Common Procedure Codes
The following chart displays our office's 15 most common procedure codes. We update this monthly to ensure patients can easily reference our fees. Please feel free to call our office if you would like more information.
Updated: 04/11/24
| Service Code | Description | Standard Fee |
|---|---|---|
| D0120 | Recall Examination | $57 |
| D0350 | 2D Oral/Facial Photography Image | $60 |
| D0160 | Detailed and Extensive Oral Evaluation | $129 |
| D9310 | Consultation / Second Opinion | $130 |
| D1110 | Adult Prophylaxis | $94 |
| D0330 | Panoramic X-Ray | $105 |
| D7250 | Surgical Removal Residual Root | $288 |
| D7140 | Extraction Erupted Tooth | $165 |
| D0470 | Diagnostic Casts | $101 |
| D0210 | Full Mouth X-Rays | $139 |
| D0220 | Periapical X-Ray, First Film | $29 |
| D2335 | Composite Filling, Incis./4+ Anterior | $291 |
| D6010 | Implant | $2161 |
| D0230 | Periapical X-Ray, Add. Film | $24 |
| D4342 | Scaling and Root Planning 1-3 Teeth | $196 |