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© 2015 Dental Care 50.

Procedure

Member Cost

Typical Fee

Dr. Murray Fee Schedule 

                                                  Effective January, 2019

 

 

Office Visit/// .................................................................................................................

Oral Exam ....................................................................................................................

Oral Cancer Screening ................................................................................................

Prophylaxis (cleaning) .................................................................................................

Periapical X-Rays .........................................................................................................

Bitewing X-Rays ...........................................................................................................

Instruction .....................................................................................................................

Flouride Treatment .......................................................................................................

Post-Op Treatment .......................................................................................................

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, Amalgam Silver Fillings 1 Surface Permanent ................................................

Fillings, Amalgam Silver Fillings 2 Surface Permanent ................................................

Fillings, Amalgam Silver Fillings 3 Surface Permanent ................................................

Fillings, Amalgam Silver Fillings 4 Surface Permanent ................................................

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/Inlay ...................................................................................

Crowns, Porcelain/Metal ..............................................................................................

Crowns, Full Metal ........................................................................................................

Crowns, Full Gold, Plus the cost of gold ......................................................................

Crowns, Core Buildup ..................................................................................................

Crowns, Cast Post & Core ...........................................................................................

Crowns, Prefabricated Post & Core .............................................................................

Bridges, Porcelain fused to High Noble Metal, Pontic or Retainer ..............................

Bridges, fused to Gold Pontic or Retainer (plus cost of gold) .....................................

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 ................................................................................

 

$10

N/C

N/C

$65

$12

$38

N/C

$21

N/C

$52

$80

$80

N/C

$42

$140

$100

$90

$80

$78

$68

$130

$78

$95

$106

$118

$93

$104

$116

$132

$105

$115

$127

$775

N/C

$45

$690

$650

$710

$140

$220

$195

$775

$775

$810

$810

$860

$860

$860

$860

$320

N/C

$35

$69

$71

$85

$95

$30

$77

$55

$43

$55

$99

$140

$105

$22

$55

$245

$184

$175

$150

$133

$105

$175

$130

$165

$191

$235

$160

$198

$244

$255

$184

$225

$282

$1,108

N/C

$99

$1,108

$1,080

$1,080

$270

$395

$305

$1,010

N/A

$1,663

$1,663

$1,540

$1,540

$1,663

$1,663

$397

$70

$70

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.