816-523-3665
Consultation .................................................................................................................
Oral Exam ....................................................................................................................
Comprehensive Exam ................................................................................................
Prophylaxis (cleaning) .................................................................................................
Periapical X-Rays .........................................................................................................
Bitewing X-Rays ...........................................................................................................
Instruction .....................................................................................................................
Flouride Treatment .......................................................................................................
Floride Varnish .............................................................................................................
Emergency Visit ...........................................................................................................
X-Ray, Full Mouth .........................................................................................................
Panoramic Film .............................................................................................................
Local Anesthetic ...........................................................................................................
Nitrous Oxide (per unit) ................................................................................................
Scaling/Root Planning Per Quadrant ...........................................................................
Scaling/Root Planning 1-3 Teeth ..................................................................................
Full Mouth Debridement ...............................................................................................
Periodontal Maintenance After Therapy .......................................................................
Extractions, Single Tooth Non-Surgical ........................................................................
Extractions, Each Additional Non-Surgical ..................................................................
Extractions, Surgical where available ..........................................................................
Fillings, Composite White or Tooth Colored Fillings 1 Surface Anterior .......................
Fillings, Composite White or Tooth Colored Fillings 2 Surface Anterior .......................
Fillings, Composite White or Tooth Colored Fillings 3 Surface Anterior .......................
Fillings, Composite White or Tooth Colored Fillings 4 Surface Anterior Incisal Angle..
Fillings, Composite White or Tooth Colored Fillings 1 Surface Posterior .....................
Fillings, Composite White or Tooth Colored Fillings 2 Surface Posterior .....................
Fillings, Composite White or Tooth Colored Fillings 3 Surface Posterior .....................
Crowns, Porcelain/Ceramic ..........................................................................................
Crowns, Temp (with Crown) .........................................................................................
Crowns, Recement Crown/...........................................................................................
Crowns, Core Buildup ..................................................................................................
Crowns, Cast Post & Core ...........................................................................................
Crowns, Prefabricated Post & Core .............................................................................
Bridges, Porcelain .......................................................................................................
Bridges, Pontic ............................................................................................................
Dentures, Complete Upper ..........................................................................................
Dentures, Complete Lower ..........................................................................................
Dentures, Immediate Upper .........................................................................................
Dentures, Immediate Lower .........................................................................................
Dentures, Upper Cast Partial .......................................................................................
Dentures, Lower Cast Partial ........................................................................................
Dentures, Denture Relines ...........................................................................................
Dentures, First Denture Adjustment .............................................................................
Dentures, Additional Adjustments ................................................................................
$20
$31.50
$70
$70
$18
$45
$0
$29
$29
$51
$100
$70
$0
$65
$150
$110
$95
$85
$120
$120
$275
$150
$175
$250
$310
$175
$230
$280
$1,120
$0
$112
$260
$330
$330
$1,111
$1,103
$1,715
$1,748
$1,785
$1,788
$1,785
$1,788
$290
Free
$90
$69
$71
$85
$95
$30
$83
$55
$43
$55
$99
$140
$105
$22
$75
$245
$184
$175
$150
$150
$150
$375
$208
$250
$310
$387
$223
$285
$349
$1,600
N/C
$140
$325
$408
$408
$1,600
$1,590
$2,225
$2,250
$2,250
$2,275
$2,250
$2,275
$397
$115
$115
Typical Fee
Member Cost
Procedure
Dr. Deutch Fee Schedule
Effective January, 2023
Any procedure not listed will be performed at a 20% discount from the usual and customary fee.
Prices are subject to change from time to time, they were last updated in 2012 and before that in 2002.
Our fee schedule cannot be viewed from a mobile device at this time. Please call our office and we will send you our fee schedule or visit our website from a desktop or laptop computer.