FEE SCHEDULE
$95
Exam & X-ray (D0140/D0340)
FREE
Denture and Implant Consult (D0120)
New Patient
FREE
Existing Patient of Record
Exam & X-ray (D0140/D0340)
FREE
Referred Patient with X-ray
Exam & X-ray (D0140/D0340)
$150 per tooth
Two or more Extractions*
$180
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
$300
$600
$900
$1400
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)
$100
$300
Note:Must have a driver/caretaker on the day of surgery
Denture and Implant Services
Full Upper or Full Lower Denture (D5110, D5120)
$500
Denture Reline (D5750, D5751)
$250 (each denture)
Implant Denture Stabilization (2 implants and attachments to your existing lower denture)
$2999
*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.