your existing lower denture)


implant denture.png

*Not including mandatory limited exam. Fee applies to both simple (D7140) and surgical (D7210) extractions.

**Not including mandatory limited exam. Fee applies to codes D7140 and D7210.

***Not including mandatory limited exam. Fee applies to codes D7220, D7230, and D7240

The Fine Print

Multiple tooth discounts do not apply when using financing (Care Credit/Lending Tree) and cannot be combined with any other discounts.

Accepted forms of payment are cash and all major credit cards. No personal checks. Financing is available through Care Credit and Lending Tree. We do not accept Medicaid. Patients with dental insurance will receive a coded receipt that may be submitted for partial reimbursement through your insurance company. Minimum fees only. Fees will remain available for at least 90 days following the final advertisement. Services rendered by general dentists. Valid for self-pay patients only, no insurance. A complementary consultation may be required before IV sedation to meet you and discuss your needs. A non-refundable deposit is due at the consultation appointment if your surgery is scheduled. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for any other service, examination, or treatment that is performed as a result of an with 72 hours of responding to the advertisement for the free, discounted fee, or reduced fee service, examination, or treatment. 

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