Comercii
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D0120 — Periodic Oral Examination
$65.00
D0210 — Full Mouth X-Rays (FMX)
$150.00
D1110 — Adult Prophylaxis (Cleaning)
$175.00
D1208 — Fluoride Treatment (Adult)
$45.00
D2140 — Amalgam Filling — 1 Surface
$180.00
D2150 — Amalgam Filling — 2 Surfaces
$225.00
D2330 — Resin Composite — 1 Surface
$200.00
D2331 — Resin Composite — 2 Surfaces
$260.00
D2740 — Crown — Porcelain / Ceramic
$1200.00
D2750 — Crown — Porcelain Fused to Metal
$1100.00
D5110 — Complete Upper Denture
$1800.00
D5120 — Complete Lower Denture
D6010 — Implant Body (Surgical Placement)
$2200.00
D6058 — Implant Abutment — Porcelain/Ceramic
$800.00
D3310 — Root Canal — Anterior Tooth
$750.00
D3320 — Root Canal — Premolar
$900.00
D3330 — Root Canal — Molar
D4341 — Scaling & Root Planing — Per Quadrant
$275.00
D4910 — Periodontal Maintenance
D8080 — Comprehensive Orthodontic Treatment — Adult
$5500.00
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