1110 |
Prophylaxis-Adult (light) |
$45 |
$86 |
48% |
2160 |
Amalgam-Three Surface, Primary or Permanent |
$95 |
$197 |
52% |
2750 |
Crown-Porcelain Fused to High Noble Metal |
$577 |
$1032 |
44% |
3330 |
Root Canal-Molar (Excluding Final Restoration) |
$558 |
$941 |
41% |
4341 |
Periodontial Scaling and Root Planing |
$119 |
$237 |
50% |
7140 |
Extraction-Erupted Tooth or Exposed Root |
$74 |
$156 |
53% |
8080 |
Comprehensive Orthodontic Treatment of the Adolescent Dentition |
20% Discount |
$5443 |
20% |