Fee Schedule
Description |
Fee |
Prophylaxis/Cleaning |
$137 |
Periapical x-ray |
$36 |
Periodic exam |
$79 |
4 Bitewing x-rays |
$83 |
Comprehensive exam |
$131 |
Full Mouth X-rays |
$188 |
Porcelain Crown |
$1696 |
2 surface posterior composite |
$352 |
Limited Oral Exam |
$110 |
1 surface posterior composite |
$275 |
Crown Build-Up |
$406 |
3 surface posterior composite | $429 |
Occlusal Guard |
$920 |
The health care price listed for any given health care service is an estimate. Actual charges for the health care service are dependent on the circumstances, including any complications or exceptional treatment, at the time the service is rendered.
If you are covered by health insurance or a dental plan, you are strongly encouraged to consult with your insurer or plan to determine accurate information about your financial responsibility for a particular health care service provided by a health care provider at this office. If you are not covered by health insurance or a dental plan, you are strongly encouraged to contact our billing office at 303-773-0960 to discuss payment options prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility.